By Lynn M. Morgan
A tenet of foreign basic wellbeing and fitness care because the Seventies is inside the slogan, 'community participation in health'. In perform, besides the fact that, nationwide and native political concerns are usually 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 wellbeing and fitness care. concentrating on a banana-growing neighborhood, she files and analyses the method wherein neighborhood overall healthiness coverage is politicized. Her subtle case examine units an in depth rural ethnography in either a countrywide and foreign context. This publication might be of serious curiosity to scientific anthropologists, planners, and somebody enthusiastic about foreign health and wellbeing and improvement coverage.
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Additional info for Community Participation in Health: The Politics of Primary Care in Costa Rica
S. corporations operating in Latin America - United Fruit Company, Standard Oil, and General Electric (Collier and Horowitz 1976: 233). The contradictions between humanitarianism and business interests were evident in certain of the Institute's recommendations. For example, it advocated arms shipments to Latin American dictators, thus calling into question its declared support for democratic reforms, and causing some Latin American and North American intellectuals to question whether the humanitarian goals espoused by the Institute would ever materialize.
Costa Rica had a sizable population of German citizens at the time, many of whom were deported or interned, their property confiscated by the government (Bell 1971: 109-10). S. S. planes were stationed just outside the San Jose airport (Rojas Suarez 1943:74-5). The only bellicose activity Costa Rica reportedly witnessed, however, was when a United Fruit Company steamer ship, the San Pablo) was torpedoed while docked in Puerto Limon on July 2, 1942 (Rojas Suarez 1943; 65). Understanding the close relationship between The international imperative 35 the United States and Costa Rica during this period helps to place the SCISP health programs in context.
The staff included physicians and nurses from the United States and from Central America, as well as orderlies, dispensers, and sanitary inspectors. Community participation - in the sense of local support and assistance for health care-never entered the minds of most North American physicians and sanitary engineers sent to Central America to battle against sprue and blackwater fever. Part of the reason was that United Fruit's health programs were targeted less to the concerns of local residents than to the needs of United States citizens living in the zone.