6. See WHO and UNICEF 1978:2-3; Coreil and Mull 1990; Phillips 1990:150-77.
(<< back)
50
7. USAID in Bolivia subcontracts many of its projects to nongovernmental organizations such as Project Concern, Save the Children, Operation Hope, Caritas. These organizations have their own goals underlying proposed humanitarian objectives of the project. As one measure, PROCOSI was formed in Bolivia in the 1980s and serves as a coordinating board of NGOs in Bolivia through which USAID-Bolivia channels developmental monies.
(<< back)
51
8. Paulo Freire initiated concientización in Brazil, and spread it throughout Latin America by his writings, most notably, Pedagogy of the Oppressed (1970) and Education for Critical Consciousness (1973). See Luft (1983) and Hope and Timmel (1987) for detailed descriptions of concientización pedagogy. Although concientización has been identified with Karl Marx’s analyses of the contradictions inherent in matter and the exploitation of the peasant by the capitalist classes, it also reflects the teachings of Jesus. Freire’s 1970 book became a “Marxist’s bible,” as some saw it, for liberation-theology priests forming base communities. Severe military repression, both by Latin American and U.S. military forces, has extinguished these priests and their base communities. For a different interpretation see Berryman (1987:34-38, 71, 73, 130).
(<< back)
52
9. These pilot projects modified the role of community health workers (CHWs). A plan was adopted where each CHW was responsible for forty to ninety (average sixty) houses, and their fundamental role was to visit each family weekly to provide motivation and technical education (SOH/CCH 1994:16). This required too much time from CHWs, however, who were required to spend from thirty to sixty hours a week visiting families, considering that they have other responsibilities and are unpaid. In contrast, PBCM’s practice of having traveling teams and CHWs meet together with the community members was more effective. Community leaders were motivated to assume responsibility for seeing that every family carried out its assigned task. The community accepted responsibility to carry out the project and CHWs served as liaison between the house improvement committees and PBCM personnel.
(<< back)
53
10. The total cost for 400 houses was $83,256, out of which villagers provided $37,642 in work and materials, and collaborators in the project provided $45,614, of which PBCM gave $10,814, Catholic Relief Services $5,000, the British embassy $5,000, and PROCOSI $24,800. PROCOSI (Programa de Coordinación en Supervivencia Infantil) is funded by USAID and the Bolivia Child Survival program. It is a supervisory and administrative organization for many nongovernmental health agencies and projects in Bolivia.
(<< back)
54
11. Volunteer labor is figured in to the cost of each house to indicate to providers of funds that what they contribute is matched. However, this gives the impression that house improvement is much more costly to the taxpayer or contributor.
(<< back)
55
12. The addition of vermifuge plants to wall plaster is another possibility, and insecticide paints are now being used effectively in Brazil (Pinchin et al. 1978a, 1978b).
(<< back)
56
13. Slow-release insecticide paints used during house building have shown lasting properties of killing 100 percent of 5th instar T. infestans after a ten-minute period of contact more than five years after being applied and subsequently exposed to environmental conditions in Brazil (Oliveira Filho, Deus, and Brasil 1987). Structures of a house were painted with black bitumen paint containing 9.7 percent clorpyrifos-ethyl (Dursban) before covering them with mud. This technique could be used in areas where houses are being built or restored. Using Dursban insecticide for painting walls presents problems of toxicity for humans, however.
(<< back)
57
14. An alternative low-cost roofing for tropical areas of Latin America involves the conversion of fibrous agricultural residues, such as bagasse from sugar cane, into a corrugated fiber roofing panel, which requires a relatively low capital investment and is labor intensive (Bryant 1978). Cost per square foot is about fifteen cents in U.S. money (1978).
(<< back)
58
15. Because of its clay content, walls built of unstabilized soil will swell on taking up water and shrink on drying (Briceño-León 1987:384). This results in cracking, which provides nesting areas for vinchucas. Soil stabilization is achieved by increasing the strength and cohesion of the soil, reducing the movement of moisture in the soil, and by making the soil more waterproof. Strength of a soil can be increased by the addition ofcementious materials, such as Portland cement or other materials that include hydrated lime and lime-pozzolana mixes. A pozzolanic reaction is the reaction between lime and certain clay minerals to form various cementlike compounds. Lime also reduces the extent to which clay absorbs water, thus making the soil less sensitive to changes in moisture.
(<< back)
59
16. In Venezuela and Brazil, workers use metal presses to compact the mud within the cane to assure greater durability for cloth coverings or cement later placed on the walls (Schofield et al. 1990 and Bricefio-León 1990:137). All these devices produce low-cost building blocks of about 12 x 6 x 4 inches, similar in size to traditional handmade adobe blocks (Bricefio-Leon 1987:384).
(<< back)
60
17. Marco Antonio Prieto, director of Centro por Estudios por Desarollo Chuquisaca (CEDEC), provided this critique.
(<< back)
61
1. See Victor Varas Reyes’ study El Castellano Popular en Tarija and Ananias Barreto’s work Costumbresy Creencias del Campo Taijeño for more examples.
(<< back)
62
2. A number of institutions, including Caritas (Catholic Relief), Pro-Habitat (UNICEF), SOH/CCH (Secretaria Nacional de Salud and USAID), and Plan International, have been involved in several projects in the Department of Tarija to improve houses. Each institution has contributed to solving the problem: Caritas (formation of CHWs), Pro-Habitat (educational material), SOH/CCH (evaluation studies and financial support), and Plan International (a micro-credit system). The projects have had different sponsoring organizations through their tenure.
(<< back)
63
3. I first met José Beltrán in 1991 and admired his teaching skills. During our last visit in 1997, he was even more proficient using the colorful charts and posters that he had helped design for other projects sponsored by SOH/CCH.
(<< back)
64
4. U.S. Public Law 480, according to which funds in host-country national currency derived from the sale of U.S. agricultural products are retained in the host country for use in development-assistance projects.
(<< back)
65
5. The five-year, $20 million Community and Child Health Project from 1989 until 1994 was funded by USAID, whose objectives were maternal and child health, primary health care, improvement of water and sanitation facilities, agricultural sustainability, and family planning. In 1991, Chagas’ disease control was added, mostly through the efforts of Dr. Joel Kuritsky and President Jaime Paz, who during his inaugural visit to Washington, D.C., asked President George Bush for additional monies to combat Chagas’ disease.
(<< back)
66
6. Project personnel are prone to criticize people doing other projects, although Beltrán’s remarks reflected the opinion of other observers. He is considered the foremost expert on Chagas’ control in Tarija.
(<< back)
67
7. For an outline of procedures, see Table 2: Production of Educational Materials, and Table 3: Phases of Educational Process (SOH/CCH 1994:36-37).
(<< back)
68
1. Pilot projects were supported by the Bolivian Secretariat of Health (SOH) and the USAID Community and Child Health Project (CCH). The SOH/CCH
Chagas’ Disease Control Program lasted from 1991 to 1994, cost U.S. $4 million, and sponsored housing-improvement projects in Tarija, Cochabamba, and Chuquisaca, improving 3,135 houses (see SOH/CCH 1994).
(<< back)
69
2. Dr. Oscar Velasco is mentioned in Chapter 5. He is a Bolivian medical anthropologist and is presently director of Project Concern in Potosí. Velasco and I also designed the CHWS program and the articulation of biomedicine and ethnomedicine in the Department of Oruro (see Bastien 1992).
(<< back)
70
3. Marco Antonio Prieto is director of Centro por Estudios por Desarollo Chuquisaca (CEDEC). His criticism was primarily directed at the project in Chuquisaca, which, of the three pilot projects, attempted most to become integrated with the culture.
(<< back)
71
4. Dr. Pablo Regalsky is director of Centro de Comunicación y Desarollo Andino (CENDA) in Cochabamba.
(<< back)
72
5. Dr. Evaristo Mayda suggested the triangle diagram. Dr. Mayda is director of Project Concern Cochabamba and has been a leader in integrating ethnomedicine and biomedicine in the Department of Cochabamba.
(<< back)
73
6. Melogno is director of Fundación de Programas de Asentamientos Humanos, a housing project in the Alto Beni. He was interviewed on May 13, 1997.
(<< back)
74
7. SOH/CCH allocated a dollar amount to this volunteer activity as a form of cost-sharing; thus, when a household matched the money donated, their share was calculated according to what they would have earned if they had been paid. Cost-sharing was helpful in negotiating for matching funds from institutions.
(<< back)
75
8. All are native Bolivians, except for Regalsky, who was born in Buenos Aires but who speaks the Quechua language fluently and has done fieldwork among the Quechua of Ragaypampa. Quechua leaders work with him on matters concerning the new laws and popular participation. He has been an advocate for Quechuans for ten years.
(<< back)
76
1. The SOH/CCH projects were directed by biologists from Vector Biology Control and a medical doctor and epidemiologist from the Centers for Disease Control, with only token considerations from anthropologists, economists, and sociologists. As a result, these projects narrowly focused on house improvement and spraying as the immediate solution to control vinchucas. Afterwards, with the exception of some communities in the Chuquisaca project, infestation began anew because peasants improved their houses for reasons other than vinchuca control.
(<< back)
77
1. Dr. George Stewart, professor of Biology at the University of Texas at Arlington, has done extensive and noted research on parasites and disease. Many of the ideas and facts in the appendices are from his lectures. Nonetheless, I am totally responsible for the content of the appendices.
(<< back)
78
1. For a comparison of sampling techniques for domestic populations of triatomines see Schofield and Marsden (1982:356), who used another method for studying house infestation. Inspectors examined a house for bugs at approximately monthly intervals for two and a half years. Two men, each equipped with a flashlight and long forceps, searched the house for forty-five minutes and collected all the live bugs they could find. These bugs were sorted, counted, and then destroyed. Bug population estimates were then made by the Zippin (1956:163-89) withdrawal method. Within the house being studied 92 adults and 169 fifth instars were collected. The number of the other stages present could not be estimated, but life-table studies indicate that these figures are consistent with a total bug population (including eggs) of approximately 2,200 individuals.
Bermúdez et al. (1978) examined a henhouse in Gutiérrez, in a rural area of the Department of Santa Cruz, Bolivia, and found 1,524 triatomines; less than 1 percent were infected with T. cruzi. One explanation is that these T. infestans predominantly fed on chickens, which cannot become hosts for T. cruzi.
(<< back)
FB2 document info
Document ID: 9e543a5b-93b3-4453-a60c-62e80a759162
Document version: 1
Document creation date: 11.11.2013
Created using: calibre 1.10.0, FictionBook Editor Release 2.6.6 software
Document authors :
Namenlos
Source URLs :
http://www.hxa7241.org/articles/content/epup-guide_hxa7241_2007_2.epub
About
This file was generated by Lord KiRon's FB2EPUB converter version 1.1.5.0.
(This book might contain copyrighted material, author of the converter bears no responsibility for it's usage)
Этот файл создан при помощи конвертера FB2EPUB версии 1.1.5.0 написанного Lord KiRon.
(Эта книга может содержать материал который защищен авторским правом, автор конвертера не несет ответственности за его использование)
http://www.fb2epub.net
https://code.google.com/p/fb2epub/
The Kiss of Death Page 43
