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AJPH First Look, published online ahead of print Jul 28, 2005
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September 2005, Vol 95, No. 9 | American Journal of Public Health 1506-1517
© 2005 American Public Health Association
DOI: 10.2105/AJPH.2004.038778

PUBLIC HEALTH THEN AND NOW

Uruguay on the World Stage: How Child Health Became an International Priority

Anne-Emanuelle Birn, ScD, MA

Correspondence: Requests for reprints should be sent to Anne-Emanuelle Birn, ScD, MA, Department of Public Health Sciences, University of Toronto, 1st Floor, McMurrich Bldg, 12 Queen’s Park Crescent W, Toronto, ON M5S 1A8, Canada (email: ae.birn{at}utoronto.ca).

The evolution of international health has typically been assessed from the standpoint of central institutions (international health organizations, foundations, and development agencies) or of one-way diffusion and influence from developed to developing countries.

To deepen understanding of how the international health agenda is shaped, I examined the little-known case of Uruguay and its pioneering role in advancing and institutionalizing child health as an international priority between 1890 and 1950.

The emergence of Uruguay as a node of international health may be explained through the country’s early gauging of its public health progress, its borrowing and adaptation of methods developed overseas, and its broadcasting of its own innovations and shortcomings.






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