Health In The Highlands

Populated by curanderos, midwives, bonesetters, witches, doctors, nurses, and the indigenous people they served, this nuanced history demonstrates how cultural and political history, misogyny, racism, and racialization influence public health. In the first half of the twentieth century, the governments of Ecuador and Guatemala sought to spread scientific medicine to their populaces, working to prevent and treat malaria, typhus, and typhoid; to boost infant and maternal well-being; and to improve overall health. Drawing on extensive, original archival research, David Carey Jr. shows that highland indigenous populations in the two countries tended to embrace a syncretic approach to health, combining traditional and new practices. At times, both governments encouraged—or at least allowed—such a synthesis: even what they saw as "nonscientific" care was better than none. Yet both, especially Guatemala's, also wrote off indigenous lifeways and practices with both explicit and implicit racism, going so far as to criminalize native medical providers and to experiment on indigenous people without their consent. Both nations had authoritarian rule, but Guatemala's was outright dictatorial, tending to treat both women and indigenous people as subjects to be controlled and policed. Ecuador, on the other hand, advanced a more pluralistic vision of national unity, and had somewhat better outcomes as a result.

"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 a new edition of this classic book, introduced by the world-renowned Gaelic poet Sorley Maclean, the late Calum I. Maclean, a Gaelic-speaking Highlander, interprets the traditional background, culture and ways of life of his native country. Calum's formal training in folk culture and the depth of his local knowledge make this book truly outstanding - it is written by a Highlander from the inside. Many books on the Highlands have been penned by outsiders with an uncritical appreciation of the scenery and only the most superficial knowledge of the Gaelic language and culture. By contrast, Maclean brought informed attitudes and sympathetic opinions. He was concerned not so much with places, beauty spots and scenery as with the Highlanders in their own self-created environment. He writes in terms of individuals and suggests reasons why Highland culture is unique in the world - it is something that, if lost, can never be recovered or recreated.

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.

Organizations around the world are using Lean to redesign care and improve processes in a way that achieves and sustains meaningful results for patients, staff, physicians, and health systems. This book systematically describes how NHS Highland uses Lean principles and mindsets to improve safety, quality, access, and morale while reducing costs, and increasing capacity. Existing books often describe the gains obtained by using Lean methods, but often do not describe the underlying concepts and methods in details. Other books describe continuous improvement work, or specific techniques such as daily management in detail. This book seeks to occupy a middle space by providing an overview of the range of Lean ideas applicable to healthcare with sufficient examples and cases studies from NHS Highland and partner organizations so readers can see them in use and practice.

This book takes a fresh look at community nursing history in Great Britain, examining the essentially generalist and low profile, domiciliary end of the professional nursing spectrum throughout the twentieth century. It charts the most significant changes affecting the nurse’s work on the district including compulsory registration for general nursing, changes in organization, training, conditions of service, and workload. A strong oral history component provides a unique insight into the professional images of district nursing and the complexities of inter- and intra-professional relationships as well as into the changing day-to-day working experiences of the district nurse at ‘grass-roots’ level. Use of oral history and records of individual nurses attempts to rectify the tendency of nursing history to view nurses as if they were a homogenous group of professionals, thereby recognizing the different experiences of nurses in different regions and environments. The book also considers the degree of influence of medically related technologies and of developments in drugs, materials, communications, and transport on the professional development of district nursing. The work addresses issues of gender relationships central to a nursing profession largely composed of women (throughout much of the period) working alongside a largely male-dominated medical profession.

This book considers how rurality interacts with the mental health and wellbeing of individuals and communities in different regional settings. Through the use of international and comparative case studies, the book offers insight into the spatiality of mental health diagnoses, experiences, services provision and services access between and within rural areas. It is the first book to specifically address rural mental health geographies from an international perspective, and will be of interest to researchers and policymakers in rural studies, regional studies, health geography and rural mental health.