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|a 9789390122042
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|a Jones, Margaret
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|a Striving for equity
|h Elektronische Ressource
|b healthcare in Sri Lanka from independence to the millennium, 1948-2000
|c Margaret Jones
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|a Hyderabad (IN)
|b Orient BlackSwan
|c 2020, 2020
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|a 1 PDF file (xii, 144 pages)
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|a Includes bibliographical references
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|a eng
|2 ISO 639-2
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|b NCBI
|a National Center for Biotechnology Information
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|a New perspectives in South Asian history
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|u https://www.ncbi.nlm.nih.gov/books/NBK566672
|3 Volltext
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|a 900
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|a 610
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|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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