Taussig M
Int J Health Serv. 1978;8(1):101-21. doi: 10.2190/LRWT-HCPM-8Q42-W0BA.
Based on a case study of some aspects of Rockefeller and USAID intervention in the Cauca Valley, Colombia, this article is aimed at drawing attention to the political characteristics and inadequacies of U.S.-sponsored health care planning and research in the Third World, particularly as regards nutrition in rural regions of intensive economic development. By contrasting an historical analysis of the politicoeconomic development of agriculture and nutrition in the southern Cauca Valley with the assumptions guiding U.S. intervention in the health field there, a more complete picture of the causes of malnutrition is obtained, among which should be counted the intervention of the U.S. itself. Inter alia, other approaches to the malnutrition problem are suggested.
基于对洛克菲勒基金会和美国国际开发署在哥伦比亚考卡山谷干预措施某些方面的案例研究,本文旨在提请人们关注美国在第三世界资助的医疗保健规划和研究的政治特征及不足之处,尤其是在经济快速发展的农村地区的营养方面。通过将考卡山谷南部农业和营养政治经济发展的历史分析与美国在当地卫生领域干预措施所依据的假设进行对比,能够更全面地了解营养不良的成因,其中美国自身的干预也应被视为原因之一。此外,还提出了应对营养不良问题的其他方法。