Brazil's leadership role in the fight against HIV has brought its public health system widespread praise. But the nation still faces serious health challenges and inequities. Though home to the world's second largest African-descendant population, Brazil failed to address many of its public health issues that disproportionately impact Afro-Brazilian women and men. Kia Lilly Caldwell draws on twenty years of engagement with activists, issues, and policy initiatives to document how the country's feminist health movement and black women's movement have fought for much-needed changes in women's health. Merging ethnography with a historical analysis of policies and programs, Caldwell offers a close examination of institutional and structural factors that have impacted the quest for gender and racial health equity in Brazil. As she shows, activists have played an essential role in policy development in areas ranging from maternal mortality to female sterilization. Caldwell's insightful portrait of the public health system also details how its weaknesses contribute to ongoing failures and challenges while also imperiling the advances that have been made.

In 2006, the Brazilian Health Council approved a National Health Policy for the Black Population. The Policy is striking because it promotes the image of a biologically and culturally discrete black population in a nation where racial classification has historically been relatively fluid and ambiguous. It transforms established patterns of racialization by collapsing "brown" (pardo) and "black" (preto) Brazilian Census categories into a single "black population" (população negra) to be considered a special-needs group by the public health apparatus. This construction resembles the United States' dominant mode of racialization based on hypodescent and represents a significant departure from hegemonic portrayals of Brazil as a racially mixed nation. Furthermore, the Policy challenges national ideologies of racial and cultural unity by affirming the existence of an essential black body with specific health concerns, as well as an essential Afro-Brazilian culture that materializes in recommendations for culturally competent health care. As such, the Policy constitutes an important site for new negotiations of racial and cultural identity in Brazil. In this dissertation, I explore the political and social implications of treating racial and ethnic groups differently within Brazilian health care. I examine how the re-definition and medicalization of racial and cultural identities unfolds in public clinics, temples of Afro-Brazilian religion, and social movements based in São Luís and São Paulo, Brazil. Through an analysis of ethnographic data that I collected over twenty-four months, I assess the impact of recent developments in race-conscious health policy on Brazilians' lived experiences of race, ethnicity, and health disparities. I argue that the new Policy, and its associated health programs, signals the emergence of a new biopolitical paradigm in which the Brazilian state formalizes citizens' racial and ethnic differences in order to address inequalities among them. I also show that many aspects of these programs, which incorporate global discourses and concepts related to health equity, fail to resonate with Brazilian citizens' notions about race and health. Consequently, patients and healthcare providers often resist the new measures. The result is a disjuncture between policy and practice that ultimately hinders Brazil's efforts to reduce health inequalities among its citizens.

Domestic and international health activism and health policy are focal points in this volume, a publication of the National Conference of Black Political Scientists. This work demonstrates the continuing importance of the "medical civil rights movement," through examples of activism of women of colour in AIDS service organizations, of their health issues, and of the struggle for racial equity in health care in Brazil.Spikes in police and vigilante violence, as well as fear of a reversion to resegregated schools have brought a new urgency to black political activism. The contributors explore the effect of race on American attitudes toward immigration policy and reform, black state legislators and American morality politics, the historically disproportionate influence of Southern whites in American politics, and the undermining of school desegregation laws with "nullification" strategies. The volume's Trends section features conversations on the #BlackLivesMatter movement in Los Angeles, the 2016 presidential election, and examines the teaching of the Trayvon Martin story at the University of California, Irvine. The volume also includes a diverse selection of book reviews.

Worldwide, men have more opportunities, privileges, and power, yet they also have shorter life expectancies than women. Why is this? Why are there stark differences in the burden of disease, quality of life, and length of life amongst men, by race, ethnicity, (dis)ability status, sexual orientation, gender identity, rurality, and national context? Why is this a largely unexplored area of research? Men’s Health Equity is the first volume to describe men’s health equity as a field of study that emerged from gaps in and between research on men’s health and health inequities. This handbook provides a comprehensive review of foundations of the field; summarizes the issues unique to different populations; discusses key frameworks for studying and exploring issues that cut across populations in the United States, Australia, Canada, the United Kingdom, Central America, and South America; and offers strategies for improving the health of key population groups and achieving men’s health equity overall. This book systematically explores the underlying causes of these differences, describes the specific challenges faced by particular groups of men, and offers policy and programmatic strategies to improve the health and well-being of men and pursue men’s health equity. Men’s Health Equity will be the first collection to present the state of the science in this field, its progress, its breadth, and its future. This book is an invaluable resource for scholars, researchers, students, and professionals interested in men’s health equity, men’s health, psychology of men’s health, gender studies, public health, and global health.

Brazil is a globally vital but troubled economy. This volume offers comprehensive insight into Brazil's economic development, focusing on its most salient characteristics and analyzing its structural features across various dimensions. This innovative Oxford Handbook provides an understanding of the economy's evolution over time and highlights the implications of the past trajectory and decisions for current challenges and opportunities. The opening section covers the country's economic history, beginning with the colonial economy, through import-substitution, to the era of neoliberalism. Second, it analyses Brazil's broader place in the global economy, and considers the ways in which this role has changed, and is likely to change, over coming years. Particular attention is given to the productive sectors of Brazil's economy, for example manufacturing, agriculture, services, energy, and infrastructure. In addition to discussions of regional differences within Brazil, socio-economic dimensions are examined. These include income distribution, human capital, environmental issues, and health. Also included is a discussion of Brazil in the world economy, such as the increase in "South-South" cooperation and trade as well as foreign direct investment. Last but not least is a discussion of the role of the Brazilian state in the economy, whether through state enterprises, competition policy, or corruption.

Over the past fifteen years, people in low- and middle-income countries have experienced a health revolution—one that has created new opportunities and brought new challenges. It is a revolution that keeps mothers and babies alive, helps children grow, and enables adults to thrive. Millions Saved: New Cases of Proven Success in Global Health chronicles the global health revolution from the ground up, showcasing twenty-two local, national, and regional health programs that have been part of this global change. The book profiles eighteen remarkable cases in which large-scale efforts to improve health in low- and middle-income countries succeeded, and four examples of promising interventions that fell short of their health targets when scaled-up in real world conditions. Each case demonstrates how much effort—and sometimes luck—is required to fight illness and sustain good health. The cases are grouped into four main categories, reflecting the diversity of strategies to improve population health in low-and middle-income countries: rolling out medicines and technologies; expanding access to health services; targeting cash transfers to improve health; and promoting population-wide behavior change to decrease risk. The programs covered also come from various regions around the world: seven from sub-Saharan Africa, six from Latin America and the Caribbean, five from East and Southeast Asia, and four from South Asia.

Factors outside of healthcare services determine our health and this involves many different sectors. Health for All Policies changes the argument about inter-sectoral action, from one focusing on health and the health sector to one based on co-benefits – a 'Health for All Policies' approach. It uses the Sustainable Development Goals as the framework for identifying goals across sectors and summarizes evidence along two causal axes. One is the impact of improved health status on other SDGs, e.g. better educational and employment results. The other is the impact of health systems and policies on other sectors. The 'Health for All Policies' approach advocated in this book is thus a call to improve health to achieve goals beyond health and for the health sector itself to do better in understanding and directing its impact on the world beyond the healthcare it provides. This title is also available as Open Access on Cambridge Core.

This volume addresses the diversification of mental healthcare provision and patients’ health-seeking behavior by putting Brazilian Spiritism and its translocal relations at the center of its inquiry. Comparative chapters document and critically assess the affective arrangements of Spiritist spaces in Brazil and Germany and how practices contribute to healing and the diversification of a globally circulating mental health agenda. The book addresses the human experience within Spiritist psychiatric clinics and affiliated Spiritist centers in Brazil, which in migratory contexts also have connections to Germany. Chapters interrogate the spaces where people inside and outside Brazil engage in implementing Spiritist practices in mental healthcare, introducing the Aesthetics of Healing as a conceptual tool to understand interactions between religion and medicine more broadly. Establishing a novel analytical and interdisciplinary perspective on embodied aspects of sensory experience and perception, this compelling volume will be of interest to scholars, researchers, and postgraduate students involved with mental health research, medical anthropology, Spiritualism, and cross-cultural psychology. Practitioners in the fields of transcultural psychiatry and the sociology of religion will also find the volume of use.

This systematic account of social epidemiology discusses the major social variables that affect health, such as socioeconomic status, race/ethnicity, gender, working conditions and social support.