Archive

Perspectives in Primary Care features writing from practitioners, activists, and community members representing organizations, practices, and institutions across the United States and around the world.

Advocacy

Relating Place, History, and Neighborhood Context to Mental Health: A Baltimore Case Study

Mental health is a growing public health priority. While people from racial/ethnic minority groups generally report a similar prevalence of mental health conditions compared to the rest of the U.S. population, they have
Advocacy

Our Right to Basic Public Health Amenities

I was born and raised in Mebane—a small town in North Carolina that is now primarily white with a large percentage of Black, Indigenous, and Latinx individuals today. My childhood was spent between my father, Jesse’s, side of the family in the West End Community of Mebane and the Hawfields community of dairy farms where most of my mother, Mary’s, side of the family lived. My father worked on dairy farms after his left arm was cut off in a Mebane sawmill accident, while my mother worked in textile mills that caused carpal tunnel syndrome and mini-strokes. Outhouse ...
Advocacy

A Teaching Hospital Partnership with the Rosebud Sioux Tribe

Beautiful Rosebud, South Dakota, is the home of the Rosebud Sioux Tribe, or the Sicangu Oyate. In 2012, the Sicangu Oyate was one of the first communities to ask teaching hospitals to send physicians to work in the local Indian Health Service (IHS) facility, nearly 70 years after physicians from teaching hospitals started working with the Veterans Health Administration. The
Advocacy

Inspire: Helping Families with Asthma Catch Their Breath

“I did whatever I needed to for my child to get the proper services… you are the professionals, but I’m the mom.” She’s the mom. It’s these humbling moments that Mary, a panelist at the
Advocacy

The Conflict of Culture and Sexuality Among Arab American Women

As Arab American women studying public health at National Arab American Medical Association Next Generation (NAAMA NextGen), we’re passionate about the sexual health of our fellow Arab American women. Though the Arab region extends throughout a vast geographic area in the Middle East and North Africa (MENA), resulting in diverse societal norms and cultural values,
Advocacy

Black Birthing Persons Matter—All of Them

A Black trans dad, Kayden Coleman shares his clinical experience during his two pregnancies. He recounts horrible encounters with gestational care providers, such as being offered an abortion a “ridiculous” number of times, misgendered by physicians, virtually forgotten during his postpartum period, and even turned away from care.
Advocacy

Centering the Woman in Maternity Care

Few human experiences match the intensity of stress, pain, exertion, and emotional turmoil as labor. The mortality risk in pregnancy is present for all, though Black women in the United States are
Advocacy

Increasing the Black Physician Workforce: How One Student is Taking Action to Address Diversity in Medicine

“When I grow up, I wanna be Dr. G!” That was how, at seven years old, I announced to my parents that I wanted to be a doctor. Dr. Jan Garavaglia (aka, “Dr. G”) was my role model and the star of my favorite TV show, Dr. G: Medical Examiner. Growing up as an avid viewer of Discovery Health Channel programs, my earliest role models were the doctors I watched every day.
Advocacy

The Divinity of Doula Care: A Framework for Understanding the Essential Care Providers Shaping Perinatal Outcomes

The term “doula” is the latest buzzword appearing everywhere, from social media and podcasts to federal and statewide legislation and health care policy. This popularity may be attributable to the recent increase of peer-reviewed research that demonstrates what has long been communal knowledge—that this ...
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