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Policies, Plans, and People

Foreign Aid and Health Development

Judith Justice

Publication Year: 1989

Judith Justice uses an interdisciplinary approach to show how anthropologists and planners can combine their expertise to make health care programs culturally compatible with the populations they serve.

Published by: University of California Press

Series: Comparative Studies of Health Systems and Medical Care

Title Page, Copyright

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pp. iii-iv


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pp. v-vii


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pp. ix-x

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pp. xi-xv

Although this book centers on research I carried out in Nepal during the late 1970s, it actually originated a decade earlier. My interest in the cultural aspects of foreign assistance began in the late 1960s when I was working in Africa and South Asia for international agencies. Despite the ...

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1. Introduction

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pp. 1-14

The relationship between planning and performance can be perplexing, even in simple situations where few people are involved. It becomes much more complicated when plans are made on a vast scale for the benefit of people whom the planners themselves may never meet and whose ...

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2. The Health Bureaucracies:Structure and Culture

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pp. 15-45

Understanding the Integrated Health Program requires a look at the organizations that created it: the Nepal government and the international donor agencies. Their goals, structure, and patterns of operation have determined how ICHP was planned and carried out. Cultural differences ...

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3. Policies and Plans

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pp. 46-81

In the realm of international health aid, donor agencies exert a strong influence over the policies of many recipient governments. Certainly their influence has been strong in Nepal. To understand the decisions that created Nepal's rural health program, one must first look at the ...

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4. Delivering Services to Rural Villages

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pp. 82-110

Because integration was being phased in during the late 1970s, health posts varied considerably in the range of services provided. Broadly speaking, they can be divided into three categories: nonintegrated, partially integrated, and fully integrated. Nonintegrated posts had not yet assumed ...

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5. Sources and Channels of Information

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pp. 111-133

Planners need different kinds of information about the recipient country at different stages of planning. In addition to information on local administrative procedures and economic resources, they may need only general information about the local culture to formulate an overall policy ...

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6. Sociocultural Information and the Health Planning Process

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pp. 134-154

In recent years an ever-expanding body of documents from WHO, UNICEF, USAID, and other organizations concerned with international health has stressed the need to utilize in the planning process appropriate sociocultural information obtained through research at the grass ...


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pp. 155-169


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pp. 170-174


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pp. 175-193


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pp. 195-202

E-ISBN-13: 9780520909632
Print-ISBN-13: 9780520067882

Page Count: 220
Publication Year: 1989

Series Title: Comparative Studies of Health Systems and Medical Care