Hygiene education in rural Colombia, 1930-1946

September 202

During the Liberal hegemony in Colombia (1930-1946), the country underwent a major modernization. Enrique Olaya Herrera, Alfonso López Pumarejo and Eduardo Santos were the presidents during that period.

 

The article A School without Railings: Rural Backgrounds, Social Medicine, and Public Health in Colombia, 1930-1946  (HCSM  Jul-Sep 2021) analyses hygiene education programs during the first two liberal governments of the Liberal Republic.

Historian Natalia Botero-Tovar, researcher at Universidad de los Andes, Colombia, argues that public health programs did not reach their audience due to local clientelism and political corruption. Sources of this article come mainly from Colombia’s Ministry of Education reports and cultural magazines. The education sector was also committed to health tasks and developed assessments of local needs which contributed to programs of public health.

In Colombia, poverty and illiteracy were indelibly linked to local corruption in municipalities, which jeopardized the implementation of state-driven rural hygiene education programs. Doctors and state officials, from governments of the Liberal Republic examined herein, developed material intended for hygiene education, agricultural development, disease prevention and health care, among others.

However, this material represented a political ideology that clashed with local ruling powers. During the 1930’s, handbooks, magazines, radio, and even cinema equipment were highly politicized objects that failed to reach the target population by the means of a state-driven program. Thus, in studying the history of public health in Colombia, more attention should be directed towards how political corruption, embezzled resources and clientelism affected state-orchestrated public health programs.

This research aimed to contribute to the historiography of public health in Colombia exploring additional but critical obstacles, experienced by Liberal reformers, to the expansion of modern public health services in the country. Tracing these local political barriers could be challenging but very rewarding, as they are key to examine the denominated ‘first wave’ of Latin American social medicine, which was looking for the integration of nations.

Historian Hanni Jalil raised important questions and evidence to the history of public Health and social medicine in Colombia. This research resonates with findings highlighted in her article “’A Sick, Weak, and Ignorant People’: Public Health Education and Prevention in Rural Colombia, 1930-1940”.

Despite stereotypical misconceptions of the poor, and medical recommendations that did not match the reality of life in rural areas of the country, barriers in the implementation of public health policies can add up to the background of medical endeavours in the countryside during the 1930s.

Eric Carter described a ‘first wave’ of Latin American social medicine in the article “Social medicine and international expert networks in Latin America, 1930–1945”. This research adds evidence of a time frame that reveals a rich history of rural hygiene education in Colombia.

CARTER, Eric. Social medicine and international expert networks in Latin America, 1930–1945. Global Public Health, v. 14, no. 6-7, p.791-802. 2018. https://www.tandfonline.com/doi/full/10.1080/17441692.2017.1418902

JALIL, Hanni. ’A Sick, Weak, and Ignorant People’: Public Health Education and Prevention in Rural Colombia, 1930-1940. Bulletin of Latin American Research. 2017. Available: https://onlinelibrary.wiley.com/doi/full/10.1111/blar.12739. Accessed Aug 30 2019.

Read more about Colombia in HCS-Manguinhos:

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Our new edition is out! This edition includes social medicine in Colombia between 1930 ad 1946, primary health care in the twilight of the Brazilian dictatorship, health and war in Mexico and the historical parallels between the current Coronavirus crisis and the 1918-1919 influenza pandemic.

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