Many people in developing countries lack access to health technologies, even basic ones. Why do these problems in access persist? What can be done to improve access to good health technologies, especially for poor people in poor countries?
This book answers those questions by developing a comprehensive analytical framework for access and examining six case studies to explain why some health technologies achieved more access than others. The technologies include praziquantel (for the treatment of schistosomiasis), hepatitis B vaccine, malaria rapid diagnostic tests, vaccine vial monitors for temperature exposure, the Norplant implant contraceptive, and female condoms.
Based on research studies commissioned by the Bill & Melinda Gates Foundation to better understand the development, adoption, and uptake of health technologies in poor countries, the book concludes with specific lessons on strategies to improve access. These lessons will be of keen interest to students of health and development, public health professionals, and health technology developers—all who seek to improve access to health technologies in poor countries.
Gregorio Condori Mamani and Asunta Quispe Huamán were runakuna, a Quechua word that means "people" and refers to the millions of indigenous inhabitants neglected, reviled, and silenced by the dominant society in Peru and other Andean countries. For Gregorio and Asunta, however, that silence was broken when Peruvian anthropologists Ricardo Valderrama Fernández and Carmen Escalante Gutiérrez recorded their life stories. The resulting Spanish-Quechua narrative, published in the mid-1970s and since translated into many languages, has become a classic introduction to the lives and struggles of the "people" of the Andes.
Andean Lives is the first English translation of this important book. Working directly from the Quechua, Paul H. Gelles and Gabriela Martínez Escobar have produced an English version that will be easily accessible to general readers and students, while retaining the poetic intensity of the original Quechua. It brings to vivid life the words of Gregorio and Asunta, giving readers fascinating and sometimes troubling glimpses of life among Cuzco's urban poor, with reflections on rural village life, factory work, haciendas, indigenous religion, and marriage and family relationships.
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