What action do you think can be taken in the above situation and who do you think should take this action? Discuss.
Answers
Answer:
Establish routine disease surveillance within slum communities or at local clinics
Ensure a safe environment for disease surveillance and reporting of illegal or informal residential status, without fear of reprisal
Organize community planning groups for health care prioritization made up of community leaders and representatives of local health professionals, high-risk groups, community-based organizations, and nongovernmental organizations
Develop new analytical framework for understanding health outcomes in slums, including new metrics for disease burden estimates based on slum-specific social and physical parameters
Identify and target relevant and modifiable conditions of slums life
Focus on slum-specific health care needs, which may be very different than those in neighboring urban areas
Target immediately modifiable health risks, such as diverting sewage or run-off, waste disposal, installing public lighting, providing soap and hygiene education, and improving traffic safety
Involve auxiliary health care providers, such as private pharmacies and traditional healers
Take action
Use existing structures and social capital in slums, such as community groups or religious institutions, and involve residents in design and provision of services
Engage in multisectoral interventions, including professionals from urban planning, public works, engineering, and health sectors
Advocate for patients through public advocacy, political institutions, and reporting study results in internationally distributed professional journals
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