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NICARAGUA

&
GLOBAL HEALTH
Global Medical Brigades 2015-16
Outline:

Today (Wednesday, 2/10)


Overview of global health history
Impacts on Nicaraguan healthcare
Next week (Tuesday, 2/16)
Nicaragua today current system and needs
GMBs role
What is
Health?
Health is a state of complete physical, mental, and social
well-being and not merely the absence of disease or
infirmity.1

The World Health


Organization
Global Health Timeline

Colonial Globalization
Post-WWII

1500s 1900s 1940s 1970s 1980s present

PREVENTION INTERVENTION UNIVERSALIZATION

public health international primary healthcare


health model
Colonial Period (1500s 1900s)

PREVENTION: public health


Colonial Nicaragua
Spanish colony (1500s 1800s)

Gold mining
Agricultural exports
Colonial Empires
One of the poorest
colonies
Neocolonial role as mono-crop exporter of coffee
1840s and 50s civil wars series of dictatorships

Political instability and U.S. power interests imposed Somoza family


dictatorship
Structural Disadvantages
Post-WWII Era (1940s 1970s)

INTERVENTION: international health

Post-WWII Nicaragua

Neocolonial economic dependence on former


colonial powers
Economic dependence on the U.S.
Global Health emerges as a field of study
1970s civil war: Sandanistas Revolution
vertical intervention campaigns, populations
health studies National Unified Health
Poverty-alleviation and anti-communism rationale
for health interventions
System, MINSA
U.S. and the Contras

Political instability, war,


and
economic dependence
Globalization (1980s present)

UNIVERSALIZATION: primary healthcare


model Globalization &
Nicaragua

Movements towards more democratic rule


The rise and fall of PHC
Structural Adjustment Programs
Global Debt Crisis (1970s/80s)
Forced government to cut
Neoliberalism and imposition of Structural
Adjustment Programs (SAPs) public services
Rise of the millennials generation Further strained
resources and access to
care

SAPs and foreign aid


The Millennium Development
Goals
The Sustainable Development
Goals

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