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.

Stories

The Various Faces of Trauma

Trigger warning: Parts of this piece may be triggering. Please take the time and space to look after yourself and seek help. A few years ago, while I was packing for an upcoming move, I came across my old Pakistani passport. As I opened it, my 16-year-old self looked back at me, with the words “married” and “housewife.” I was a child bride. I am now in my 30s. I broke free from that child marriage a decade ago and built a wonderful new life of freedom for myself and my daughters. ...
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

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
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,

Knock-Knock: Our Ordinary is the Patient’s Extraordinary

The time reads 8:30 am. Walking down the pediatric wards as a third-year medical student, it is easy to get lost in the routine. Step by step with the rest of the medical team on morning rounds, I report an elevated direct bilirubin outside the patient room of a young newborn whose liver is looking a little “junky” to say the least. “His belly is soft and non-distended,” I report.

Sex Ed Isn’t Actually About Sex

As a teen in rural Appalachia, I didn’t know what I was missing when it came to my abstinence-only sex education. It wasn’t until I endured an emotionally abusive relationship as a young medical student that I began to question how I, as a strong, independent woman, could end up in something so psychologically toxic. After gaining the silent courage to leave that relationship, I did a deep dive into unhealthy relationships and how we, as a society, can prevent this type of violence. ...

The Current State of COVID-19 Vaccination Efforts in Children

Children are absolutely essential to the success of COVID-19 vaccination efforts, as children aged 0-15 years compose nearly 20% of the United ...

Child Care and Early Education is a Social Determinant of Health—For Children and Adults

More than six months into the COVID-19 pandemic, child care solutions for families remain scarce. A high-stakes problem typically confined to parents with children younger than five, lack of child care has now become a near-universal challenge, with remote K-12 learning upending care infrastructure for families with school-aged children as well. Consistent failure to provide public funding to the child care and early education sector—both traditionally and in this moment of crisis—is taking a heavy toll:

Impacts of COVID-19 on Relief-Seeking Immigrant Children

In times of crisis, the most vulnerable populations are often the ones most affected. Prior to the COVID-19 pandemic, immigrant children arriving to the United States already faced difficulties navigating a complex and intimidating system to seek refuge. However, in the six months since the COVID pandemic fundamentally altered our way of life, the
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