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Between 1955 and 1978, Cold War ideologies and disease eradication campaigns shaped the momentum toward Primary Health Care (PHC), reframing health both as an arena of ideological contestation and a site of transnational experimentation. This chapter explores three interrelated themes: These themes underline the centrality of political ideologies in shaping the evolution of the PHC paradigm. Although the early history of PHC was foreshadowed by the Cold War, the movement transcended geopolitical divisions. Drawing on disparate case studies from Indonesia, India, Thailand, and Sri Lanka, this chapter traces the local antecedents of PHC. In doing so, it decenters Geneva from the PHC narrative.

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Reconciling Barefoot Aspirations and Cold War Realities: Alma-Ata and the Regional Quest for Primary Healthcare Across Southeast Asia

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  • 发表日期：

    2026年

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  • Vivek Neelakantan

摘要

Between 1955 and 1978, Cold War ideologies and disease eradication campaigns shaped the momentum toward Primary Health Care (PHC), reframing health both as an arena of ideological contestation and a site of transnational experimentation. This chapter explores three interrelated themes: These themes underline the centrality of political ideologies in shaping the evolution of the PHC paradigm. Although the early history of PHC was foreshadowed by the Cold War, the movement transcended geopolitical divisions. Drawing on disparate case studies from Indonesia, India, Thailand, and Sri Lanka, this chapter traces the local antecedents of PHC. In doing so, it decenters Geneva from the PHC narrative.