DOCSLIB.ORG

Abstract Healthcare Use Patterns in Dominica

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Abstract Healthcare Use Patterns in Dominica ABSTRACT HEALTHCARE USE PATTERNS IN DOMINICA: ETHNOMEDICAL INTEGRATION IN AN ERA OF BIOMEDICINE by Seann Dinnon Regan The power and influence of globalization and the worldwide dominance of biomedicine profoundly impact ethnomedical practices throughout the world. However, ethnomedicine still plays a prominent role in providing medical care to many people. In Dominica, widespread ethnomedical knowledge and traditional plant use as well as a biomedical healthcare system with inadequate infrastructure combine to create a situation of medical decision making. This research investigates how Dominicans make healthcare use decisions and seeks to better understand the state of medicine in Dominica. The results of this research reveal a complex blend of medical practices in the everyday lives of Dominicans and support the notion that biomedicine and national healthcare campaigns could benefit from greater collaboration, understanding, and integration with ethnomedicine. HEALTHCARE USE PATTERNS IN DOMINICA: ETHNOMEDICAL INTEGRATION IN AN ERA OF BIOMEDICINE A thesis presented to the faculty of the Geography Department of Miami University In partial fulfillment of the requirements for the degree of Master of Arts by Seann Dinnon Regan 2010 Advisor: ____________________ Dr. Thomas Klak Reader: _____________________ Dr. José Amador de Jesús Reader: _____________________ Dr. Marcia England Reader: _____________________ Ms. Robbyn Abbitt TABLE OF CONTENTS TABLE OF CONTENTS ........................................................................................................... II LIST OF FIGURES ................................................................................................................. IV ACKNOWLEDGEMENTS........................................................................................................ V DEFINITIONS OF KEY TERMS ............................................................................................ VI CHAPTER 1 ...............................................................................................................................1 INTRODUCTION ......................................................................................................................1 CHAPTER 2 ...............................................................................................................................6 LITERATURE REVIEW ............................................................................................................6 Perspectives from Medical Geography, Anthropology, and Spatial Epidemiology................................................ 6 Access to Healthcare .......................................................................................................................................... 9 Conceptualization of Disease ........................................................................................................................... 12 CHAPTER 3 ............................................................................................................................. 16 DOMINICA: COUNTRY BACKGROUND ............................................................................. 16 Historical Context ............................................................................................................................................ 16 Ethnomedicine ................................................................................................................................................. 19 Colonial medicine ............................................................................................................................................ 21 Population ....................................................................................................................................................... 23 Current health issues ........................................................................................................................................ 25 Current Structure of Biomedicine in Dominica.................................................................................................. 28 Current Structure of Ethnomedicine in Dominica .............................................................................................. 32 CHAPTER 4 ............................................................................................................................. 35 METHODS ............................................................................................................................... 35 Study Participants ............................................................................................................................................ 36 Research Techniques ........................................................................................................................................ 39 Analysis ........................................................................................................................................................... 41 ii CHAPTER 5 ............................................................................................................................. 43 DATA ANALYSIS AND DISCUSSION .................................................................................. 43 Use patterns ..................................................................................................................................................... 45 Perspectives on Medicine ................................................................................................................................. 47 Education......................................................................................................................................................... 50 Generational Differences ................................................................................................................................. 55 Participant Observation ................................................................................................................................... 59 Accessibility and Medicine ............................................................................................................................... 61 Affordability ..................................................................................................................................................... 64 Availability ...................................................................................................................................................... 65 CHAPTER 6 ............................................................................................................................. 68 CONCLUSION ......................................................................................................................... 68 REFERENCES ......................................................................................................................... 71 APPENDIX: ............................................................................................................................. 76 iii LIST OF FIGURES Figure 3-1: Map of the Caribbean region ...................................................................................................... 17 Figure 3-2: Ethnomedicine for sale in Roseau ............................................................................................... 19 Figure 3-3: Map of the Kalinago/Carib Territory .......................................................................................... 21 Figure 3-4: Dominican population 2010........................................................................................................ 24 Figure 3-5: Cases of diabetes in Dominica 1995 – 2006 ................................................................................ 26 Figure 3-6: Cases of malnutrition in Dominica 1995 – 2006 .......................................................................... 27 Figure 3-7: Cases of hypertension in Dominica 1995 – 2006 ......................................................................... 28 Figure 3-8: Health centers in Dominica ........................................................................................................ 30 Figure 3-9: Three tiered structure of biomedicine in Dominica ...................................................................... 31 Figure 3-10: Common ailments and ethnomedical treatments ........................................................................ 32 Figure 3-11: Humoral framing in Dominican ethnomedicine ......................................................................... 34 Figure 4-1: Interview population .................................................................................................................. 37 Figure 4-2: Interview locations ..................................................................................................................... 40 Figure 5-1: Medical decision making ............................................................................................................ 44 Figure 5-2: Medical use practice over the previous year (N=29) .................................................................... 46 Figure 5-3: Medical use practice over the last month (N=29) ........................................................................ 46 Figure 5-4: Perspectives of medicine (N=29) ...............................................................................................
Load more

Recommended publications
  • The Lesser Antilles Incuding Trinidad
    The brilliant Lesser Antillean Barn Owl again showed superbly. One of several potential splits not yet recognized by the IOC (Pete Morris) THE LESSER ANTILLES INCUDING TRINIDAD 5 – 20/25 JUNE 2015 LEADERS: PETE MORRIS After our successful tour around the Caribbean in 2013, it was great to get back again this year. It all seemed pretty straightforward this time around, and once again we cleaned up on all of the available endemics, po- 1 BirdQuest Tour Report:The Lesser Antilles www.birdquest-tours.com The fabulous White-breasted Thrasher from Martinique (Pete Morris) tential splits and other goodies. For sure, this was no ordinary Caribbean holiday! During the first couple of weeks we visited no fewer than ten islands (Antigua, Barbuda, Montserrat, Dominica, Guadeloupe, Martinique, St Lucia, St Vincent, Barbados and Grenada), a logistical feat of some magnitude. With plenty of LIAT flights (the islanders refer to LIAT as ‘Leave Island any Time’ and ‘Luggage in Another Terminal’ to name but two of the many funny phrases coined from LIAT) and unreliable AVIS car hire reservations, we had our work cut out, but in the end, all worked out! It’s always strange birding on islands with so few targets, but with so many islands to pack-in, we were never really short of things to do. All of the endemics showed well and there were some cracking highlights, including the four smart endemic amazons, the rare Grenada Dove, the superb Lesser Antillean Barn Owl, the unique tremblers and White-breasted Thrashers, and a series of colourful endemic orioles to name just a few! At the end of the Lesser Antilles adventure we enjoyed a few days on Trinidad.
    [Show full text]
  • Download File
    Eastern Caribbean Child-friendly Schools Newsletter Vol 9, 2016 n WELCOME - pg 2 n ACKNOWLEDGEMENTS - pg 4 n UP CLOSE - pg 5 n IN FOCUS - pg 7 - Teachers At Look Out Primary In Montserrat Give Up Lunch Time To Ensure School Safety - pg 7 - Bethel High School - St. Vincent & The Grenadines- Implements INSIDE Disaster Management In The Curriculum - pg 7 - Adrian T. Hazelle’s School Safety Team Prepares Students to Deal with Natural Disasters - pg 8 - Speyside Anglican and Roborough Anglican In Tobago – Anti-Bullying Campaign - pg 8 n STUDENT VOICES - pg 9 n PRINCIPAL’S CORNER - pg 10 WHAT’S WHAT’S n NEWS FROM THE FIELD - pg 12 1 IN TOUCH Newsletter Vol. 9, 2016 WELCOME Welcome to the 9th issue of In Touch. The aim is provide educators with good practices at schools implementing the Child-Friendly/ Effective School (EFS) framework in the Eastern Caribbean Area, which they can consider for possible implementation in their own classrooms. In the Eastern Caribbean, the implementation of the Child-Friendly School (CFS) / Effective Schools Framework (ESF) first started in 2007 with the main focus on positive behavioural management. This was primarily done in an attempt to reduce the use of corporal punishment by teachers and to address issues of interpersonal violence among children, which were becoming a concern for regional governments. Recognising that a holistic approach must be taken to improve the psychosocial environment for students, the CFS model in the Eastern Caribbean has been expanded to include the following: Healthy and Health Promoting Practices –including teaching Health and Family Life Education Student centred Education School Leadership and Management Safe, Protective and Nurturing Environment To date more than 50,000 students in the Eastern Caribbean are being exposed to CFS / EFS practices and the numbers keep growing.
    [Show full text]
  • Islands and Beers: Toasting a Discriminatory Approach
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by OAR@UM Asia Pacific Viewpoint, Vol. 51, No. 1, April 2010 ISSN 1360-7456, pp61–72 Islands and beers: Toasting a discriminatory approach to small island manufacturingapv_1414 61..72 Godfrey Baldacchino Island Studies Program, University of Prince Edward Island, 550 University Avenue, Charlottetown, PE, Canada C1A 4P3. Email: [email protected] Abstract: This paper explores the relationship between beers and island development, using a global sweep but with a special reference to the insular Pacific. It adopts a discriminatory approach, touching upon the role and impact that niche and bouquet beer manufacturing can have on the socioeconomic development of small islands. It departs from a personal observation: many small island jurisdictions have their own brewery. Indeed, the brewery could also be the island territory’s largest indigenous manufacturing concern. While small islands are associated with low manufactur- ing capacity and diseconomies of scale, nevertheless ‘a local brewery’ comes across, in many cases, as a profitable and glaring exception that speaks to the attractions and virtues of locality branding. Keywords: beer, branding, brewery, islands, manufacturing Introduction without invitation; during which time the guests expect to be fed, to drink beer and be bought Kabutaulaka (2005: 88–89) provides anecdotes new things. Social and cultural practices aside, of men from Malaita and Guadalcanal, proudly local beers however also perform a vital, and showing off that they can afford to buy and drink perhaps under-appreciated, economic function the Solomon Islands beer, Solbrew.The alcoholic to small island territories.
    [Show full text]
  • A Cruiser's View of Bequia
    C A R I B B E A N On-line C MPASS NOVEMBER 20088 NO.NO. 158 The Caribbean’s Monthly Look at Sea & Shore A CRUISER'S VIEW OF BEQUIA See story on page 28 WILFRED DEDERER NOVEMBER 2008 CARIBBEAN COMPASS PAGE 2 a NOVEMBER 2008 CARIBBEAN COMPASS PAGE 3 CALENDAR NOVEMBER 1 All Saints’ Day. Public holiday in French West Indies 1 Independence Day. Public holiday in Antigua & Barbuda 1 D Hamilton Jackson Day. Public holiday in USVI 1 - 2 Women’s Caribbean One Design Keelboat Championship, St. Maarten. [email protected] The Caribbean’s Monthly Look at Sea & Shore 2 19th West Marine Caribbean 1500 sets sail from Hampton, VA to Tortola. www.carib1500.com www.caribbeancompass.com 3 Independence Day. Public holiday in Dominica 4 Community Service Day. Public holiday in Dominica NOVEMBER 2008 • NUMBER 158 6 - 11 Le Triangle Emeraude rally, Guadeloupe to Dominica. [email protected] 7 - 8 BVI Schools Regatta, Royal British Virgin Islands Yacht Club (RBVIYC), tel (284) 494-3286, [email protected], www.rbviyc.net 7 – 9 Heineken Regatta Curaçao. www.heinekenregattacuracao.com 7 – 9 BMW Invitational J/24 Regatta, St. Lucia. [email protected] Repo Man 8 Reclaiming a stolen yacht ..... 32 St. Maarten Optimist Open Championship. [email protected] 8 - 10 Triskell Cup Regatta, Guadeloupe. http://triskellcup.com TERI JONES 10 - 15 Golden Rock Regatta, St Maarten to Saba. CONNELLY-LYNN [email protected] 11 Veterans’ Day. Public holiday in Puerto Rico and USVI 11 Armistice Day. Public holiday in French West Indies and BVI 13 FULL MOON 13 - 21 Heineken Aruba Catamaran Regatta.
    [Show full text]
  • Heritage Education — Memories of the Past in the Present Caribbean Social Studies Curriculum: a View from Teacher Practice Issue Date: 2019-05-28
    Cover Page The handle http://hdl.handle.net/1887/73692 holds various files of this Leiden University dissertation. Author: Con Aguilar E.O. Title: Heritage education — Memories of the past in the present Caribbean social studies curriculum: a view from teacher practice Issue Date: 2019-05-28 Chapter 6: The presence of Wai’tu Kubuli in teaching history and heritage in Dominica 6.1 Introduction Figure 6.1: Workshop at the Salybia Primary School Kalinago Territory, Dominica, January 2016. During my stay in Dominica, I had the opportunity to organize a teachers’ workshop with the assistance of the indigenous people of the Kalinago Territory. Although the teachers interact with Kalinago culture on a daily basis, we decided to explore the teachers’ knowledge of indigenous heritage and to challenge them in activities where they could put their knowledge into practice. We then drew animals, plants, tools and objects that are found in daily life in the Kalinago Territory. Later on in the workshop, we asked teachers about the Kalinago names that were printed on their tag names. Teachers were able to recognize some of these Kalinago names, and sometimes even the stories behind them. In this simple way, we started our workshop on indigenous history and heritage — because sometimes the most useful and meaningful learning resources are the ones we can find in our everyday life. This case study took place in Dominica; the island is also known by its Kalinago name, Wai’tu Kubuli, which means “tall is her body.” The Kalinago Territory is the home of the Kalinago people.
    [Show full text]
  • Proquest Dissertations
    AN ANALYSIS OF CANADIAN EDUCATIONAL ASSISTANCE TO THE COMMONWEALTH CARIBBEAN LEEWARD AND WINDWARD ISLANDS, 1960-1970 by Mavis E. Burke Thesis presented to the School of Graduate Studies of the University of Ottawa as partial fulfillment of the requirements for the degree of Doctor of Philosophy o* % BiBiioTHjijuEs Rfrn\ "'&&' Ottawa, LIBRARIES (C) Mavis E. Burke, Ottawa, Canada, 1975 UMI Number: DC53932 INFORMATION TO USERS The quality of this reproduction is dependent upon the quality of the copy submitted. Broken or indistinct print, colored or poor quality illustrations and photographs, print bleed-through, substandard margins, and improper alignment can adversely affect reproduction. In the unlikely event that the author did not send a complete manuscript and there are missing pages, these will be noted. Also, if unauthorized copyright material had to be removed, a note will indicate the deletion. UMI® UMI Microform DC53932 Copyright 2011 by ProQuest LLC All rights reserved. This microform edition is protected against unauthorized copying under Title 17, United States Code. ProQuest LLC 789 East Eisenhower Parkway P.O. Box 1346 Ann Arbor, Ml 48106-1346 ACKNOWLEDGEMENTS The researcher wishes to thank Dr. Mary Mulcahy, Chairman of the Department of Educational Foundations, University of Ottawa, for her unfailing support and encouragement in the preparation of this thesis. The project could not have been completed without the cooperation of officials representing the sources of development assistance included in this study. A special debt of gratitude is due to Mr. W.A. Teager, Director of the Overseas Book Centre,and his staff, for permission to make the fullest use of OBC material for purposes of this research.
    [Show full text]
  • Acknowledgements References
    Cover Page The handle http://hdl.handle.net/1887/65998 holds various files of this Leiden University dissertation. Author: Ariese, C.E. Title: The social museum in the Caribbean : grassroots heritage initiatives and community engagement Issue Date: 2018-09-27 Acknowledgements I am grateful to many for their assistance and support in the completion of this research. Firstly, I am indebted to my supervisors. Willem Willems encouraged me to great- ly expand my research throughout the region and to dedicate myself to fieldwork. Thank you for trusting me to work independently, but for checking in every Thursday. Following Willem’s passing, Corinne Hofman took over supervision and was greatly helpful in expanding my contact network and providing feedback on the manuscript. To Mariana Françozo, thank you for getting my research, strategizing along the way, providing perfect feedback, and for your mentorship. There are a million ways in which you have guided me, from academic support to safeguarding my wellbeing. Suffice it to say, after many fieldwork adventures shared, I am the luckiest. I would like to thank the members of the reading committee whose careful reviews and thoughtful comments greatly improved this manuscript. Thank you also to Tina Solos for the diligent proofreading under tight deadlines. Secondly, this dissertation owes much to collaborations and conversations with colleagues. Mereke van Garderen, thank you for your computer science intervention and the fruitful visualization collaboration. To my office buddies, Eldris Con Aguilar and Eloise Stancioff for working together, travelling together, panicking together, and helping each other. There is no bond like sharing a LIAT flight.
    [Show full text]
  • Monitoring Educational Performance in the Caribbean / Emanuela De Gropello
    Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Public Disclosure Authorized Washington, D.C. Washington, THE WORLDBANK Emanuela diGropello in theCaribbean Performance Monitoring Educational WORLD BANK WORKING PAPER NO. 6 NO. PAPER WORKING BANK WORLD Copyright © 2003 The International Bank for Reconstruction and Development / The World Bank 1818 H Street, N.W. Washington, D.C. 20433, U.S.A. All rights reserved Manufactured in the United States of America First printing: June 2003 1 2 3 4 05 04 03 World Bank Working Papers are published to communicate the results of the Bank's work to the development community with the least possible delay. The typescript of this paper therefore has not been prepared in accordance with the procedures appropriate to journal printed texts, and the World Bank accepts no responsibility for errors. Some sources cited in this paper may be informal documents that are not readily available. The findings, interpretations, and conclusions expressed in this paper are entirely those of the author(s) and do not necessarily reflect the views of the Board of Executive Directors of the World Bank or the governments they represent. The World Bank cannot guarantee the accuracy of the data included in this work. The boundaries, colors, denominations, and other information shown on any map in this work do not imply on the part of the World Bank any judgment of the legal sta- tus of any territory or the endorsement or acceptance of such boundaries. The material in this publication is copyrighted. The World Bank encourages dissemination of its work and normally will grant permission for use.
    [Show full text]
  • The Nurse Workforce in the Eastern Caribbean Carpio and Fuller-Wimbush
    The Nurse Workforce in the Eastern Caribbean in the Eastern Workforce Nurse The DIRECTIONS IN DEVELOPMENT Human Development Carpio and Fuller-Wimbush Carpio The Nurse Workforce in the Eastern Caribbean Meeting the Challenges of Noncommunicable Diseases Carmen Carpio and Danielle Fuller-Wimbush The Nurse Workforce in the Eastern Caribbean DIRECTIONS IN DEVELOPMENT Human Development The Nurse Workforce in the Eastern Caribbean Meeting the Challenges of Noncommunicable Diseases Carmen Carpio and Danielle Fuller-Wimbush © 2016 International Bank for Reconstruction and Development / The World Bank 1818 H Street NW, Washington, DC 20433 Telephone: 202-473-1000; Internet: www.worldbank.org Some rights reserved 1 2 3 4 19 18 17 16 This work is a product of the staff of The World Bank with external contributions. The findings, interpreta- tions, and conclusions expressed in this work do not necessarily reflect the views of The World Bank, its Board of Executive Directors, or the governments they represent. The World Bank does not guarantee the accuracy of the data included in this work. The boundaries, colors, denominations, and other information shown on any map in this work do not imply any judgment on the part of The World Bank concerning the legal status of any territory or the endorsement or acceptance of such boundaries. Nothing herein shall constitute or be considered to be a limitation upon or waiver of the privileges and immunities of The World Bank, all of which are specifically reserved. Rights and Permissions This work is available under the Creative Commons Attribution 3.0 IGO license (CC BY 3.0 IGO) http:// creativecommons.org/licenses/by/3.0/igo.
    [Show full text]
  • Dominica Health Systems and Private Sector Assessment
    DOMINICA HEALTH SYSTEMS AND PRIVATE SECTOR ASSESSMENT March 2012 This publication was produced for review by the United States Agency for International Development. It was prepared by Sara Sulzbach, Kylie Ingerson, Michael Rodriguez, Taylor Williamson, Michael Hainsworth, Alan Fairbank, Shirley Augustine, and James White for the Strengthening Health Outcomes through the Private Sector and Health Systems 20/20 projects. Health Systems 20/20 Mission The Health Systems 20/20 cooperative agreement, funded by the U.S. Agency for International Development (USAID) for the period 2006–2012, helps USAID-supported countries address health system barriers to the use of life-saving priority health services. Health Systems 20/20 works to strengthen health systems through integrated approaches to improving financing, governance, and operations, and building sustainable capacity of local institutions. Strengthening Health Outcomes through the Private Sector Mission The Strengthening Health Outcomes through the Private Sector (SHOPS) Project is a five-year cooperative agreement (2009–2014) with a mandate to increase the role of the private sector in the sustainable provision and use of quality family planning, HIV/AIDS, and other health information, products, and services. December 2011 (Revised March 2012) Cooperative Agreement No.: GHS-A-00-06-00010-00 Cooperative Agreement No.: GPO-A-00-09-00007 Submitted to: Kendra Phillips Health and HIV/AIDS Team Lead USAID Eastern Caribbean/Barbados Maggie Farrell Population and Reproductive Health/Service Delivery Improvement Bureau for Global Health United States Agency for International Development Scott Stewart, AOTR Health Systems Division Office of Health, Infectious Disease and Nutrition Bureau for Global Health United States Agency for International Development Recommended Citation: Strengthening Health Outcomes through the Private Sector and Health Systems 20/20.
    [Show full text]
  • In the Eastern Caribbean the Eastern Children In
    CHILDREN IN THE EASTERN CARIBBEAN THE EASTERN CHILDREN IN 1 SITUATION ANALYSIS SITUATION SITUATION ANALYSIS OF CHILDREN IN THE EASTERN CARIBBEAN SITUATION ANALYSIS OF CHILDREN IN THE EASTERN CARIBBEAN UNICEF Office for the Eastern Caribbean Area Published by: UNICEF Office for the Eastern Caribbean Area First Floor, UN House Marine Gardens, Hastings Christ Church Barbados Tel: (246) 467 6000 Email: [email protected] Website: www.unicef.org/easterncaribbean This study was commissioned by the UNICEF Office for the Eastern Caribbean Area. UNICEF gratefully acknowledges the work of Dr. Robin Haarr, Consultant with UNICEF, who led the process of writing this report. The contents do not necessarily reflect the policies or views of the organizations. December 2019 Suggested citation: UNICEF, Situation Analysis of Children in the Eastern Caribbean, Bridgetown, Barbados, 2019. Cover photo: @UNICEF/2019/Ward Contents CHAPTER 1 Introduction 1 EASTERN CARIBBEAN MCP, 2017-2021 2 SITUATION ANALYSIS PURPOSE AND SCOPE 3 CONCEPTUAL FRAMEWORK FOR ANALYSING CHILDREN’S RIGHTS 4 CONCEPTUAL FRAMEWORK FOR BUSINESS FOR RESULTS AND CHILD RIGHTS 5 METHODOLOGY 6 Desk review 6 CARIBBEAN THE EASTERN CHILDREN IN Comparative analysis 6 iii Consultations with UNICEF staff 7 CHAPTER 2 Overview of the Eastern Caribbean 8 POPULATION 9 GOVERNANCE AND POLITICAL ECONOMIES 11 HUMAN DEVELOPMENT 14 ANALYSIS SITUATION POVERTY 15 CLIMATE RISK 17 DISASTERS AND HAZARDS 18 MIGRATION AND CHILDREN ON THE MOVE 21 Trinidad and Tobago’s Venezuelan migrants 24 CHAPTER 3 Every child
    [Show full text]
  • Ministries of Education in Small States: Case Studies of Organizatlon and Management
    DOCUMENT RESUME ED 346 549 EA 023 891 AUTHOR Bray, Mark, Ed. TITLE Ministries of Education in Small States: Case Studies of Organizatlon and Management. INSTITUTION Commonwealth Secretariat, London (England). REPORT NO ISBN-0-85092-367-0 PUB DATE 91 NOTE 307p.; Companion volume is entitled "Making Small Practical: The Organisation and Management of Ministries of Education in Small States." AVAILABLE FROMCommonwealth Secretariat Publications, Marlborough House, Pall Mall, London, England SW1Y 5HX, United Kingdom (5 pounds). PUB TYPE Reports - Research/Technical (143) -- Collected Works - General (020) EDRS PRICE MFO1/PC13 Plus Postage. DESCRIPTORS Case Studies; *Educational Administration; *Educational Development; Elementary Secondary Education; Foreign Countries; *Government (Administrative Body); Higher Education; *Organizational Effectiveness; Politics of Eduration; Public Administration; *State Departments of Education IDENTIFIERS *Commonwealth of Nations; *Smal:. Countries ABSTRA('T Case studies on ministries of education were sought from states with populations under 1.5 million and displayinga wide range of economic, geographic, and cultural diversity. The introduction has six main sections: (1) information on definitions and the contents of the book;(2) an account cf other Comonwealth Secretariat initiatives on education in small states;;3) literature on education in small states; (4) literature on public adminiltration in small states; (5) the appli.cability and limitations ofthe work; and (6) an outline on the structure of the book. A 73-item bibl.iography follows the introduction. The 14 countrystudies in the book are grouped in 5 sections by their geographicallocation in the world:(1) Africa (Botswana, The Gambia, and Seychelles); (2)Asia (Brunei Darussalam and Maldives); (3) Caribbean (Barbados,Dominica, Guyana, Montserrat, and St.
    [Show full text]