Gender State And Medicine In Highland Ecuador

In 1921 Matilde Hidalgo became the first woman physician to graduate from the Universidad Central in Quito, Ecuador. Hidalgo was also the first woman to vote in a national election and the first to hold public office. Author Kim Clark relates the stories of Matilde Hidalgo and other women who successfully challenged newly instituted Ecuadorian state programs in the wake of the Liberal Revolution of 1895. New laws, while they did not specifically outline women’s rights, left loopholes wherein women could contest entry into education systems and certain professions and vote in elections. As Clark demonstrates, many of those who seized these opportunities were unattached women who were socially and economically disenfranchised. Political and social changes during the liberal period drew new groups into the workforce. Women found novel opportunities to pursue professions where they did not compete directly with men. Training women for work meant expanding secular education systems and normal schools. Healthcare initiatives were also introduced that employed and targeted women to reduce infant mortality, eradicate venereal diseases, and regulate prostitution. Many of these state programs attempted to control women’s behavior under the guise of morality and honor. Yet highland Ecuadorian women used them to better their lives and to gain professional training, health care, employment, and political rights. As they engaged state programs and used them for their own purposes, these women became modernizers and agents of change, winning freedoms for themselves and future generations.

The First English-Language Book on the History of Public Health in Ecuador during the Early and Mid-Twentieth Century The Ecuadorian Public Health Service was founded in 1908 in response to the arrival of bubonic plague to the country. A. Kim Clark uses this as a point of departure to explore questions of social history and public health by tracing how the service extended the reach of its broader programs across the national landscape and into domestic spaces. Delving into health conditions in the country—especially in the highlands—and efforts to combat disease, she shows how citizens’ encounters with public health officials helped make abstract ideas of state government tangible. By using public health as a window to understand social relations in a country deeply divided by region, class, and ethnicity, Conjuring the State examines the cultural, social, and political effects of the everyday practices of public health officials.

"In the early to mid-twentieth century, the governments of Ecuador and Guatemala sought to expand Western medicine within their countries, with the goals of addressing endemic diseases and improving infant and maternal health. These efforts often clashed with indigenous medical practices, particularly in the rural highlands. Drawing on extensive, original archival research, historian David Carey Jr. shows that indigenous populations embraced a syncretic approach to health, combining traditional and new practices. At times, the governments of both nations encouraged--or at least allowed--such a synthesis, yet they also attacked indigenous lifeways, going so far as to criminalize native medical practitioners and to conduct medical experiments on indigenous people without consent. Health in the Highlands traces the experiences of curanderos, midwives, bonesetters, witches, doctors, and nurses--and the indigenous people they served. Carey interrogates the relationship between 'progressive' public health policy and indigenous well-being, offering lessons from the past that remain relevant in the present. Our best way forward, this history suggests, may be a compassionate syncretism that joins indigenous approaches to healing with science and a pursuit of environmental and social justice"--

In the last few decades, Andean states have seen major restructuring of the organization, leadership, and reach of their governments. With these political tremors come major aftershocks, regarding both definitions and expectations: What is a state? Who or what makes it up, and where does it reside? In what capacity can the state be expected to right wrongs, raise people up, protect them from harm, maintain order, or provide public services? What are its powers and responsibilities? State Theory and Andean Politics attempts to answer these questions and more through an examination of the ongoing process of state-creation in Andean nations. Focusing on the everyday, extra-official, and frequently invisible or partially concealed permutations of rule in the lives of Andean people, the essays explore the material and cultural processes by which states come to appear as real and tangible parts of everyday life. In particular, they focus on the critical role of emotion, imagination, and fantasy in generating belief in the state, among the governed and the governing alike. This approach pushes beyond the limits of the state as conventionally understood to consider how "non-state" acts of governance intersect with official institutions of government, while never being entirely determined by them or bound to their authorizing agendas. State Theory and Andean Politics asserts that the state is not simply an institutional-bureaucratic apparatus but one of many forces vying for a claim to legitimate political dominion. Featuring an impressive array of Andeanist scholars as well as eminent state theorists Akhil Gupta and Gyanendra Pandey, State Theory and Andean Politics makes a bold and novel claim about the nature of states and state-making that deepens understanding not only of the Andes and Global South but of the world at large. Contributors: Kim Clark, Nicole Fabricant, Lesley Gill, Akhil Gupta, Christopher Krupa, David Nugent, Gyanendra Pandey, Mercedes Prieto, Maria Clemencia Ramírez, Irene Silverblatt, Karen Spalding, Winifred Tate.

In a country the size of Colorado one can explore snow-capped mountain peaks, tropical rainforests and coastal beaches. These three continental regions also offer a variety of flora and fauna that are a dream come true to the botanist, zoologist and ornithologist. The famous Galápagos Islands provide an additional living laboratory for the natural scientist. The ethnographer and sociologist will be fascinated by the diversity of Ecuador’s people and one could spend a lifetime studying the plethora of distinct ethnic, racial and linguistic groups. Students of economics will find an interesting case study of a mono-cultural economy that uses the U.S. dollar and avoids some of the pitfalls that other Latin American countries suffer from. Ecuador’s rich traditions in art, music, literature and architecture are a draw to scholars interested in culture. Ecuador has been described by one author as a “country of contrasts.” This is indeed an apt description of Ecuador’s geography and peoples. It also partially explains the nation’s traditional lack of political cohesion, which has plagued its quest for stability and development. Historical Dictionary of Ecuador contains a chronology, an introduction, and an extensive bibliography. The dictionary section has over 800 cross-referenced entries on important personalities, politics, economy, foreign relations, religion, and culture. This book is an excellent resource for students, researchers, and anyone wanting to know more about Ecuador.

Until recently, few scholars outside of Ecuador studied the countryÕs history. In the past few years, however, its rising tide of indigenous activism has brought unprecedented attention to this small Andean nation. Even so, until now the significance of gender issues to the development of modern Indian-state relations has not often been addressed. As she digs through EcuadorÕs past to find key events and developments that explain the simultaneous importance and marginalization of indigenous women in Ecuador today, Erin OÕConnor usefully deploys gender analysis to illuminate broader relationships between nation-states and indigenous communities. OÕConnor begins her investigations by examining the multilayered links between gender and Indian-state relations in nineteenth-century Ecuador. Disentangling issues of class and culture from issues of gender, she uncovers overlapping, conflicting, and ever-evolving patriarchies within both indigenous communities and the nationÕs governing bodies. She finds that gender influenced sociopolitical behavior in a variety of ways, mediating interethnic struggles and negotiations that ultimately created the modern nation. Her deep research into primary sourcesÑincluding congressional debates, ministerial reports, court cases, and hacienda recordsÑallows a richer, more complex, and better informed national history to emerge. Examining gender during Ecuadorian state building from ÒaboveÓ and Òbelow,Ó OÕConnor uncovers significant processes of interaction and agency during a critical period in the nationÕs history. On a larger scale, her work suggests the importance of gender as a shaping force in the formation of nation-states in general while it questions recountings of historical events that fail to demonstrate an awareness of the centrality of gender in the unfolding of those events.

A rich set of feminist perspectives on the varied and often contradictory nature of state practices, structures, and ideologies Growing socio-economic inequality and exclusion are defining features of the twenty-first century. While debates on globalization, free trade, and economic development have been linked to the paradigm of “neo-liberalism,” it does not explain all the forms of social change that have been unfolding in comparative contexts. Feminists Rethink the Neoliberal State provides a timely intervention into discussions about the boundaries, practices, and nature of the post-liberalization state, suggesting that an understanding of economic policies, the corresponding rise of socio-economic inequality, and the possibilities for change requires an in-depth reconceptualization. Drawing on original field research both globally and within the United States, this volume brings together a rich set of perspectives on the varied and often contradictory nature of state practices, structures and ideologies in the post-liberalization era. The essays develop an interdisciplinary approach that treats an understanding of historically-specific forms of inequality—such as gender, race, caste, sexuality and class—as integral to, rather than as after-effects of, the policies and ideologies associated with the “neoliberal project.” The volume also tackles central questions on the restructuring of the state, the state’s power operations, the relationship between capital and the state, and its interactions with the institutions and organizational forms of civil society in the post-liberalization era. As such, Feminists Rethink the Neoliberal State examines both what is distinctive about this post-liberalization state and what must be contextualized as long-standing features of modern state power. A truly international and interdisciplinary volume, Feminists Rethink the Neoliberal State deepens our understanding of how policies of economic liberalization shape and produce various forms of inequality.

Illustrating the diversity of disciplines that intersect within global health studies, Healthcare in Latin America is the first volume to gather research by many of the foremost scholars working on the topic and region in fields such as history, sociology, women’s studies, political science, and cultural studies. Through this unique eclectic approach, contributors explore the development and representation of public health in countries including Argentina, Bolivia, Brazil, Chile, Colombia, Cuba, Ecuador, El Salvador, Guatemala, Mexico, Nicaragua, Puerto Rico, and the United States. They examine how national governments, whether reactionary or revolutionary, have approached healthcare as a means to political legitimacy and popular support. Several essays contrast modern biomedicine-based treatment with Indigenous healing practices. Other topics include universal health coverage, childbirth, maternal care, forced sterilization, trans and disabled individuals’ access to care, intersexuality, and healthcare disparities, many of which are discussed through depictions in films and literature. As economic and political conditions have shifted amid modernization efforts, independence movements, migrations, and continued inequities, so have the policies and practices of healthcare also developed and changed. This book offers a rich overview of how the stories of healthcare in Latin America are intertwined with the region’s political, historical, and cultural identities. Contributors: Benny J. Andrés, Jr. | Javier Barroso | Katherine E. Bliss | Eric D. Carter | David S. Dalton | Carlos S. Dimas | Sophie Esch | Renata Forste | David L. García León | Javier E. García León | Jethro Hernández Berrones | Katherine Hirschfeld | Emily J. Kirk | Gabriela León-Pérez | Manuel F. Medina | Christopher D. Mellinger | Alicia Z. Miklos | Nicole L. Pacino | Douglas J. Weatherford Publication of this work made possible by a Sustaining the Humanities through the American Rescue Plan grant from the National Endowment for the Humanities.