Burton J H
Trop Doct. 1976 Apr;6(2):81-3. doi: 10.1177/004947557600600214.
The basic child-health problems in the shanty towns of Lima are protein-calorie malnutrition and infectious disease. The background of social, economic and cultural conditionsa are related to these main health problems. The basic problems are poverty, lack of sewage disposal and running water, and the maldistribution of public expenditure between city and countryside on one hand and curative and preventive medicine on the other. Despite official statistics, which show a steadily decreasing infant mortality rate in Peru, and all other Latin American countries, it seems that the Infant Mortality Rate is almost twice the official states rate. Health education, particularly in nutritional matters, is not adapted to indigenous foods and customs, but attempts to promote westernized conceptrs. Medical care in Peru is by large directed to the needs of the middle class, and the middle class by and large dictates the type of medical care available.
利马棚户区儿童的基本健康问题是蛋白质-热量营养不良和传染病。社会、经济和文化状况背景与这些主要健康问题相关。基本问题包括贫困、缺乏污水处理和自来水，以及公共支出在城乡之间以及治疗性和预防性医学之间分配不均。尽管官方统计显示秘鲁以及所有其他拉丁美洲国家的婴儿死亡率在稳步下降，但实际婴儿死亡率似乎几乎是官方统计数字的两倍。健康教育，尤其是营养方面的教育，并不适应当地食物和习俗，而是试图推广西方化观念。秘鲁的医疗服务主要针对中产阶级的需求，而中产阶级大体上决定了可获得的医疗服务类型。
