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Contested and nervous spaces: exploring the environment of healthcare provision for international migrants in the Gauteng province of South Africa.
Glob Health Action
December 2024
Centre for Health Policy & South African Research Chairs Initiative, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Background: Notwithstanding the global goal of inclusive universal health coverage, and the notion of migrant-sensitive health systems, limited healthcare access or the exclusion of migrants from national health systems persists. South Africa has a rights-based constitution, but there is an inability or a failure of the health system to recognise and address the health needs of migrants.
Objective: To explore the intersection of the environment of healthcare provision for migrants and the everyday practices and behaviours of health workers and patients in the Gauteng province of South Africa.
Deprescribing antidepressants for depression - what is the evidence for and against?
Australas Psychiatry
September 2024
Academic Department of Psychiatry, Kolling Institute, Northern Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia; CADE Clinic and Mood-T, Royal North Shore Hospital, St. Leonards, NSW, Australia; Department of Psychiatry, University of Oxford, Oxford, UK and Oxford Uehiro Centre for Practical Ethics, Faculty of Philosophy, University of Oxford, Oxford, UK.
Objective: Recent guidelines suggest that the overall quantity and duration of antidepressant prescriptions should be reduced. In this paper, we comment on the evidence both for and against this view.
Methods: We critically review the arguments proposed by proponents of antidepressant deprescribing in the context of the evidence-base for the treatment of depression.
Reflections on the Kerala Public Health Act 2023: A response to Dr Karpagam's commentary.
Indian J Med Ethics
August 2024
Professor (CAP), Department of Community Medicine, Government Medical College, Manjeri, Malappuram, INDIA.
In this response, we seek to analyse and rebut the observations of Karpagam S using an understanding of the Kerala Health system and the general purpose of the Kerala Public Health Act (KPHA). The KPHA was crafted with a greater focus on a one-health and preventive approach. It does not seek to interfere in an individual's preferred choice of treatment, except in the case of public health emergencies.
View Article and Find Full Text PDFThe Law, Dementia, and Sexuality-Is the Law Striking the Right Balance?
Gerontologist
November 2024
School of Clinical Medicine, University of New South Wales, Sydney, New South Wales, Australia.
Background And Objectives: English and Welsh laws require "contemporaneous" consent to sexual relations, often precluding "non-capacituos" people living with advanced dementia from these human interactions.
Research Design And Methods: The views of people living with dementia, carers, professionals, and over-55s were explored on implications of current laws on sexuality in dementia. Thirty-five participants from England were recruited through purposive selective sampling.
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