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27-31 August 2019
Poznań, Poland
Europe/Warsaw timezone
programme last update: 23 August 2019
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Is there any place for solidarity in post-socialist healthcare systems?


Location: Poznań, Poland
Date: 30 Aug 11:00 - 15:30


Room 3.160

This panel proposes discussion on healthcare systems in the vast post-socialist and post-Soviet region, considering both patients’ and medical professionals’ perspectives. We would call attention to their expectations about the fundamental transformation of healthcare and their experiences of ongoing and/or implemented reforms. In post-socialists countries the previous, strongly centralised healthcare based on the Semashko model was replaced with various systems, with different part of state financing and health insurance contributions, as well as different share of the private healthcare sector. As some anthropological research in post-socialist contexts revealed, despite the experts’ positive evaluations of the reforms, both users and providers of healthcare may be dissatisfied with their outcomes. We are interested in identifying people’s opinions, attitudes and feelings about healthcare services in different settings, and the reasons for their assessments. Do they feel like victims of predatory capitalism or recognise benefits of the new system? Is there any nostalgia for the socialist healthcare among those who remember the previous system? What are the most serious challenges faced by the people? What strategies do they develop to cope with what they perceive as adverse effects of the reforms? Is there any place for social justice, solidarity and support for the vulnerable in those systems? These questions may be tackled in the context of particular domains of biomedicine, such as psychiatry, oncology or obstetrics, and/or in relation to reproductive health, access to biomedical technologies, etc. We especially welcome contributions by medical anthropologists or other social scientists, based on ethnographic research.


  • P 78.1
    • Dr. Penkala-Gawęcka, Danuta (Adam Mickiewicz University in Poznań)
    • Dr. Klepikova, Anna (European University at Saint Petersburg)
    • Dr. Temkina, Anna (European University at St. Petersburg)
  • P 78.2
    • Dr. Penkala-Gawęcka, Danuta (Adam Mickiewicz University in Poznań)
    • Dr. Klepikova, Anna (European University at Saint Petersburg)
    • Dr. Temkina, Anna (European University at St. Petersburg)

Timetable | Contribution List

Displaying 11 contributions out of 11
In 1991, the medical system of Estonia underwent changes: the new family physician service was implemented, requiring many medical diploma holders to re-train for a wider-profile reception of patients, including the health of the family as a whole. The system of specialist doctors continued to function. Every citizen pays social tax and health insurance tax (in addition to the pension fund and u ... More
Presented by Dr. Andres KUPERJANOV on 30/8/2019 at 11:00
Contemporary activist discourse in Russia, in line with the international trends, follows the diversity model approach to disability and tends to view disability as a permanent condition that has something to do with a person’s identity and self, as a socially constructed category, rather than an individual health problem. In the parents’ narratives, however, their child’s disability is mo ... More
Presented by Dr. Anna KLEPIKOVA on 30/8/2019 at 12:05
The paper juxtaposes the framings of vaccination among medical professionals and laypeople that have emerged in Serbian post-socialist context. The differing perspectives are contextualized against their political, economic, socio-cultural and historical backgrounds. The analysis demonstrates that medical professionals still cling to the previous socialist principles in securing public health, as ... More
Presented by Dr. Vesna TRIFUNOVIC on 30/8/2019 at 12:20
In this paper I will discuss the contributions of the Romani and Non-Romani women‘ s rights activism to the process of the transformation of the obstetrics care in Slovakia. On an example of an analysis of the grass-root and human rights activism of women from diverse social and ethnic background I will (1) describe how the structural violence that is present in the Slovak obstetrics care system ... More
Presented by Dr. Zuzana PEŠŤANSKÁ on 30/8/2019 at 12:25
It is often maintained in scholarly literature that corruption represents one of the main threats to the proper functioning of healthcare systems in post-socialists region and in post-Soviet countries in particular. Researchers describe the so-called informal payments – bribes and other forms of ‘reward’ for medical services in such states as post-socialists Hungary or post-Soviet Russia, Uk ... More
Presented by Dr. Danuta PENKALA-GAWĘCKA on 30/8/2019 at 12:00
In China, square dancing or plaza dancing is an exercise routine performed to music in squares, plazas or parks of the nation's cities. It is popular with middle-aged and retired women who have been referred to as ""dancing grannies"" in the English-language media. Due to its low cost and ease of participation, it has been estimated to have over 100 million practitioners. Most of the women who squ ... More
Presented by Dr. WANG WUYUN on 30/8/2019 at 12:45
Rare diseases make up a large group of diseases (7,000-8,000) that are characterised by a low prevalence in populations (≤5: 10,000 in Europe, Huyard 2009). However, they affect 6%-8% of the population during their lifetime. In 2009, the Council of the EU issued a “Recommendation on action in the field of rare diseases”. The Council urged member states to prepare and adopt a plan or strategy ... More
Presented by Katarzyna Ewa KRÓL on 30/8/2019 at 11:45
A few days before Latvia joined the European Union (EU) in 2004, State Agency of Medicines of Republic of Latvia approved new, revolutionary oncolytic virotherapy medication RigVir against the battle of malignant melanoma. Since 2011, RigVir has been state-reimbursable medication for patients with a melanoma diagnosis and has also been state-approved in Armenia and Georgia. However, RigVir has bee ... More
Presented by Anna ŽABICKA
In the past two decades the health system of Mongolia has been substantially reformed. Implicit to the reforms to strengthen the health system, there have been an emphasis on creating a ‘weak state’ grounded in policies of structural adjustments. These transitions have not only affected the distribution of access to health services among the population, but also shaped the very mechanisms of p ... More
Presented by Dr. Benedikte Victoria LINDSKOG on 30/8/2019 at 11:20
This paper grasps how commercialisation of maternity care in Russia influence on positions and interactions of mothers-to-be and doctors in hospitals. The research is based on 35 in depth interviews with patients and 24 with professionals in paid maternity car in St.Petersburg. The context of marketization in the post-soviet context combined with the legacy of paternalism differs significantly ... More
Presented by Dr. Anna TEMKINA on 30/8/2019 at 9:40
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