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 ...
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 ...
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
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
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 ...

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, ...

COVID-19 Ravages the COFA Community in Hawai‘i

As of January 31, 2021, Pacific Islanders in Hawai‘i had the highest age-adjusted mortality rate in the United States at 319.6 deaths per 100,000 persons. In comparison, the United States mortality rate during the same period was 153 deaths per 100,000, and Hawai‘i as a whole had the lowest mortality rate in ...

Winds of Change: Communicating the Biden Administration’s Immigration Policies Can Help Combat the Pandemic

With rates of COVID-19 cases, hospitalizations, and deaths falling dramatically from peaks in January, the United States may be turning the corner on the pandemic. At the same time, the Biden administration has signaled a U-turn from the Trump era on immigration. From Day One, the new administration has expressed support for proposals to legalize millions of unauthorized immigrants, advanced executive actions to restore acceptance of asylum seekers at the U.S.-Mexico border, and embraced more welcoming ...
1 2