By Lynn M. Morgan
A guideline of foreign basic healthiness care because the Seventies is inside the slogan, 'community participation in health'. In perform, even though, nationwide and native political issues are usually decisive within the implementation of healthiness rules. 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 future health care. concentrating on a banana-growing group, she files and analyses the method through which neighborhood wellbeing and fitness coverage is politicized. Her subtle case examine units an in depth rural ethnography in either a countrywide and foreign context. This booklet should be of significant curiosity to scientific anthropologists, planners, and somebody excited about overseas overall healthiness and improvement coverage.
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Additional resources for Community Participation in Health: The Politics of Primary Care in Costa Rica
The Company insisted it could not comply with the law because the Executive branch of government had not yet supplied the necessary protocol to govern hospitalization procedures, but the government interpreted this as another abdication of responsibility by the Company (Voz del Atldntico, February 2, 1935, February 16, 1935). In fact, United Fruit had little incentive to settle with the strikers in 1934, because the Company was then making plans to abandon its Atlantic coast operations. Company officials knew that the striking laborers would be superfluous as soon as new banana plantations could be established on Costa Rica's Pacific coast, then still free from sigatoka and Panama disease.
S. factories (United Fruit Company 1922: 80). United Fruit policy sometimes coerced people into complying with sanitation measures: in 1912 fines were levied against boarding-house managers (the majority of laborers lived in the less-expensive boarding houses rather than in Company housing) for failing to report to the Company any illness among the lodgers (United Fruit Company 1912: 27); in 1929 a United Fruit anti-malarial expert noted that "malaria control methods have to almost be forced upon [the workers]" (United Fruit Company 1929: 94).
If it were possible to obtain that cooperation which can rightly be expected in an educated community, and if each householder could be held responsible for the sanitary conditions in the immediate vicinity of his dwelling, the problem of disease-prevention would be greatly simplified. (United Fruit Company 1923: 47) Even as late as 1958, analysts warned that health and sanitation improvements could be wasted unless the Company educated its laborers on the proper use of indoor plumbing (May and Plaza 1958: 198).