Striving for Equity Healthcare in Sri Lanka from Independence to the Millennium, 1948-2000
Focusing on the period from independence in 1948 to the millennium this book is an historical analysis of the process by which Sri Lanka became a model of how a nation with limited resources could nevertheless achieve health indicators on a par with the developed world through the development of a p...
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Format: | Electronic Book Chapter |
Language: | English |
Published: |
Orient Blackswan
2020
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Series: | New Perspectives in South Asian History
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Subjects: | |
Online Access: | OAPEN Library: download the publication OAPEN Library: description of the publication |
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100 | 1 | |a Jones, Margaret |4 auth | |
245 | 1 | 0 | |a Striving for Equity |b Healthcare in Sri Lanka from Independence to the Millennium, 1948-2000 |
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490 | 1 | |a New Perspectives in South Asian History | |
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520 | |a Focusing on the period from independence in 1948 to the millennium this book is an historical analysis of the process by which Sri Lanka became a model of how a nation with limited resources could nevertheless achieve health indicators on a par with the developed world through the development of a primary healthcare system. In so doing it had to interact and negotiate with global health actors such as the World Health Organization while maintaining its own agency. Based on a close reading of original archival sources it is an in-depth exploration of these questions viewed through a series of case studies which highlight both the successes which contributed to this outcome and the inadequacies of those efforts when seen at the micro level. A primary health care infrastructure is an essential prerequisite for the delivery of preventive health care; how this was developed and delivered to the entire population forms the first substantive chapter. Since the incidence of tuberculosis in a community serves as a marker of a country's achievement in meeting basic needs and establishing social justice there follows an examination of policies to control TB. The most vulnerable group in a nation are its children and they are also the source of a nation's future human capital. Two chapters discuss children's health; firstly the problem of childhood malnutrition and secondly the implementation of the successful immunization programme. Demographic change means a double disease burden of non-communicable diseases alongside communicable diseases and how this considerable challenge is met is the subject of the last chapter. Furthermore these topics enable a discussion of the significance and problems of an international policy transfer to less well-resourced environments. | ||
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653 | |a healthcare | ||
653 | |a history | ||
653 | |a tuberculosis | ||
653 | |a Sri Lanka | ||
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856 | 4 | 0 | |a www.oapen.org |u https://library.oapen.org/handle/20.500.12657/47401 |7 0 |z OAPEN Library: description of the publication |