In this book we have employed the CPI model to demonstrate how a medical ecology framework helps us understand the complex inter-relationships among biology, environment, and culture as expressed in the spread, and then in the control, of an infectious disease like cholera. So far we have focused on the mico-level of individual behaviors within the environment of the community. In this final chapter we take a more global and reflective approach as we show how the structural violence of history shaped which communities were at the highest risk of the disease, and the ways in which the communities responded. And we conclude with a discussion of the lessons learned from this approach in anticipation that the CPI model will be applied in other places around the globe.

“This project improved the level of education in the community and developed new leaders in the areas of health and sanitation. These leaders not only learned about health, but they put their knowledge into practice.”

(Sofia Velasco, Regional Team leader)