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.
Personal Perspectives
Behind the Wall I Escape
Behind the wall of unemployment, I escape. I have a right to work. I have a Law Degree and a Life Coaching Certificate. How do I begin? How can I work professionally and who will employ me? Even though I see many barriers ahead, I say yes to every training opportunity that is offered to me. I speak up whenever I have the chance. I have completed intercultural dialogue training to become a facilitator in that area. I am also writing again with Fiction at the Friary. There is no barrier there. With speaking and writing, I ...
Primary Care
Health Equity
COVID-19
Trauma
Global Health
Behavioral Health / Mental Health
Narrative Medicine / Storytelling
Stories
The Salutary Impact of Listening to the Trauma Story
I entered the Brighton Marine Public Health Center in Massachusetts in December 1981, where hundreds of Indochinese refugees were being medically screened after the fall of Saigon. I’ll never forget my first patient—a middle-aged Cambodian woman with major hearing loss. During the exam, she told me that her hearing loss began after being beaten unconscious by the Khmer Rouge soldiers and left for dead on a pile of the bodies of her relatives. At the time, I knew nothing about the Khmer Rouge regime in Cambodia. I had no training on the impact of extreme violence on ...
Advocacy
Language Barriers to Optimal Health Care: Caring for Migrant Workers in the Middle East
What good is art when the viewer is blind to the colors you draw in? Communication is an art that health care professionals are taught early in their medical education. We’re not only taught what to ask, but how to ask it. Beyond avoiding errors and misunderstandings, good communication builds the trusting relationships that are at the core of health care. It can be said that while medical knowledge constitutes the “health” aspect, it is communication that contributes to the ...
Primary Care
Community Health
Health Equity
Public Health
Global Health
Sexual and Reproductive Health
Stories
Refugee Agency and Mobile Health Solutions: The Story of Fatima Connect
Refugee, asylum-seeking, and migrant women often experience adverse reproductive health outcomes, and
Primary Care
Community Health
Health Equity
COVID-19
Public Health
Activism
Trauma
Global Health
Sexual and Reproductive Health
Behavioral Health / Mental Health
Stories
Trauma-Informed, Holistic Health Care: A Journey from Patient to Advocate
PurpLE Health Foundation is a non-profit organization in New York City, which invests in the physical, mental, and financial health of survivors of gender-based violence. PurpLE Health Foundation’s signature program is its collaboration with
Community Health
Health Equity
Social Determinants of Health
Public Health
Global Health
Behavioral Health / Mental Health
Advocacy
Whose Trauma? De-Colonizing Post-Traumatic Stress Disorder and Refugee Mental Health Frameworks
Post-traumatic stress disorder (PTSD) and trauma needs in the Arab region The unprecedented political violence that swept the Arab region in the last century, from the Nakba of the Palestinain people to the wars in Iraq, Sudan, Libya, Syria, and Yemen, have ...
Stories
Responsible Medical Engagement in the Developing World
In July 2018, I engaged in a four-week research and service-learning trip in Buhoma, Kanungu District, Uganda. The trip was designed to address two of the most pressing concerns for the isolated, rural communities that rely on the local hospital,
Advocacy
Primary Care Innovations in Medical Education during the COVID-19 Pandemic: Lessons from the Philippines
It has been almost two years since the beginning of the COVID-19 pandemic. This global health crisis continues to expose the vulnerabilities of health systems worldwide, especially in low- and middle-income countries such as the Philippines. While advanced hospital-based health care is required in treating the life-threatening complications of severe COVID-19, it is a
Sudden Death in the Realm of Possibility: The Psychosocial Trauma, Uncertainty, and Health Care Needs of Migrants Crossing the Mexico-U.S. Border
Matamoros, Mexico: The living conditions of displaced migrants Poverty, violence, natural disasters, and political instability are all forces that have led to mass migration and displaced populations globally. In the Americas, migrants crossing from Honduras into Mexico face a number of personal safety and health concerns, including a high risk of sex trafficking, ...