Banerji D
Centre of Social Medicine and Community Health, School of Social Sciences, Jawaharlal Nehru University, New Delhi, India.
Int J Health Serv. 1992;22(1):169-77. doi: 10.2190/L1QH-MM5F-8XL4-Y9H3.
Of late, governments of affluent countries have become more brazen in using United Nations organizations and other global commissions as tools to serve their political and economic interests. WHO and UNICEF have been used by these governments to impose technocentric and dependence-promoting programs on countries of the South. The report of the Commission on Health Research for Development is yet another effort in that direction. It advocates international cooperation in health research. It merely adds to the bulk of documents on international health research. It is ahistorical. It does not analyze why WHO and UNICEF and the governments of affluent countries imposed global programs on immunization and diarrheal and respiratory diseases without bothering to gather even the most elementary data about them. There is a method in the brashness. Worse still, it ignores the rich heritage of health research of the past half a century in countries such as India, Indonesia, and Thailand. It is yet another effort to obscure the message of self-reliance contained in the Alma-Ata Declaration on Primary Health Care.
近来，富裕国家的政府愈发厚颜无耻地利用联合国组织和其他全球委员会作为工具，来服务其政治和经济利益。这些政府利用世界卫生组织（WHO）和联合国儿童基金会（UNICEF），将以技术为中心且助长依赖的项目强加给南方国家。卫生研究促进发展委员会的报告就是朝着这个方向的又一次努力。它倡导卫生研究领域的国际合作。它只是增加了国际卫生研究文件的数量。它缺乏历史视角。它没有分析为何WHO、UNICEF以及富裕国家的政府在未费心收集哪怕最基本数据的情况下，就将全球免疫、腹泻病和呼吸道疾病项目强加于人。这种鲁莽是有其目的的。更糟糕的是，它忽视了印度、印度尼西亚和泰国等国在过去半个世纪丰富的卫生研究遗产。这是又一次试图掩盖《阿拉木图初级卫生保健宣言》中自力更生信息的努力。
