Opperman Stephanie Baker
Rowan University, Department of History, 201 Mullica Hill Road, Robinson Hall, 2nd Floor, Glassboro, NJ 08028, United States.
Endeavour. 2013 Mar;37(1):47-55. doi: 10.1016/j.endeavour.2012.10.005. Epub 2012 Dec 14.
Mexican policymakers instituted community-based health programs in the 1940s and 1950s to encourage rural participation in state-sponsored health and economic development initiatives. The Tepalcatepec Commission (1947-1961) united previously independent government programs into a multi-tiered collaboration that addressed regional development through national, state, and local networks. While national policymakers and state officials designed plans to improve agricultural production, promote industrialization, utilize the area's natural resources, and expand communication channels, health workers established unprecedented relationships with indigenous community members by introducing the Commission's projects in culturally relevant ways. They used their on-the-ground experiences to learn local languages, customs, and beliefs, and incorporated these factors into their health education and disease treatment campaigns. The result serves as an example of short-term cooperative relationships between healthcare workers and indigenous groups that not only reduced the major health risks in the area, but also paved the way for collective economic development.
20世纪40年代和50年代，墨西哥政策制定者实施了基于社区的健康项目，以鼓励农村地区参与国家资助的健康和经济发展倡议。特帕尔卡特佩克委员会（1947年至1961年）将此前独立的政府项目整合为一个多层次的合作项目，通过国家、州和地方网络来解决区域发展问题。在国家政策制定者和州官员制定改善农业生产、促进工业化、利用该地区自然资源以及扩大通信渠道的计划时，卫生工作者通过以与文化相关的方式介绍委员会的项目，与当地社区成员建立了前所未有的关系。他们利用实地经验学习当地语言、习俗和信仰，并将这些因素纳入健康教育和疾病治疗活动中。这一成果成为了医护人员与土著群体之间短期合作关系的典范，这种合作不仅降低了该地区的主要健康风险，还为集体经济发展铺平了道路。
