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By Lynn M. Morgan

A guideline of overseas basic health and wellbeing care because the Seventies is inside the slogan, 'community participation in health'. In perform, notwithstanding, nationwide and native political concerns are frequently decisive within the implementation of health and wellbeing rules. Dr Morgan indicates how 'community participation' was once sacrificed to competing political priorities even in Costa Rica, a rustic recognized for its commitment to wellbeing and fitness care. targeting a banana-growing neighborhood, she records and analyses the method through which neighborhood wellbeing and fitness coverage is politicized. Her subtle case learn units an in depth rural ethnography in either a countrywide and foreign context. This booklet may be of serious curiosity to clinical anthropologists, planners, and someone involved in foreign wellbeing and fitness and improvement coverage.

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Extra resources for Community Participation in Health: The Politics of Primary Care in Costa Rica

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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.

This group, composed of several hundred members of the Medical Society of the County of New York, sent a letter to the participants (including Nelson Rockefeller) in a National Conference of Planning for War and Post-War Medical Services. They charged " that the conference was an 'unholy alliance' between organized medicine and the manufacturers of drugs and surgical supplies and that rather than being national in scope and aiming to improve the health of the people, the conference really was designed to promote profits for special groups" (New York Times, March 16, 1943).

In his view, the environmental conditions presented obstacles beyond the capacity of United Fruit's medical personnel to overcome. Similar rationalizations must have been common during the early, land-clearing days of United Fruit's operations: whereas the Company "owned or leased" 325,000 acres in 1899, by 1922 it owned over 1-5 million acres (United Fruit Company 1922: 71-2). While some of the land was used to grow bananas, some was held as security against competitors, and in 1922 the Company cultivated just 24 percent of the land it owned (United Fruit Company 1922: 72).

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