Values in Health Policy and Evaluation Literature
Explore the intersection of values in health policy and evaluation literature, focusing on areas such as values in science, RCTs, policy interventions, and the case of Guinea during the Ebola outbreak. Delve into the importance of context and ethical considerations in healthcare decision-making.
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Values in Health Policy Katherine Furman University College Cork
Three overlapping areas of literature 1. Values in Science 2. Values in Evaluation 3. RCTs and Context
Values and Evaluation Putting the values back into evaluation . All evaluations are value judgments (e.g. Swedish school evaluations (Segerholm, 2011)). Increasingly pressing in international aid evaluations.
RCTs, Policy Interventions and Context How do we get from there to here ? (Cartwright and Hardie) One thing we need to pay attention to is context . Infrastructural context (e.g. International AIDS interventions (Seckinelgin, 2017)). Value context (e.g. West African Ebola outbreak).
Background to the Ebola Case 2013-2016; Guinea, Sierra Leone, Liberia. Conservative estimate: 28,616 cases and 11,310 deaths (WHO) Large scale intervention and large scale resistance.
The Case of Guinea 4 April 2014: MSF Ebola treatment centre opened, attacked one week later. June July 2014: 26 villages barricade themselves. August 2014: Attack on health centre in Koyama. August 2014: Nzerekore city riot (22 injured). 16 September 2014: 8 murdered in Womey. June December: Red Cross report an average of 10 attacks per month.
What happened in Guinea? James Fairhead (2016): There was a breakdown of pre-existing accommodations, many of which were value-based. 1. Hospitals. 2. Mortuary practices.
Two ways not to deal with values 1. Exoticization. 2. Suppression of Value difference.
