Birn Anne-Emanuelle
Department of Public Health Sciences, University of Toronto, 1st Floor, McMurrich Bldg, 12 Queen's Park Crescent W, Toronto, ON M5S 1A8, Canada.
Am J Public Health. 2005 Sep;95(9):1506-17. doi: 10.2105/AJPH.2004.038778. Epub 2005 Jul 28.
The evolution of international health has typically been assessed from the standpoint of central institutions (international health organizations, foundations, and development agencies) or of one-way diffusion and influence from developed to developing countries. To deepen understanding of how the international health agenda is shaped, I examined the little-known case of Uruguay and its pioneering role in advancing and institutionalizing child health as an international priority between 1890 and 1950. The emergence of Uruguay as a node of international health may be explained through the country's early gauging of its public health progress, its borrowing and adaptation of methods developed overseas, and its broadcasting of its own innovations and shortcomings.
国际卫生的演变通常是从中央机构(国际卫生组织、基金会和发展机构)的角度,或者从发达国家向发展中国家的单向传播和影响的角度来评估的。为了更深入地理解国际卫生议程是如何形成的,我研究了鲜为人知的乌拉圭案例,以及它在1890年至1950年间将儿童健康作为国际优先事项加以推进并使之制度化方面所发挥的先驱作用。乌拉圭成为国际卫生节点的出现,可以通过该国早期对其公共卫生进展的衡量、对海外开发方法的借鉴和改编,以及对自身创新和不足的传播来解释。