Cultural Competency Vulnerability and Social Justice in India

Question: Discuss about the Cultural Competency Vulnerability and Social Justice. Answer: Introduction Indias large population size makes it third in the list of HIV spread in the world. HIV in India is at 0.3%, which is smaller compared to other middle-income countries, however due to the high population it makes 2.1 million people. Almost 62,000 people have been seen to have died from AIDS illness. A vulnerable population Among key influenced populaces, sex workers and men who engage in sexual relations with same gender have encountered a current decrease in HIV prevalence. Commonness among individuals who infuse drugs was already steady, however has been ascending in late years. Small children of sex workers are also considered a vulnerable population to transmission of HIV. HIV transmissions amongst transgender are increasing posing high danger of transmission related to the disease(1). In 2016, an expected 2.2% of female sex workers in the country was estimated to be coping with HIV, in spite of the fact that this figure differs between states. For instance, one 2013 investigation referred to HIV commonness among sex laborers in Andhra Pradesh at 9.7% , Manipur at 13.1%, Maharashtra at 17.9% and Karnataka at 5.3%. In spite of the fact that sex work is not entirely unlawful in India. This implies specialists can legitimize police threatening vibe and whorehouse assaults. Disgrace and victimization s ex workers limit their entrance to medicinal services(2). Sex workers are one of the high-hazard bunches focused by India's National AIDS Control Organization (NACO) with shared HIV intercessions (when people from scratch influenced populaces give administrations to their companions or connection them to administrations inside medicinal services settings). In 2015, NACO announced achieving 77.4% of sex laborers with HIV counteractive action exercises of this kind. Social and behavioral factors that contribute to inequality among this population In India, individuals from sexual orientation, position, class, and ethnic character encounter basic segregation that effect their wellbeing and access to medicinal services(3). These are the leading social and behavioral factors that contribute to inequality amongst the population. Social Factors: Ladies confront twofold segregation being individuals from particular rank, ethnic or class-based gathering separated from encountering gendered weaknesses. Ladies have low status when contrasted with men in Indian culture. They have little control on the assets and on essential choices identified with their lives. Maternal mortality is relatively high in the country as compared to other developing countries. Lack of access to basic education, healthcare facilities, job opportunity and access to land enhances female vulnerability in India. Major women in rural areas are not allowed to undertake job roles and are discriminated against. Lack of basic healthcare facilities, lack of opportunities coupled with domestic violence often forces these women to fall into traps of agents, who indulge them in sex work. Behavioral Factor: A noteworthy extent of the lower standings and Dalits are as yet reliant on others for their occupation. Dalits does not allude to a position but rather suggestsa aggregate wh are in a condition of mistreatment, social inability and who are vulnerable and poor. In a station overwhelmed nation like India, Dalits who involves more than one-6th of the Indian populace, remain as a group whose human rights have been seriously damaged. Lack of opportunities and class distinction is prevalent in the country, where various classes are not allowed to perform tasks with higher payouts. This often makes vulnerable classes to take up sex work for earning opportunities. Auxiliary oppression these gatherings happens as physical, mental, enthusiastic and social mishandle which gets authenticity from the social framework and the social structure. Physical isolation of their settlements is regular in the towns compelling them to live in the most unhygienic and inhabitable conditions. Every one of these elements influence their wellbeing status, access to human services, and nature of wellbeing administration got. There are high rates of lack of healthy sustenance announced among the minimized gatherings bringing about mortality, grimness and pallor. Access to use of medicinal services in minimized gatherings is impacted by their financial status inside the general public. Theories/frameworks that are relevant to this topic Theories that leads to inequalities are Conflict theory, functional and feminists theory. Conflict Theory: In the first theory its states that reasons for inequality is competition for scarce resources with groups gaining power to shape public policy(4). This group of people creates social inequality. Functionalists Theory: Functionalist theory states that certain roles in the society must be maintained as Dalits in India. High rewards can often lead to falsification of jobs. Hence higher skills are needed for higher reward systems. Feminists Theory: Liberal feminism theory sates that discriminatory policies forces women to be inferior social class that prevents their full participation in the society. Critiques various approaches of action or inaction towards addressing these inequalities Conflict and functional theory approaches inaction towards addressing these inequalities. Whereas feminists theory approaches inaction towards addressing these inequalities. 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Social science medicine. 2008 Oct 1;67(8):1225-35