KERALA STATE, INDIA - RADICAL REFORM AS DEVELOPMENT

被引:37
作者
FRANKE, RW
CHASIN, BH
机构
来源
INTERNATIONAL JOURNAL OF HEALTH SERVICES | 1992年 / 22卷 / 01期
关键词
D O I
10.2190/HMXD-PNQF-2X2L-C8TR
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Kerala State in southwestern India has achieved some of the third world's best rates of life expectancy, literacy, and infant mortality, despite one of the lowest per capita incomes. Especially notable is the nearly equal distribution of development benefits to urban, rural, male, female, high-caste, and low-caste sections of the populations. An even population distribution, a cosmopolitan trading history, and the development of militant worker and small farmer organizations led by dedicated activists provide the main explanations for Kerala's achievements. Land reform has redistributed wealth and political power from a rich elite to small holders and landless laborers. Public food distribution at controlled prices, large-scale public health actions, accessible medical facilities, and widespread literacy combine with and reinforce each other to maintain and expand Kerala's achievements. Serious unemployment threatens the Kerala experiment, but Kerala nonetheless offers important lessons to development planners, policymakers, and third world activists.
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页码:139 / 156
页数:18
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