218165 Supporting cross-disciplinary FBO collaborations to promote social justice in public health care delivery

Monday, November 8, 2010

Susan Holman, MS, PhD , François-Xavier Bagnoud Center for Health and Human Rights, Harvard School of Public Health, Boston, MA
Faith-based organizations (FBOs) that are engaged in public health and relief initiatives are commonly faulted for ideological assumptions that patronize recipients as charity objects and for failing to engage a human rights perspective that ensures entitlements and equitable capacity building. This is particularly evident in the delivery of food. Outraged at the mission-sponsored helicopter “bread drops” documented in a “Democracy Now!” video interview with earthquake victims, for example, one Haitian community member said, “They should have given to the responsible on the ground to distribute to the rest of the people here, and not when they go back up in the air, throw the bread out like they were throwing bones to dogs.” (http://www.democracynow.org/2010/1/22/t_trembl_journey_to_the_epicenter). Such approaches demonstrate not only disrespect for human dignity but also ignorance of the dominant human rights and justice language that defines faith-based narratives regarding poverty relief in all three Western monotheistic traditions, specifically for health equity. This presentation will begin with a summary of where such language occurs in late antique health-related texts that influence the practical development of FBO-sponsored health care delivery into the present. Second, it will outline principles common in non-sectarian public health activities that may intersect with the work of FBOs. Finally, it will suggest how public health care providers might draw on the newly emerging research on such sources in ethical tradition to promote health equity in cross-disciplinary collaboration that advances the practical realization of human rights.

Learning Areas:
Diversity and culture
Other professions or practice related to public health

Learning Objectives:
1. Discuss key areas for improving collaborative and FBO-supported applications of social justice and human rights principles. 2. Define and compare distinctions between models of public health relief or capacity building relevant to FBO collaboration. 3. Identify at least five early historical texts in Western late-antique religious tradition that have an explicit and direct relevance to modern dialogue about social justice, entitlements, and human rights; and formulate how such relevance might influence health care delivery.

Keywords: Religion, Social Justice

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a former public health nutritionist/registered dietitian, now a research writer and editor at the François-Xavier Bagnoud Center for Health and Human Rights at Harvard School of Public Health, whose research specializes in the religious roots of social welfare; I have published two monographs (with Oxford University Press, 2001 and 2009) and numerous journal articles and book chapters directly related to the topic of this paper.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.