Mexican Community Health and the Politics of Health Reform available in Paperback
- Pub. Date:
- University of New Mexico Press
The struggle of Mexicans to secure quality health care is the focal point of this study. Large-scale transformations in Mexico's national health care system have resulted in budget cuts, increased user fees and decreased public services. At the local level community-based health groups that practice popular medicine are addressing the challenge by training health promoters in a variety of preventive and healing practices and offering low-cost services in community clinics. Their health care approach integrates local and global practices ranging from Mexican herbalism to Chinese medicine. Suzanne Schneider's ethnographic study of grassroots health groups in Morelos, Mexico, addresses the lives of the participants and the groups' contributions to community health. What draws women to these groups? Are they reacting to their experiences with formal health care? To what extent are the groups' teachings applied in the household and accepted throughout the community? Does group participation offer women new sources of empowerment or avenues to income generation? Does the government support these groups? How do they fit into larger trends of health care reform and the shift toward privatization?
Taking a political economic approach, Schneider examines the conditions under which community-based health groups are emerging and explores the ways different constituencies address health dilemmas. She delineates future roles for new participants in health care, new models of community health, and a new medical pluralism.
|Publisher:||University of New Mexico Press|
|Product dimensions:||6.00(w) x 9.00(h) x 0.60(d)|
About the Author
Suzanne D. Schneider is project leader for Durham Health Innovations at the Duke Center for Community Research. She resides in Durham, North Carolina.
Table of Contents
Chapter 1 The Political Economy of Health in a Morelos Town 15
Chapter 2 Mexico's National Health System in Historical Context 31
Chapter 3 Challenges and Constraints in Municipal Health Care Delivery 41
Chapter 4 Health-Seeking Dilemmas in Yautepec 57
Chapter 5 The Roots of a Popular Health Movement 73
Chapter 6 Tracing the Trajectory of Yautepec Health Associations 85
Chapter 7 Teaching Self- and Community Care 103
Chapter 8 Practitioners and Patients in the Dispensary 121
Chapter 9 Women's Participation in Perspective 137
Chapter 10 Conclusion 157