Rural Medicines in an Urban Setting
In: Doing Development in West Africa, S. 83-98
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In: Doing Development in West Africa, S. 83-98
Examines the impact on women's/children's health of recent economic crises in the Dominican Republic & Cuba, drawing on demographic, economic, epidemiological, & anthropological data, as well as firsthand observations, 1986-1992, & key informant interviews. It is shown that rising costs for food & medical care resulting from international lending & trade policies are associated with increases in malnutrition, infectious disease, & maternal mortality. It is contended that the general decline in health status of women & children indicates a reversal of significant improvements made since the 1980s in both countries, especially the Dominican Republic. In addition, dissimilar causes, costs, & consequences of economic restructuring in both countries reflect their historical, political, & ideological differences. The Cuban government struggled to keep its capital in community-based primary health care & preventive medicine, while rural & primary health care were denied support by the Dominican Republic government, which directed its limited resources to urban hospitals. Difficulties involved in obtaining statistics from Cuba are discussed. 1 Table, 46 References. J. Lindroth