In the shadow of the temple: cross-cultural sensitivity in international health program development.
Many authorities recognize the concept that sensitivity to a recipient people's culture during the formulation and implementation of international health programs is a basic component to the success of those programs. Nevertheless, international health agencies have consistently failed in realizing truly successful projects in recipient countries by their neglect to fully take culture into account. The reasons are complex, and their comprehension involves a understanding of who is involved in international health programs, the history of those programs, and the conflicts that arise when outside agencies fail to understand--or be understood by--those who are on the receiving end of programs. This paper will scrutinize international health care assistance and development from the points of view of both donor agencies and recipient countries. Examples are presented from countries and regions worldwide. The challenges in maintaining cultural sensitivity will be described, analyzed, and potential solutions will be offered.
Neill
K G
KG
Bureau of Chronic Disease Control, Missouri Department of Health, Eastern District, St. Louis 63103, USA. blakeyneill@juno.com
D003469:Culture; D014943:Global Health; D006291:Health Policy; D006801:Humans; D011320:Primary Health Care