write an article on Medical Citizenships. It needs to be at least 2000 words.
Cancers are usually realized when they become obvious in an advanced stage requiring mastectomy. Also, in the US women are more likely to learn how to deal with breast cancer through friends with the disease, support groups, and fundraising appeals. In Botswana, because of the absence of oncology, there is no collective experience of the disease or knowledge of the biomedical therapeutic process required for cure. Recently there have been some attempts to disseminate public knowledge through posters and other means, but they do not resonate in Botswana as they are copied from ones in the West and recommend unavailable screening and are without cultural adaptation. On the other hand, diseases such as HIV, hypertension, diabetes, and tuberculosis are well known, so Botswana patients have to learn to distinguish these diseases from cancer. Although Botswana has universal care it is geared to grappling with infectious diseases and mother-child health. Cancer is largely unknown by medical workers except in a cancer ward in a public hospital. Furthermore, even in the hospital diagnosis and treatment are hampered by staff shortages and turnover, lack of modern functioning equipment, and appropriate drugs. There is also a high risk of co-infection with diseases such as HIV. Even when some women are told they have cancer, they may self-deny until it advances, and they are forced to deal with it. Also, even many doctors in clinics and private hospitals deny oncology because of ignorance of the disease and/or they don’t know how to deal with it. When arriving at the er treating hospital some patients are distrustful because they already had sought relief from Christiana Tswana prophetic leaders without success. Many do not understand biomedical explanations so it is better to talk in terms of analogies or say things like” you will hate my treatment, but it will help you”. In Botswanan the human body is understood in different ways with organs in different places and connected in different ways. Therefore, imported medical tests are useless unless adaptations are made to take this into account. .
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