By Lynn M. Morgan
A tenet of overseas basic future health care because the Seventies is inside the slogan, 'community participation in health'. In perform, despite the fact that, nationwide and native political issues are frequently decisive within the implementation of health and wellbeing guidelines. Dr Morgan exhibits how 'community participation' used to be sacrificed to competing political priorities even in Costa Rica, a rustic identified for its commitment to overall healthiness care. concentrating on a banana-growing neighborhood, she records and analyses the method during which neighborhood well-being coverage is politicized. Her refined case examine units an in depth rural ethnography in either a countrywide and foreign context. This e-book should be of significant curiosity to clinical anthropologists, planners, and an individual occupied with foreign overall healthiness and improvement coverage.
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Extra info for Community Participation in Health: The Politics of Primary Care in Costa Rica (Cambridge Studies in Medical Anthropology)
The existence of an operating table, and of surgical instruments and medicines is worth nothing without the presence of a doctor in charge of this dispensary or hospital. When Banana medicine 27 we questioned the person in charge whom we found there, he informed us that he acted as doctor, surgeon, and pharmacist; in other words, the Siquirres hospital is a comic imitation of what it should have been. We did not succeed in rinding a single dispensary, even though we covered vast expanses of land within the United plantations, yet they informed us that they did exist.
Participation, 7Yco-style Costa Rica is the wealthiest, and not coincidentally the healthiest, country in Central America. Its land mass (51,000 square kilometers) supports close to 3 million inhabitants. After the Spanish Conquest in the early sixteenth century, Costa Rica never developed the same degree of social stratification as Guatemala or El Salvador, mainly because there were few commodities for the Spaniards to exploit and virtually no indigenous labor force to work the land (MacLeod 1973; Gudmundson 1986).
Crowded into forty poorly-built huts, worse than those the indigenous people lived in and with deplorable hygiene; there is not one dispensary there, even though the area is malarious. Naturally, the Company should be obligated to construct simple quarters surrounded by all the hygienic precautions necessary to avoid the propagation of malaria. (Archivo Nacional, Congreso 1932: 9561; emphasis in original) With this report, national authorities were alerted to the abysmal living conditions on the plantations.