Information to Users

Total Page:16

File Type:pdf, Size:1020Kb

Information to Users INFORMATION TO USERS This manuscript has been reproduced from the microfilm master. UMI films the text directly from the original or copy submitted. Thus, some thesis and dissertation copies are in typewriter face, while others may be from any type of computer printer. The quality of this reproduction is dependent upon the quality of the copy subm itted. Broken or indistinct print, colored or poor quality illustrations and photographs, print bleedthrough, substandard margins, and improper alignment can adversely affect reproduction. In the unlikely event that the author did not send UMI a complete manuscript and there are missing pages, these will be noted. Also, if unauthorized copyright material had to be removed, a note will indicate the deletion. Oversize materials (e.g., maps, drawings, charts) are reproduced by sectioning the original, beginning at the upper left-hand comer and continuing from left to right in equal sections with small overlaps. Photographs included in the original manuscript have been reproduced xerographically in this copy. Higher quality 6” x 9” black and white photographic prints are available for any photographs or illustrations appearing in this copy for an additional charge. Contact UMI directly to order. Bell & Howell Information and Learning 300 North Zeeb Road, Ann Arbor, Ml 48106-1346 USA UMI 800-521-0600 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. NOTE TO USERS This reproduction is the best copy available UMI Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. iNVCNTtNQ H eal ™ T m b i t i d n , M u m a n d MATERNAL 0BUQ4IMH IN m e Kingdom D r T onga H eather Y oung Leslie m . a . A Dissertation Submitted to the Faculty of Graduate Studies in Partial Fulfilment of the Requirements for the Degree of D octor of P hilosophy Graduate Program in Anthropology York University North York, Ontario, Canada March 1999 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. National Library Bibliotheque nationale 1*1 of C anada du C an ad a Acquisitions and Acquisitions et Bibliographic Services services bibliographiques 395 Wellington Street 395, rue Wellington Ottawa ON K1A0N4 Ottawa ON K1A0N4 C anada C anada Your file Voire reference O ur file Notre reference The author has granted a non­ L’auteur a accorde une licence non exclusive licence allowing the exclusive permettant a la National Library of Canada to Bibliotheque nationale du Canada de reproduce, loan, distribute or sell reproduire, preter, distribuer ou copies of this thesis in microform, vendre des copies de cette these sous paper or electronic formats. la forme de microfiche/film, de reproduction sur papier ou sur format electronique. The author retains ownership of the L’auteur conserve la propriete du copyright in this thesis. Neither the droit d’auteur qui protege cette these. thesis nor substantial extracts from it Ni la these ni des extraits substantiels may be printed or otherwise de celle-ci ne doivent etre imprimes reproduced without the author’s ou autrement reproduits sans son permission. autorisation. 0-612-42782-X Canada Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. INVENTING HEALTH: TRADITION, TEXTILES AND MATERNAL OBLIGATION IN THE KINGDOM OF TONGA bV HEATHER YOUNG LESLIE a thesis submitted to the Faculty of Graduate Studies of York University in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Perm ission h a s b e e n gran ted to the LIBRARY OF YORK UNIVERSITY to lend or sell copies of this thesis, to the NATIONAL LIBRARY OF CANADA to microfilm this thesis and to lend or sell copies of the film. The author reserves other publication rights, and neither the thesis nor extensive extracts from it may be printed or otherwise reproduced without the author's written permission. Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. a > UN1VERSITE 6 YORK UNIVERSITY FACULTY OF GRADUATE STUDIES 1 recommend that the dissertation prepared under my supervision by HEATHER YOUNG LESLIE entitled INVENTING HEALTH: TRADITION, TEXTILES AND MATERNAL OBLIGATION IN THE KINGDOM OF TONGA be accepted in partial fulfillment of the req uirem en ts for the d e g r ee of DOCTOR OF PHILOSOPHY February 1999 f Supervisor P. Van Esterik Recommendation concurred in by the following Examining Committee Chair M. Rodman R/wan Esterik ^ * * 1 ( -- _ N. Adelson a A. O'ReiUy— fZ? — - W. Giles T. G o rd o n / March 1999 EE) R2 Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. A bstract This dissertation offers a localized, symbolic analysis of the tropes which organize mothers’ everyday practice on the Tongan atoll called Kauvai, with particular attention to the language, meanings and practices associated with ‘health’. I argue that as mothers, women are active agents in the invention of Tongan culture, figure in the production of a national image of traditional modernity and mediate a structural tension between the roles of sisters and wives. The role of the Tongan mother has yet to be theorized, and I examine her position, and the insights the Tongan mother can provide the analysis o f maternal work. Roy Wagner’s theory of the symbolic, instrumental creation of culture, which he called “invention”, is evident in the emergence of a system of Tongan governance which is equally traditionally Polynesian and modern. It is also evident in the classification of faito ’o fakatonga [traditional illness treatments] as a competitor with biomedicine, and in the emergence of a local understanding of health, which prioritises appropriate social relations and traditional Tongan cultural practices, identified as anga fakatonga. Insofar as Tongan health promotion and medical services include a strong focus on maternal child health issues, mothers are placed at nexus points between ‘modern’ medicalized ways of perceiving bodies, food, hygiene or risks, and the future generation, the children. As mothers therefore, women are key figures in the interpretation of medical and modernizing messages and directions for social practice. Despite the government’s official adoption of Western models for representing health, at the level o f everyday life in the village, ‘health’ is played out differently from the illness treatment and prevention focus associated with biomedicine. Locally, traditional practices, including notions of kinship, gendered roles of motherhood and traditional behaviour, counter the orthodox emphasis of biomedical health, and replace it with a more locally meaningful trope of ‘living well, according to anga fakatonga -the Tongan way’. As mothers, women are significant to the production of a national image o f traditional modernity, insofar as it is their duties as mothers, in addition to their kinship obligations which motivate much of the production of ceremonially significant textiles used to create and maintain the ties which bind together everyday and ritual life in Tonga. Mothering helps to mediate the structural tension between sisterly and wifely roles, insofar as the one person a father’s and mother’s side have in common is the child. Women emphasis their maternal obligations, as a means o f juggling the multiple calls on their textile wealth, personal labour and time. But in addition, examining mother’s practices demonstrates the way in which textiles, sometimes called women’s wealth, act to signify the obligation of the entire maternal kindred, through life and death. Finally, mothers in Tonga are ‘good mothers’, but their practice and priorities differ from a germinal feminist formulation (Ruddick 1989) for theorising mothering. For mothers on Kauvai, duty to family is a dominant trope, and traditionalism acts to protect, not ensnare the Tongan commoner woman. -IV- Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. A cknowledgements Some very special people made this dissertation possible. "Fakatapupea fakafeta / "to Vili and Toa’ila Maea Malohi, Loutoa Fifita, Sione Suli Talia’uli, the late Vasiti ‘Aholelei, Pauline Ngalu, Susana and Folingi Katoa, Paula Tuitavuki, Manu Ngalu, Heu’ifangalupe and the late Vake, ‘Ana and Sione ‘Ofa, Ika and Vaiola Katoa, Fane, Talahiva, ‘Eva and Folau Feimo’efi’afi, Tevita and Malia, Vitina and Fanguna Vaitohi: "pea 'ofa la h ia tu kimoutolu 'ae toko lahi 'oefetu’u fa k a ’ofa’ofa ‘aupito, he si’i motu 'oe Maka Fele’unga, ko H a’ano". The people of Kauvai have my undying love and hold all debts on my being an anthropologist. The children of the place of the Maka Fele’unga, especially Mauvai, Mahina, ‘liaise, Suli, Lolohea (Lisia), Vili leka, Sitaleki, Siaosi, Tuitu’u and the ongo mahanga Salote and Vunga, remain in my thoughts and heart. I miss you all terribly. Michael and Ceilidh Evans saved my life on more than one occasion. To Ceilidh, who is exactly the same age as my doctoral career, and who has never known a mother who was not also a student and a frustrated writer, I say thank you for being such a clever, beautiful and inventive person. I apologise Starshine, for all the times when I was distracted, or had “no time” to give you attention, and ‘push you up’ in the way that all children deserve. The final text could not have been completed without the selfless assistance of three people: A huge thank you to Jennifer Gustar for reading the text with a non-anthropological and constructive eye, for your friendship and for your brilliant laughter; to Leslie Butt for your supportive, intelligent discussions, and for pushing me to de-tangle my thoughts; and especially, to Mike Evans for his integrity and strong commitment to me and our academic future together.
Recommended publications
  • International and Regional Influences on Tonga's
    INTERNATIONAL AND REGIONAL INFLUENCES ON TONGA’S MENTAL HEALTH ACT Timothy P. Fadgen* Abstract In 2001 Tonga adopted a new mental health law as part of an overall health sector reform process. This was only the third iteration of a statute designed to address the island Kingdom’s mental health sector since 1948. International actors had considerable influence over the form and substance of each of these law changes with only minimal input from the indigenous mental health sector. Moreover, this article will situate the 2001 Act as falling short of international best practice at the time of adoption. The circumstances of how these laws came to be adopted in Tonga play an important role in understanding the law’s proper context within national medico-legal institutions. Given the long gaps in time between policy change at the statutory level, this article will then argue that practitioner application and court interpretation of Tonga’s constitutional rights will likely be the source of any broadening of protections for individuals with mental illness in the near term. Two recent decisions that have implicated Tonga’s Mental Health Act will be discussed. These cases each raise natural justice concerns within the mental health context. This article will conclude that because the law was largely the product of international intervention and was not guided by the development of a local mental health policy setting forth the indigenous aspirations or guiding principles of the mental health system in Tonga, future reforms should follow such a formula and in the interim, advocates should appeal to natural justice to secure their client’s rights are protected in the area of mental health court practice.
    [Show full text]
  • Sepiuta Lopati
    Prevalence of ear disease and its associated hearing loss among primary school children in Tonga: urban versus rural. Sepiuta Lopati ORCHID ID: https://orcid.org/0000-0001-9720-8235 Submitted in complete fulfilment of the requirements for the degree of Master of Surgery by research. July 2020 Department of Otolaryngology The University of Melbourne Abstract Background. Ear disease and hearing loss among children are significant world- wide health problems that potentially cause speech and language development delay, social isolation, and academic failure. The prevalence is highest in low- and middle- income countries including the Pacific island countries where epidemiological data and resources are limited. National programs to raise awareness and detection rarely existed in most Pacific island countries. The purpose of this case study was to determine the prevalence of ear disease and associated hearing loss in primary school children. The data will be used as informed evidence to develop a propose strategies to address ear and hearing problems among primary school children in Tonga. Methods. This was a cross sectional population- based study which used otoscopy, tympanometry and pure tone audiometry to determine the prevalence of ear disease and hearing loss in 10 urban and 12 rural primary schools in Tongatapu. Results were collected on a digitised form from 489 students (88% of total selected population) class 1 to 6 (5 to 14 years of age) and data were analysed using quantitative statistical and mixed model method. Results. Wax was the most common ear problem found in 54.6% (267 students) of the primary school children both partial and occluded wax and more common in urban children (31%) as compare to rural (24%).
    [Show full text]
  • Pacific Ncd Summit Pacific Ncd Summit
    PACIFIC NCD SUMMIT Translating global and regional commitments into local action 20 –22 June 2016, Tonga Programme U N D P Empowered lives. Resilient nations. Table of Contents Page Summit Taskforce……………………………………………. 2 Summit Partners……………………………………………… 2 Welcome…………………………………………………………. 3 Objectives………………………………………………………… 4 Important Information…………………………………….. 4 Agenda…………………………………………………………….. 5 Keynote Address……………………………………………… 8 Speakers' Presentation Summaries………………….. 9 1 Summit Taskforce Dr. Siale ‘Akau’ola, Tonga Ministry of Health (Chairperson) Ms. Potesia Cocker, Tonga Ministry of Health (Secretary) Hon. Fanetupouvava’u Tu’ivakano, Tonga Ministry of Foreign Affairs Ms. ‘Ilaisipa ‘Alipate, Tonga Ministry of Foreign Affairs Ms. Elsie Fukofuka, Tonga Ministry of Foreign Affairs Mr. Saia Misinale, Tonga Prime Minister’s Office Mr. Sisitoutai Tonga, Tonga Ministry of Police Ms. Monica Tu’ipulotu, Tonga Health Promotion Foundation Ms. Iemaima Havea, m-Health project Sr. Seilini Soakai, Tonga Ministry of Health Sr. Afu Tei, Tonga Ministry of Health Sr. Falahola Vakasiuola, Tonga Ministry of Health Mrs. Fusi Kaho, Tonga Ministry of Health Ms. ‘Esiteli Tu’i, Tonga Ministry of Health Dr. ‘Ofa Tukia, Tonga Ministry of Health Mr. ’Eva Mafi, Tonga Ministry of Health Dr. Lisiate ‘Ulufonua, Tonga Ministry of Health Dr. Sione Talanoa Latu, Royal Physician (Adviser) Lord Tangi-‘o-Vaonukonuka, Former Minister for Health (Adviser) Summit Partners The Pacific NCD Summit would not be possible without the support of the following partner agencies: 2 Malo e lelei! Welcome! We are pleased to welcome you to the Pacific NCD Summit, jointly organised by the Government of Tonga and the Pacific Community (SPC). NCDs – primarily heart disease, cancers, lung disease and diabetes – have reached epidemic proportions in the Pacific and are creating a ‘human, social and economic crisis’.
    [Show full text]
  • Kids'cam Tonga 2017
    Kids’Cam Tonga 2017 Looking at Health in Tonga from a Child’s Eye View A 4th year MBChB project By Timothy Galt, Sabrina Koh, Max Hardie Boys, Dhenisha Dahya, Devon Winders, Rita Kettoola, Emily Fiennes, Mikayla Barnett, Jordan Tewhaiti-Smith, Felicia Joe, Shaina Pinares Garcia, Silabhakta Livirya, Gobi Ou, Andy Robinson, Sarah Hulme-Moir, Logan Clarricoats, Viliami Puloka, Moira Smith, James Stanley & Louise Signal Page | i Abstract Importance Tonga is a country with a high burden of non-communicable disease (NCD) risk factors. The Tongan government has in place a NCD strategy to try and reduce the burden of these risk factors and the subsequent disease. Kids’Cam uses automatic cameras in order to see what children are seeing in their environment. This methodology might be used to see what risk factors children in Tonga are exposed to, and where and when appropriate intervention might take place. This paper presents data from an initial analysis from a subset of students. Setting 12 semi – randomly selected schools in Tongatapu, Tonga. Both rural and urban schools were selected. Participants 6 children aged 11 to 13 from each school were selected to take part in the study. Data Collection Children were given an automatic camera, which took photographs every seven seconds. The children were asked to wear the camera during the waking hours from Friday morning through to Sunday evening. Images were then coded for relevant non communicable disease risk factors and protective factors. These included type of food and drink intake, the layout of and purchases from fale koloa, amount of time spent on screens, anti-smoking messages and adults smoking, and transport time and type of transport.
    [Show full text]
  • The Impact of Immigration on Child Health: Experimental Evidence from a Migration Lottery Program1
    The Impact of Immigration on Child Health: Experimental Evidence From a Migration Lottery Program1 Steven Stillman, Motu Economic and Public Policy Research* John Gibson, University of Waikato David McKenzie, Development Research Group, The World Bank March 2007 Abstract Does migration have a positive or negative impact on the health of the children of migrants? Determining the impact of migration on child health requires a comparison of the current health of the immigrant children to what their health would have been had they stayed in their home country. The latter is unobserved, and is usually proxied by either the health of natives or the health of stayers of a similar age and gender to the migrant child. These approaches are not very convincing because immigrant families are likely to differ from non-migrant families along a host of unobserved dimensions, some of which are likely to be correlated with both child health and migration. This paper uses a unique survey designed by the authors to compare the children of migrants who enter New Zealand through a random ballot with the children of unsuccessful participants in the same ballots who remain in Tonga. Migration is found to have complex effects on children, increasing the stature of infants and toddlers, but also increasing BMI and obesity among pre-teens. Further results provide suggestive evidence that dietary change rather than direct income effects explain these changes in child health. Keywords: Migration, Child Health, Natural Experiment JEL codes: J61, I12, F22 1 We thank the Government of the Kingdom of Tonga for permission to conduct the survey there, the New Zealand Department of Labour Immigration Service for providing the sampling frame, attendees at the An International Perspective on Immigration and Immigration Policy Conference in Canberra, Australia for helpful comments, Halahingano Rohorua and her assistants for excellent work conducting the survey, and most especially the survey respondents.
    [Show full text]
  • Secretariat of the Pacific Community
    SPC/CRGA 34 Paper Series 2.2 ORIGINAL : ENGLISH SECRETARIAT OF THE PACIFIC COMMUNITY THIRTY-FOURTH MEETING OF THE COMMITTEE OF REPRESENTATIVES OF GOVERNMENTS AND ADMINISTRATIONS (Noumea, New Caledonia, 16-19 November 2004) SOCIAL RESOURCES DIVISION REPORT (Paper presented by the Secretariat) 1. The mission of the Social Resources Division (SRD) is defined as: “Working to maximise the development potential of Pacific Island people in health, culture and information, and to enhance the empowerment of women and young people.” 2. The Division comprises a very wide range of programmes and sections, some of which report to the Senior Deputy-Director General, as they too operate from Suva. This report will not try to cover all the SRD’s programmes and sections, but will focus on the rationalisation achieved in the Division’s work and on certain major activities undertaken in 2004. Annex 1 offers a more detailed account of programme activities. 2004 will be remembered for some major initiatives in multiple programme integration. 3. This report highlights four of the main directions pursued by the Division in 2004, in line with the strategic priorities of the SPC Corporate Plan 2003-2005. 4. It has helped member countries and territories build their capacity to base their strategic and policy decisions on quality information, as an essential pre-requisite to good governance. 5 Through enhanced programmes, it has striven to help member countries and territories to effectively combat the recurrent and emerging perils that threaten the health of Pacific Islanders, as recommended by the 2nd Conference of the Pacific Community. 6 It has worked to help construct harmonious Pacific Island societies through the development of strategic, legal and policy frameworks and new skills to permit women and young people to take part in national development through the full expression of their potential and by protecting Pacific identities.
    [Show full text]
  • Nutrient Intake in the Kingdom of Tonga
    Nutrient Intake in the Kingdom of Tonga Associations with Overweight, Obesity and Glucose Tolerance Soana Muimuiheata Thesis submitted in fulfillment of the degree of Master of Science University of New South Wales March 2007 i ABSTRACT Diabetes mellitus, cardiovascular disease and other non-communicable diseases (NCD) have become the major cause of premature death, morbidity and disability in many Pacific countries including Tonga. Several population-based surveys have suggested that changes from a traditional to a modern way of life have enhanced the development of NCD. These diseases are multifactorial metabolic disorders where risk factors include hyperglycaemia, obesity, hypertension, lipid abnormalities, physical inactivity and poor nutrient intake. There has been little research which has specifically examined detailed food intake and nutrient composition in the Tongan population. Aims - to determine the national pattern of food and nutrient intake in Tonga and to identify associations between food and nutrient intake and overweight, obesity and glucose tolerance. Research Design and Methods – The survey was conducted in two parts, Tongatapu in 1998 and Vava‟u and Ha‟apai in 2000. A multi-stage cluster sampling design was used to select a representative sample of 1024 people age 15 years and older from the Tongan population. Information about the usual food and nutrient intake was collected by Food Frequency Questionnaire, and analysed by the Australian Food Works program. Lifestyle behaviours such as physical activity, alcohol and smoking status, the use of traditional medicine, occupation and religious practices were also collected. Anthropometric and clinical measurements – weight, height, body mass index, body fat, blood pressure, lipid profiles, fasting glucose, HbA1c, creatinine and microalbumin levels were measured.
    [Show full text]
  • Pacific Youth: Local and Global Futures
    PACIFIC YOUTH LOCAL AND GLOBAL FUTURES PACIFIC YOUTH LOCAL AND GLOBAL FUTURES EDITED BY HELEN LEE PACIFIC SERIES Published by ANU Press The Australian National University Acton ACT 2601, Australia Email: [email protected] Available to download for free at press.anu.edu.au ISBN (print): 9781760463212 ISBN (online): 9781760463229 WorldCat (print): 1125205462 WorldCat (online): 1125270333 DOI: 10.22459/PY.2019 This title is published under a Creative Commons Attribution-NonCommercial- NoDerivatives 4.0 International (CC BY-NC-ND 4.0). The full licence terms are available at creativecommons.org/licenses/by-nc-nd/4.0/legalcode Cover design and layout by ANU Press Cover photograph: ‘Two local youths explore their backyard beach in Tupapa, Rarotonga’ by Ioana Turia This edition © 2019 ANU Press Contents 1. Pacific Youth, Local and Global ..........................1 Helen Lee and Aidan Craney 2. Flexibility, Possibility and the Paradoxes of the Present: Tongan Youth Moving into the Future .....................33 Mary K Good 3. Economic Changes and the Unequal Lives of Young People among the Wampar in Papua New Guinea. 57 Doris Bacalzo 4. ‘Things Still Fall Apart’: A Political Economy Analysis of State—Youth Engagement in Honiara, Solomon Islands .......79 Daniel Evans 5. The New Nobility: Tonga’s Young Traditional Leaders ........111 Helen Lee 6. Youth Leadership in Fiji and Solomon Islands: Creating Opportunities for Civic Engagement. 137 Aidan Craney 7. Entrepreneurship and Social Action Among Youth in American Sāmoa .................................159 Aaron John Robarts Ferguson 8. Youth’s Displaced Aggression in Rural Papua New Guinea ....183 Imelda Ambelye 9. From Drunken Demeanour to Doping: Shifting Parameters of Maturation among Marshall Islanders ..................203 Laurence Marshall Carucci 10.
    [Show full text]
  • Universal Health Coverage on the Journey Towards Healthy Islands in the Pacific
    [Annex] Universal Health Coverage on the Journey towards Healthy Islands in the Pacific June 2017 WHO Acknowledgements ................................................................................................................................ iii Abbreviations ......................................................................................................................................... iv Executive summary ................................................................................................................................ vi 1. Introduction ..................................................................................................................................... 1 2. Healthy Islands and UHC ................................................................................................................ 2 3. Status of UHC in the Pacific ........................................................................................................... 8 4. Three implementation challenges .................................................................................................. 15 5. Successes in implementation ......................................................................................................... 20 6. Recommendations ......................................................................................................................... 27 References ............................................................................................................................................
    [Show full text]
  • 1 Anthropology, Brokerage and Collaboration in the Development Of
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Kent Academic Repository Anthropology, Brokerage and Collaboration in the development of a Tongan Public Psychiatry: Local Lessons for Global Mental Health Dr Mike Poltorak School of Anthropology and Conservation, University of Kent, Canterbury, UK To be published in Transcultural Psychiatry in special issue on: Ethnographic perspectives on Global Mental Health. To cite: Poltorak, M. (2016). Anthropology, Brokerage and Collaboration in the development of a Tongan Public Psychiatry: Local Lessons for Global Mental Health. Transcultural Psychiatry. Abstract The Global Mental Health (GMH) movement has revitalised questions of the translatability of psychiatric concepts and the challenges of community engagement in countries where knowledge of the biomedical basis for psychiatric diagnosis is limited or challenged by local cultural codes. In Tonga, the local psychiatrist Dr Puloka has successfully established a publicly accessible psychiatry that has raised admission rates for serious mental illness and addressed some of the stigma attached to diagnosis. On the basis of historical analysis and ethnographic fieldwork with healers, doctors and patients since 1998, this article offers an ethnographic contextualization of the development and reception of three key interventions during the 1990s inspired by traditional healing and reliant on the translation of psychiatric terms and diagnosis. Dr Puloka’s use of medical anthropological and transcultural psychiatry research informed a community engaged brokerage between the implications of psychiatric nosologies and local needs. As such it reveals deficiencies in current polarised positions on the GMH project and offers suggestions to address current challenges of the Global Mental Health movement.
    [Show full text]
  • Health System Strengthening to Build Resilience to Climate Change in Kiribati and Tuvalu
    The Feeling That We Must Know: Health System Strengthening to Build Resilience to Climate Change in Kiribati and Tuvalu The Harvard community has made this article openly available. Please share how this access benefits you. Your story matters Citation Angelson, David. 2018. The Feeling That We Must Know: Health System Strengthening to Build Resilience to Climate Change in Kiribati and Tuvalu. Master's thesis, Harvard Medical School. Citable link https://nrs.harvard.edu/URN-3:HUL.INSTREPOS:37365177 Terms of Use This article was downloaded from Harvard University’s DASH repository, and is made available under the terms and conditions applicable to Other Posted Material, as set forth at http:// nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of- use#LAA The Feeling That We Must Know: Health System Strengthening to Build Resilience to Climate Change in Kiribati and Tuvalu David S. Angelson A Thesis Submitted to the Faculty of The Harvard Medical School in Partial Fulfillment of the Requirements for the Degree of Master of Medical Sciences in Global Health Delivery in the Department of Global Health and Social Medicine Harvard University Boston, Massachusetts. May, 2018 Table of Contents List of Acronyms ...................................................................................................................................... 2 Abstract..................................................................................................................................................... 3 Acknowledgements .................................................................................................................................
    [Show full text]
  • Tobacco Control in the Pacific
    Tobacco Control in the Pacific Evaluation of program support Phase 1 (2003 – 2004) and Phase 2 (2005 – 2008) NZAID Contractor: Allen and Clarke Policy and Regulatory Specialists Ltd Recipient countries: Kingdom of Tonga, Cook Islands, Samoa, Vanuatu, Tuvalu, Solomon Islands Evaluation: November 2007 – February 2008 Evaluation facilitation: Dr Michael Douglas, Health Insights Pty Ltd Tobacco Control in the Pacific: Evaluation 2008 Acknowledgement The review has been undertaken in a manner that has tried to capture the perspectives of the many involved in the implementation of the Tobacco Control Program in the Pacific. The author is indebted to all those who have shared their experiences, thoughts and insights, and hopes that these have been reflected and considered with the diligence and in the trust with which they were imparted. My appreciation is particularly extended to those who have been the focal point in each of the countries visited – Mr Eva Mafi (Tonga), Ms Edwina Tangaroa and Ms Polly Cabia-Togia (Cook Islands), Mr Jean Jacques Rory (Vanuatu) and Mr Watson Bana and Ms Nevalyn (Solomon Islands). Each of these, with the support of their respective seniors, has supported a magnificent involvement of a wide array of people within each country to participate in the review. Insights have also been provided by representatives of development agencies in countries, as well as Dr Harley Stanton (formerly of SPC), Mr Burke Fishburn (WHO Manilla) and Dr Tony Lower (formerly of Pacific Action for Health Project). Finally, the support and cooperation, and the genuine commitment to learn through their experience expressed by NZAID (through Marion Quinn and Megan McCoy) and by Allen & Clarke (particularly through Matthew Allen) has been greatly valued, and ensured that the review was established in an open and highly professional environment.
    [Show full text]