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Title: Health inequalities and the right to healthcare of Negev Bedouin in Israel with diabetes : a case study of a marginalized Arab indigenous minority
Author: Alshamari Abu Nadi, Ferial
Awarding Body: University of Warwick
Current Institution: University of Warwick
Date of Award: 2013
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Health Inequalities and the Right to Healthcare of Negev Bedouin in Israel with Diabetes: A case study of a Marginalized Arab Indigenous Minority Diabetes is one of the world’s most pervasive chronic diseases and there are high rates of prevalence in the Arab world and amongst indigenous peoples. It is widespread amongst older Bedouin in the Negev, who are a marginalized Arab indigenous minority in Israel. This is a multi-method case study using non participant observation in clinic settings, analysis of medical records and semi-structured interviews in a Health Centre and Hospital Outpatient Clinic and household interviews. The fieldwork took place over eight months in 2007. Statistical analysis was done using SPSS and thematic qualitative analysis was conducted using NVIVO 7 with supplementary manual analysis. The conceptual frameworks used are the right to heath and health care approach as set out in UN Special Comment 14 in relation to the availability, accessibility acceptability and quality of health care, as well as neo materialist, materialist and socio-behavioural explanations of health inequalities linked to lay and professional explanatory models of illness. The findings show that there are limitations on the right to health care in terms of availability of clinics and clinic hours, accessibility in terms of distance, language, cost, and information, acceptability in terms of linguistic and cultural differences between staff and patients and quality in terms of medical records, monitoring and appropriate context specific lifestyle advice. The issue of non-discriminatory care needs to be addressed. Explanatory models of illness used by Bedouin and health professionals differ although both reflect awareness of changing lifestyles. These models link to explanations of health inequalities. There are gender differences in how Bedouin men and women understand and live with diabetes which is related to their social status and circumstances. Some aspects of the findings are generalisable to Bedouin in the Arab world and to indigenous peoples in relation to health care provision, health inequalities and explanatory models. However, there were specific areas of health care provision that related to the marginalized minority status and situation of this population in Israel which needs to be addressed and the rights to health and health care framework provides a potential means of monitoring improvement.
Supervisor: Not available Sponsor: University of Warwick ; Cohen Charitable Trust ; Batsheva de Rothschild Foundation for the Advancement of Science in Israel
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available
Keywords: DS Asia ; RA0421 Public health. Hygiene. Preventive Medicine