Community Participation in Health
The Politics of Primary Care in Costa Rica
Herausgeber: Harwood, Alan
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A guiding principle of international primary health care since the 1970s is contained in the slogan, 'community participation in health'. In practice, however, national and local political considerations are often decisive in the implementation of health policies. Dr Morgan shows how 'community participation' was sacrificed to competing political priorities even in Costa Rica, a country known for its dedication to health care. Focusing on a banana-growing community, she documents and analyses the process by which local health policy is politicised. Her sophisticated case study sets a detailed ...
A guiding principle of international primary health care since the 1970s is contained in the slogan, 'community participation in health'. In practice, however, national and local political considerations are often decisive in the implementation of health policies. Dr Morgan shows how 'community participation' was sacrificed to competing political priorities even in Costa Rica, a country known for its dedication to health care. Focusing on a banana-growing community, she documents and analyses the process by which local health policy is politicised. Her sophisticated case study sets a detailed rural ethnography in both a national and international context. This book will be of great interest to medical anthropologists, planners, and anyone concerned with international health and development policy.
Table of contents:
1. The political symbolism of health; 2. Banana medicine: the United Fruit Company; 3. The international imperative: foreign aid for health in Costa Rica; 4. The primary health care movement and the political ideology of participation in health; 5. Participation in Costa Rica: dissent within the state; 6. La Chira: participation in a banana-growing community; 7. The political economy of participation.
Combining a rich local ethnography with an analysis of local and national politics and the politics of aid, Lynn Morgan shows how community participation in health care in Costa Rica was wrecked by national and international political conflicts.
An anthropological study of the failure of community participation in health care in Costa Rica.
Table of contents:
1. The political symbolism of health; 2. Banana medicine: the United Fruit Company; 3. The international imperative: foreign aid for health in Costa Rica; 4. The primary health care movement and the political ideology of participation in health; 5. Participation in Costa Rica: dissent within the state; 6. La Chira: participation in a banana-growing community; 7. The political economy of participation.
Combining a rich local ethnography with an analysis of local and national politics and the politics of aid, Lynn Morgan shows how community participation in health care in Costa Rica was wrecked by national and international political conflicts.
An anthropological study of the failure of community participation in health care in Costa Rica.
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