干旱区生态环境知识资源中心(Arid): The cycle of distrust in health policy and behavior: Lessons learned from the Negev Bedouin

Arid

DOI	10.1371/journal.pone.0237734
	The cycle of distrust in health policy and behavior: Lessons learned from the Negev Bedouin
	Hermesh, Barak; Rosenthal, Anat; Davidovitch, Nadav
通讯作者	Hermesh, B
来源期刊	PLOS ONE
ISSN	1932-6203
出版年	2020
卷号	15 期号:8
英文摘要	Background Over the last decades, health systems worldwide have faced a decline in public trust. For marginalized minority populations, who generally suffer from poverty and political exclusion, the roots of this trend go much deeper, establishing a state of bi-directionaldistrustbetween them and health institutions. Although studied to a lesser extent compared to trust, distrust does impede health initiatives, such as infectious diseases prevention programs, mostly of so-called Neglected Zoonotic Diseases (NZDs). Where distrust prevails, even trust building actions such as defining rights and obligations, prioritizing the greater good and increasing transparency, are prone to failure. In this study, we deepen the understanding of the concept of distrust through a unique case study of Brucellosis, a prevalent bacterial zoonotic disease endemic to disadvantaged Bedouin communities in southern Israel. Methods In the years 2015-2019, we qualitatively studied socio-political aspects in a governmental Brucellosis control campaign in southern Israel. We used in-depth interviews with 38 governmental and private health workers, agriculture and nature preservation workers, livestock owners and community leaders. Further, we conducted participant observation in 10 livestock pens and in policymaking meetings, and collected policy and media documents in order to triangulate the results. Results We conceptualize three different types of distrust between authorities and marginalized communities-intention-based distrust, values-based distrust and circular distrust-to better explain how distrust originates and reinforces itself, reproducing the endemicity of NZDs. Based on that, we portray a practical framework to reduce distrust in health policies, by reframing local discourses, reshaping disease monitoring schemes from enforcement-based to participation-based, and promoting political inclusion of disadvantaged communities. Conclusions The suggested analysis and framework redirect health policy objectives to not only acknowledge, contain and reduce the consequences of distrust, but also to strive for societal justice as a tool for health promotion.
类型	Article
语种	英语
开放获取类型	Green Published, gold
收录类别	SSCI
WOS记录号	WOS:000564315600096
WOS关键词	SOUTHERN ISRAEL ; TRUST ; BRUCELLOSIS ; WOMEN ; STRATEGIES ; DEMOLITION ; DESERT ; SYSTEM ; CARE
WOS类目	Multidisciplinary Sciences
WOS研究方向	Science & Technology - Other Topics
来源机构	Ben-Gurion University of the Negev
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/325905
作者单位	[Hermesh, Barak; Rosenthal, Anat; Davidovitch, Nadav] Ben Gurion Univ Negev, Fac Hlth Sci, Sch Publ Hlth, Dept Hlth Syst Management, Beer Sheva, Israel
推荐引用方式 GB/T 7714	Hermesh, Barak,Rosenthal, Anat,Davidovitch, Nadav. The cycle of distrust in health policy and behavior: Lessons learned from the Negev Bedouin[J]. Ben-Gurion University of the Negev,2020,15(8).
APA	Hermesh, Barak,Rosenthal, Anat,&Davidovitch, Nadav.(2020).The cycle of distrust in health policy and behavior: Lessons learned from the Negev Bedouin.PLOS ONE,15(8).
MLA	Hermesh, Barak,et al."The cycle of distrust in health policy and behavior: Lessons learned from the Negev Bedouin".PLOS ONE 15.8(2020).