ABSTRACT
The post-war period has witnessed a number of paradigm shifts in the health and development debate. For the most part, approaches to health have shared the assumptions of the dominant development models of their time. In the 1950s and 1960s, for example, economic development strategies were based upon the belief that less developed countries would repeat the experience of industrialized countries. Health policies similarly followed the health care model of the Western world, medical services being mostly curative, urban-based and highly technological.
