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Lecture 4

GGRB28H3 Lecture Notes - Lecture 4: Treatment Action Campaign, Tropical Medicine, Triumphalism

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Mark Hunter

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GGRB28 – Lecture 4
From Colonialism to Market Triumphalism
Google “Treatment Action Campaign” for a better understanding of next weeks’ video
Colonial Rule
Shaped the countries that exists today
Affected the languages spoken in various countries today (depending on the country that
ran the colonies)
Affected structures around health
Colonial Medicine: Up to WWII (1939-1945)
Mainly concerned with serving Western interests
Most health initiatives from the government were concerned with the colonialists
The services given to the population were given to benefit the country (by improving the
health of the working population, it increased productivity)
Directed towards urban areas
Health was heavily skewed towards urban areas as settlers tended to live in urban areas
Led to emergence of “tropical medicine”
Technocratic, for instance through DDT interventions to address malaria
A technocratic approach refers to the concentration on one type of disease; it’s a technical
Helped promote racial segregation
Natives and whites were separated, living in different areas as health issues were associated
with race (specifically, the native race)
Post War Visions of Health and Development:
Internationalism: UN agencies such as WHO and UNICEF
In the Cold War, America and Russia were trying to exert power and influence upon
different countries
UN, WHO and UNICEF was America’s attempt to buy support for Western capitalism as
opposed to communism
Expansion of health from a small elite to the wider population
America was trying to expand their market (exports)
America supported the expansion of health for it’s own benefit
But still health was top down, technocratic, and channeled through health campaigns rather
than infrastructure
Post Colonial Medicine
Continued internationalization of health (WHO/UNICEF)
Even though these countries were independent, dependence was still existing on these
American formed groups
Associated with the project of “development” and kept in place by “experts”. Foreign
became very AID important
Most countries that were former colonial settlers (ie. Britain) had institutions that aid third
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