Challenges in Health and Development From Global to Community Perspe
At the turn of the 21st century, human health and economic growth are inextricably linked components of international development. Challenges in Health and Development is a primer on the changing configurations of population health and economic growth in
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Sandy A. Johnson
Challenges in Health and Development From Global to Community Perspectives
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Dr. Sandy A. Johnson Josef Korbel School of International Studies University of Denver 2201 South Gaylord Street, Suite 101 Denver, CO 80203, USA [email protected]
ISBN 978-90-481-9952-5 e-ISBN 978-90-481-9953-2 DOI 10.1007/978-90-481-9953-2 Springer Dordrecht Heidelberg London New York © Springer Science+Business Media B.V. 2011 No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the Publisher, with the exception of any material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Cover illustration: Lisa Wilson and Kathy Fulton Cover design: deblik, Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
This book is dedicated to the communitybased health and development workers who believe in positive change, and for the Winter 2007 Health and Development class for their enthusiasm, insight and dedication. Continue using your powers for good!
Preface
A friend and development practitioner once told me that development is a messy business. It lacks a clear beginning and a clear ending, it often entails unforeseen consequences, and it cannot happen in isolation—multiple policy sectors must be involved to establish the conditions for ‘development’ to occur. My own experience is more closely tied to community health, where I have seen that one cannot hope to address ‘health’ without considering livelihoods, conditions within the physical and social environment, and the constraints and opportunities that come with economic development and national policy. Creating the conditions to allow people to live a healthful and content life is also a messy business. I have also observed that those who work in programs of economic development and those who work in public health and health care delivery frequently function as though their project occurs in an environment devoid of history, culture, and the influence of any institution, object, or policy other than their own. Although I believe that such tunnel vision often comes out of necessity, it does not honor the intricacies of the health-development web. During the past 20 years, international rhetoric began to acknowledge the cyclical interaction of education, health, economic growth, political harmony, and well-being. Recent endeavors like the Millennium Development Villages give hope that the health and development sectors are becoming more cohesive and adopting whole, sustainable methods toward the goal of human development. In terms of programming, however, much has yet to change in order to employ a holistic approach to truly human development. Many programs continue to treat health and economic development as separate and somewhat unequal enterprises. The
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