DQ 1: Compare vulnerable populations
Topic 3 DQ 1
Compare vulnerable populations. Describe an example of one of these groups in the United States or from another country. Explain why the population is designated as “vulnerable.” Include the number of individuals belonging to this group and the specific challenges or issues involved. Discuss why these populations are unable to advocate for themselves, the ethical issues that must be considered when working with these groups, and how nursing advocacy would be beneficial.
In today’s world, health disparities are largely existent among a few groups of populations or vulnerable groups who are more prone to various diseases and lack sufficient healthcare services. This number of health disparities is significant among the vulnerable population in the United States and the rest of the world. Due to their social status and economic factors, their health care facilities are largely aggravated and as a result, they suffer from various health issues. These vulnerable populations include racial and ethnic minorities, the economically disadvantaged, low-income children, the elderly, the homeless, and those suffering from chronic health issues (Falkner, 2018). Among the many vulnerable populations in the world, the women in India are one of them, especially the reproductive mothers. The women in India face a higher risk of poor health and access to health care facilities leaving them open to a higher probability of having illness than others. Even in the 21st century, the caste system exists in India, where the members of the lower groups lack basic health care needs and access to these medical facilities.
As a result, women in India face double discrimination, one being part of lower caste and the other being to experience vulnerabilities relating to their gender. In India, the patriarchal system is highly existent all over the country, and the women hardly get any opportunity to express themselves or make important decisions in the family or even related to their own life. They have little or no control over the resources and their personal decisions. Due to the ongoing system of early marriage and its effects, the health of women in India is adversely affected. According to a 2006 survey conducted in a district in India, about 28% of girls get married before their legal age and experience early pregnancy, which has significant consequences on their health. Along with it, the rate of maternal mortality is significantly high in India and according to a national survey in 2000; the average mortality ratio at the national level is 540 deaths per 100,000 live births. This number varies from region to region and whether it is a rural or urban area. The rural MMR (Maternal Mortality Rate) is 617 deaths of age between 15-49 years per 100,000 live births as compared to the urban MMR which is 267 deaths per 100,000 live births. Additionally, a large population of women in India receives no antenatal care and institutional delivery is the lowest for women belonging to lower caste or group as compared to women from a higher caste (Chintey & Chintey, 2014).
The vulnerable population of women in India is unable to advocate for themselves, largely due to the male dominance in their society. The women are considered as those who are only responsible for the work in the kitchen, and other household responsibilities. They do not have the freedom of stepping their feet outside and expressing themselves. When they do express themselves, they are faced with huge backlash and violence from society. They are not even allowed to gain basic education and they are not sent to schools, as it is considered as a waste of money spent on the women. The culture, various stereotypes, and taboos that exist in these Indian societies do not allow women to be influential and the strict rules fixed by the conservative society, instill fear and depression in these women (Agarwal & Sethi, 2013). Nurses, especially the female nurses, can be impactful in helping out these vulnerable populations of women by showing themselves as an inspiration or role-models. They can relate their life stories and motivations with those suffering from these caste systems and gender discrimination. They can provide public health services, with access given specifically for these vulnerable women and those at high risk. Along with it, they can provide health education and safe health care practices to adolescent girls and adult women. They should keep in mind the life these women have gone through and should approach them delicately and with care (Falkner, 2018). Finally, nurses can motivate them by showing and proving the various changes that have happened around the world with women at the top of the progress and how they can make a difference in their own lives and the world.
Agarwal, S., & Sethi, V. (2013). Nutritional Disparities among Women in Urban India. Journal of Health, Population, and Nutrition, 31(4), 531–537. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3905648/
Chintey, M., & Chintey, B. (2014). Women and Children as Vulnerable groups in India: Their Health and Human Rights. IOSR Journal of Humanities and Social Science, 19, 01–04. https://doi.org/10.9790/083719620104
Falkner, A. (2018). Community as Client. Retrieved from Gcumedia.com website: https://lc.gcumedia.com/nrs427vn/community-and-public-health-the-future-of-health-care/v1.1/#/chapter/3,
Thank you for highlighting the social and cultural challenges that Indian women face in accessing quality and affordable healthcare services. It is sad to see how gender and caste based judgments dictate how the society views Indian women. Gender norms have also been shown to influence attitudes toward the use of contraceptives and women’s ability to make decisions on family planning (Sanneving et al., 2013). Gender as a structural determinant of health operates through different intermediary determinants that influence the maternal and reproductive health of women and their access to care. In 2010 India was ranked as number 112 of 134 countries on the global gender gap index. Women living in rural parts of India are considered a vulnerable group in terms of maternal and reproductive health. In rural areas home births remain the most common practice, with only 29% of the deliveries taking place in a health facility (Sanneving et al., 2013).
Sanneving, L., Trygg, N., Saxena, D., Mavalankar, D., & Thomsen, S. (2013). Inequity in India: the case of maternal and reproductive health. Global health action, 6, 19145. https://doi.org/10.3402/gha.v6i0.19145
Very interesting post. I like how you linked those in poverty and having the lack of health care resources promoting their risk for illness development. Smoking is not only bad for people practicing the behavior, but additionally affects people around the individual. I have witnessed many cases where people develop COPD from second hand smoke of their parents when they were children.
A vulnerable population that comes to mind is the elderly population. According to the (US Census Bureau, 2018) in 2015 the elderly population accounted for 14.9% of the population. This is a huge number of people who are unable to protect and advocate for themselves. Lee et al., (2019) argues that preventative care is one way that we can advocate for the elderly population. We can advocate by emphasizing the importance of health screens regularly. By doing this we can help decrease the prevalence of disease such as diabetes type 2, hypertension, and hyperlipidemia. If we all contribute to this idea the future elderly population may be able to avoid dealing with so many comorbidities that could have been avoided if the right nurse or provider guided them at a younger age.
US Census Bureau. (2018). Older Americans Month: May 2017. Retrieved March 12, 2021, from https://www.census.gov/newsroom/facts-for-features/2017/cb17-ff08.html
Lee, Y.-H., Chang, Y.-C., & Liu, C.-T. (2019). Preventative care utilization and associated health-related measurements among older adults following the 2009 health reform in China. The International Journal of Health Planning and Management, 34(2), e1135–e1148. https://doi-org.lopes.idm.oclc.org/10.1002/hpm.2749
Great post, Shola! You have done an excellent assessment regarding the discrimination against Indian women. Even though gender-based discrimination against girls and women is common in the developing economies, India is among the worst culprits. Female discrimination that begins inside the womb continues all through the lives of women. Violence against women in Indian could take a number of forms (Chelala, 2020). It could include acid-throwing, domestic violence, dowry violence, as well as sexual harassment. Approximately one-quarter of the Indians (23 percent) claim there is too much discrimination against females within the country. And 16 percent of the Indian females recounted that they individually had experienced gender-based discrimination due to their gender in the twelve months prior to the 2019/2020 survey (Chelala, 2020). Additionally, three-quarters of the adults view violence against women as a real deal in India as a whole. In trying to improve the safety of women, I believe it is important teaching boys to respect every woman than teaching girls to behave accordingly. Thank you.
Chelala, C. (2020). India: Gender Inequality Seriously Harms Women and Girls. Retrieved from https://www.theglobalist.com/india-gender-equality-discrimination-women-rape-sexual-violence-culture/