Merlin J, Mafart B, Triaud J L
L'UFR de Civilisations et Humanités, Département d'Histoire, Université de Provence, Aix-Marseille, France.
Med Trop (Mars). 2003;63(1):17-21.
The foundations of local health services in Madagascar were laid when the island was taken over by the French in 1896. Medical care was a major priority for the first colonial governor named General Galliéni. Local health services expanded greatly from 1896 to 1950 thanks notably to institutions such as the Tananarive Medical School and Pasteur Institute. These services played a crucial role in the fight against smallpox and bubonic plague. However they were also used for political purposes by both colonial and independent governments. In sum the history of local health services in Madagascar can be described as a battle between political power and scientific knowledge. The overall result is positive for some and controversial for others.
1896年该岛被法国接管时，马达加斯加地方卫生服务的基础得以奠定。首任殖民地总督加利埃尼将军将医疗保健作为首要任务。从1896年到1950年，地方卫生服务显著扩张，这尤其要归功于塔那那利佛医学院和巴斯德研究所等机构。这些服务在抗击天花和腺鼠疫的斗争中发挥了关键作用。然而，殖民地政府和独立后的政府都将其用于政治目的。总之，马达加斯加地方卫生服务的历史可以描述为政治权力与科学知识之间的一场较量。总体结果对一些人来说是积极的，对另一些人来说则存在争议。
