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Popular participation and the State: democratizing the health sector in rural Peru
Author(s) -
Bowyer Tim
Publication year - 2004
Publication title -
the international journal of health planning and management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.672
H-Index - 41
eISSN - 1099-1751
pISSN - 0749-6753
DOI - 10.1002/hpm.750
Subject(s) - declaration , state (computer science) , economic growth , government (linguistics) , work (physics) , political science , community participation , public administration , health care , administration (probate law) , harmony (color) , public relations , socioeconomics , sociology , economics , law , mechanical engineering , art , linguistics , philosophy , algorithm , computer science , visual arts , engineering
Popular participation has been an important component of most primary health care strategies since the Alma Ata Declaration, 1978. This article examines the use of state‐sponsored participation in the health sector in Peru and some of the experiences that have accompanied its implementation. Taking the Local Health Administration Committees (CLAS) from the second Fujimori government (1995–2000) as an example, it is shown that for self‐motivated rural communities to work in harmony with the state, there must be willingness to adapt to the varying levels of intra‐community differences, social integration and social support. Copyright © 2004 John Wiley & Sons, Ltd.