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• catalog abstract ""Despite two decades of natural disasters, political upheaval, and economic decline, Nicaragua has maintained a system of health care that responds to the needs of most of its people. This important work accurately describes the twists and turns in Nicaragua's health policy during the last two decades. The authors, an epidemiologist and a health educator, have taken part in that system for twelve years, and bring a wealth of data and experience to this unique survey. They draw on detailed comparisons with other countries to examine attempts to promote community participation, harness international assistance, manage the private sector, and develop public services under changing political regimes. The health system under the Somoza dictatorship, the Sandinista revolution, and the post-Sandinista Chamorro government is scrutinized in light of several key issues. These include decisions to focus on primary care or hospitals; to limit or expand the roles for volunteers; to provide care to the entire population or only priority groups; to rely mainly on public or on private services; and whether to depend on central government or local control. No other book depicts a developing country's health system with as much analytical detail or with as extensive documentation. Yet this work simultaneously remains an account of the patients, community organizers, health workers, and political leaders. It is a thought-provoking case study of people, programs, and policies in international health."--Jacket.".
• catalog contributor b3666219.
• catalog contributor b3666220.
• catalog contributor b3666221.
• catalog coverage "Nicaragua.".
• catalog created "1992.".
• catalog date "1992".
• catalog date "1992.".
• catalog dateCopyrighted "1992.".
• catalog description ""Despite two decades of natural disasters, political upheaval, and economic decline, Nicaragua has maintained a system of health care that responds to the needs of most of its people. This important work accurately describes the twists and turns in Nicaragua's health policy during the last two decades. The authors, an epidemiologist and a health educator, have taken part in that system for twelve years, and bring a wealth of data and experience to this unique survey. They draw on detailed comparisons with other countries to examine attempts to promote community participation, harness international assistance, manage the private sector, and develop public services under changing political regimes. The health system under the Somoza dictatorship, the Sandinista revolution, and the post-Sandinista Chamorro government is scrutinized in light of several key issues. These include decisions to focus on primary care or hospitals; to limit or expand the roles for volunteers; to provide care to the entire population or only priority groups; to rely mainly on public or on private services; and whether to depend on central government or local control. No other book depicts a developing country's health system with as much analytical detail or with as extensive documentation. Yet this work simultaneously remains an account of the patients, community organizers, health workers, and political leaders. It is a thought-provoking case study of people, programs, and policies in international health."--Jacket.".
• catalog description "1. From Chaos to Crisis: Prior to 1979 -- 2. A Health Service for All: 1979-1983 -- 3. Community Participation -- 4. Mass Mobilizations -- 5. The War On Health -- 6. From Expansion to Crisis Management: 1984-1990 -- 7. Women's Health -- 8. Child Survival -- 9. Health Professionals -- 10. Medicines and Medical Equipment -- 11. Stretching the Shrinking Cordoba -- 12. Health in a Survival Economy -- 13. After the Sandinistas -- 14. The Nicaraguan Health Model -- A. General Health Data, 1974-1990 -- B. Comparative Data on Health and Social Conditions in Central America -- C. Principal Causes of Death Among Hospitalized Patients, 1980-1987 -- D. Demographic Variables, 1950-1990 -- E. Hospital Admissions and Mortality Rates for Diarrheal Diseases, 1980-1987 -- F. Recorded Deaths by Cause, 1983-1988 -- G. Organizations That Coordinate Medical Assistance to Nicaragua.".
• catalog description "Includes bibliographical references and index.".
• catalog extent "xxii, 296 p. :".
• catalog identifier "0195067533 (alk. paper) :".
• catalog issued "1992".
• catalog issued "1992.".
• catalog language "eng".
• catalog publisher "New York : Oxford University Press,".
• catalog spatial "Nicaragua.".
• catalog subject "362.1/097285 20".
• catalog subject "Delivery of Health Care Nicaragua.".
• catalog subject "Health Planning Nicaragua.".
• catalog subject "Health Policy Nicaragua.".
• catalog subject "Primary Health Care Nicaragua.".
• catalog subject "Primary Health Care.".
• catalog subject "Public health Nicaragua.".
• catalog subject "RA454.N5 G37 1992".
• catalog subject "W 84.6 G231h 1992".
• catalog tableOfContents "1. From Chaos to Crisis: Prior to 1979 -- 2. A Health Service for All: 1979-1983 -- 3. Community Participation -- 4. Mass Mobilizations -- 5. The War On Health -- 6. From Expansion to Crisis Management: 1984-1990 -- 7. Women's Health -- 8. Child Survival -- 9. Health Professionals -- 10. Medicines and Medical Equipment -- 11. Stretching the Shrinking Cordoba -- 12. Health in a Survival Economy -- 13. After the Sandinistas -- 14. The Nicaraguan Health Model -- A. General Health Data, 1974-1990 -- B. Comparative Data on Health and Social Conditions in Central America -- C. Principal Causes of Death Among Hospitalized Patients, 1980-1987 -- D. Demographic Variables, 1950-1990 -- E. Hospital Admissions and Mortality Rates for Diarrheal Diseases, 1980-1987 -- F. Recorded Deaths by Cause, 1983-1988 -- G. Organizations That Coordinate Medical Assistance to Nicaragua.".
• catalog title "Health care in Nicaragua : primary care under changing regimes / Richard Garfield, Glen Williams.".
• catalog type "text".