- Seminar – Remembering the cost: oral history and payment for health services in Ghana, 1945-2019
(University of Oslo)
In the last years of colonial rule, during the transition to independence and over the independent Republic of Ghana’s first decade, efforts were made to socialize healthcare and waive user fees. For a time most health services became free. But from the early 1960s to the early 1980s, political instability and economic shortfalls prompted successive Ghanaian governments to experiment with different models for funding state healthcare – including partnerships with religious organizations, subsidies, taxes and user fees. From the 1980s, facing economic collapse and under pressure from international lenders, a military government imposed the ‘Cash and Carry’ system, requiring out-of-pocket payment for almost all health services. In 2003, after a return to multi-party elections, Ghana created its National Health Insurance Scheme, attempting to include the poor and the informal sector in a single-payer insurance system funded largely from general taxation. But the scheme has faced growing difficulties in recent years.
This presentation discusses the social history of paying for health services in Ghana, and the ways that different funding regimes are remembered: as fair or unfair, or for their particular and sometimes unexpected characteristics. Based on oral history interviews with urban and rural groups, and with current and retired healthworkers and officials, the paper examines the shifting moral economy of state healthcare in Ghana, asking how generational experiences shape expectations about present and future possibilities for healthcare reform.
Thursday, 10th October 2019, 12.45 pm – 2.00 pm
Venue: LG6, LSHTM, Keppel Street Building
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- Seminar – The Indian Hemp Drugs Commission, 1893-1894 and the uses of history in policy
(Centre for Youth Substance Abuse Research (CYSAR), University of Queensland)
Bio: Wayne Hall is a Professor at the Centre for Youth Substance Abuse Research at the University of Queensland and a Professor at the National Addiction Centre, Kings College London. He has Professorial appointments at the London School of Hygiene and Tropical Medicine and the National Drug and Alcohol Research Centre, UNSW. He was: an NHMRC Australia Fellow at the University of Queensland Centre for Clinical Research and the University of Queensland Brain Institute (2009-2014); Professor of Public Health Policy, School of Population Health, UQ (2005-2009); Director of the Office of Public Policy and Ethics at the Institute for Molecular Bioscience (2001-2005), UQ; and Director of the National Drug and Alcohol Research Centre, UNSW (1994-2001). He has advised the World Health Organization on: the health effects of cannabis use; the effectiveness of drug substitution treatment; the contribution of illicit drug use to the global burden of disease; and the ethical implications of genetic and neuroscience research on addiction.
Abstract: The Indian Hemp Drugs Commission report (1894) continues to be cited over a century after its publication, most often in laudatory terms by those who approve its recommendation in favour of the regulation and taxation of cannabis. This paper: describes historical scholarship on the context in which the Commission was established and produced its report, summarises the Commission’s reasoning about the health and mental health effects of cannabis, and outlines the reasons that the Commission gave for recommending that cannabis be regulated and taxed rather than prohibited. It also discusses some interesting echoes of the Commission’s reasoning and conclusions echoes in contemporary debates about cannabis policy, such as: the importance given to the causal role of cannabis use in psychosis in deciding upon cannabis policy; the use of double evidential standards in appraising the harms and medical benefits of cannabis use; and conflicts of interest in cannabis policy debates.
Thursday, 17th October 2019, 12.45 pm – 2.00 pm
Venue: LG8, LSHTM, Keppel Street Building
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- Seminar – A Hidden History: African women and the British health service, 1930 – 2000
Ijeoma Peter and Kaitlene Koranteng
(Young Historians Project)
The Young Historians Project (YHP) are currently working to uncover a new aspect of Black British History that our young people identified as having been left out of current historical narratives: the history of continental African women in the British health service from 1930-2000.
As current narratives on black women in the British health service tend to focus on ‘Windrush generation’ Caribbean contributions, this project will cover new ground and expand the understanding of this history. We look forward to not only exploring African women’s contributions within the health sector’s workforce, but also their wider experiences and activities in British society.
The YHP is a non-profit organisation formed by young people encouraging the development of young historians of African and Caribbean heritage in Britain. The YHP is a team of young people aged 16-25 working on dynamic projects, documenting pivotal and often overlooked historical moments.
Thursday, 24th October 2019, 12.45 pm – 2.00 pm
Venue: LG9, LSHTM, Keppel Street Building
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