In Hankivsky's view, a global ethics of care begins with three assumptions: "1) care is considered to be a fundamental aspect of all human life; 2) all human beings are interdependent by virtue of being part of ongoing relations of care; and 3) 'people are entitled to care because they are part of ongoing relations of care'" (9).
These tensions are essentially about the value placed on different relations of care within the health system.
We argue that an emphasis on social relations of care has been missing from the literature reviewing the effectiveness of community-based strategies for the scale up of priority public health interventions including ART.
Drawing on data from a qualitative study conducted with home-based caregivers in Zambia in 2009, our paper uses the devolution of ART access in Sub-Saharan Africa to explore how relations of care evolve alongside the scale-up of health interventions, which may also inform other public health interventions involving lay workers.
Health care providers interviewed for this study spoke in relation to their experiences of caring for inner-city women in Winnipeg, Manitoba.
Three participants stated they had learned to cherish valuable things in life: one participant had "realised the importance of caring for relations with others".
The independent variables of the first-stage pooled probit model were age, care leave, co-residential caregiving, caregivers' health status, relation of care recipients, educational attainment, having friends or acquaintances, hospitalization, marital status, medication or doctor's consultation, residence, sex, and relative resources or wage rate.
It is no longer a relation of care, compassion, and beneficence, but a relation of an economic or a commercial kind.
Conversely, physicians who provided long-term follow-up care for EPC (i,e., neonatal physicians and paediatric neurologists) indicated that considering HRQoL was essential, at the same time to improve the relation of care and the information.
In this case study, I have examined how the social relations of health care seeking were negotiated within the broader context of intra- and inter-household interactions.
