Infectious Diseases and Non-Communicable Diseases: From an anthropological and global health perspective, what is a syndemic (what does the perspective offer) and why is it important? Provide an example of syndemic thinking for an infectious condition and a non-infectious condition. How can thinking in terms of syndemics influence our approach to, our understanding of, and the treatment for IDs and NCDs.

Answer the following essay questions. There is no word minimum or maximum; however do be mindful of length. Complete/comprehensive/well-developed yet succinct answers are preferred (meaning: beware of repetition, organize your ideas well, avoid BS). I expect you to draw on both readings, notes taken during the seminar, and any other useful resources. Remember that each question might draw on material presented across several weeks.

1. (40%) What works. What fails: This semester, we have reviewed a wide range of issues, programs, and ideas in global health. Identify a set of ideas, perspectives, interventions, or practices that appear to work well in global health (around 3-5 is good). Why are these successful? Next, in a more critical vein, identify a set of ideas, perspectives, interventions, or practices that are less than desirable (around 3-5). Why do they fail? The what works observations can be linked with the what doesnt work. For example, one might remark that behaviour change approaches in HIV treatment do not work because they ignore powerful social and economic pressures/constraints. However, programs that are able to go to where the patient is in terms of location, financial situation, and social context, and treat issues beyond the scope of HIV have higher success rates (of course, in reality, your answer is going to be much more elaborate and cited). Try to avoid repeating material that is in your paper for this semester. Remember to back your answer with relevant material from this semester.

2. (30%) Global Mental Health Debate: What issues and perspectives are central to the recent global mental health debate? In your answer, demonstrate your grasp of the GMH situation and each of the perspectivesspecifically, the positions of those that support a unified global mental health agenda and those that are more cautious. Based on the readings and seminar material, outline your perspective or position on the issue and what you consider to be at stake.

3. (30%) Infectious Diseases and Non-Communicable Diseases: From an anthropological and global health perspective, what is a syndemic (what does the perspective offer) and why is it important? Provide an example of syndemic thinking for an infectious condition and a non-infectious condition. How can thinking in terms of syndemics influence our approach to, our understanding of, and the treatment for IDs and NCDs.

Finally, describe how the notion of compliancethat is, the degree to which a patient correctly follows advice (which is often manifest as a paternalistic attitude toward the patient)arises as a key theme (being similar and/or different) for ID and NCD prevention strategies, treatments, or larger forms of discourse around, for example, responsibility. Your answer might include, for instance, a desrption of where compliance is directed in each case.

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