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project_id: 456 - Defenders_of_Human_Rights - Concerns (31)





Concern #410 - Erosion of Trust and Avoidance of the Health System

Project:
456 - Defenders_of_Human_Rights

Description:
Because of repeated experiences and widely publicised scandals, many Black and poor communities see healthcare – especially hospital maternity care – as dangerous; people delay or avoid seeking help, only attending in extremis, which increases severity, cost and mortality.

Desired Outcome:
Communities experience healthcare as safe, respectful and responsive, so they seek care early and appropriately, with strong relationships between local providers and residents.

What Could Go Wrong:
The cycle of ‘we only go to hospital when we’re dying’ continues; misinformation and conspiracy narratives fill the trust vacuum; professionals feel attacked and emotionally withdraw, further lowering care quality.

Current Situation:
Surveys and qualitative reports show many Black women and people of colour fear maternity and hospital care; historical abuses and contemporary disparities reinforce those fears; some avoid care unless absolutely necessary.

Action Strategy:
Use PHC to identify and showcase positive as well as negative cases, building examples of good care; co-design community liaison and doula or community-midwife schemes; ensure rapid, visible follow-up, apology and learning when harm occurs instead of institutional defensiveness.

Concern Category:

Location:

Analysis: Not available

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