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Hunter-gatherer health and development policy: How the promotion of sedentism worsens the Agta's health outcomes

Page, AE; Minter, T; Viguier, S; Migliano, AB; (2018) Hunter-gatherer health and development policy: How the promotion of sedentism worsens the Agta's health outcomes. Social Science & Medicine , 197 pp. 39-48. 10.1016/j.socscimed.2017.12.002. Green open access

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Abstract

Many hunter-gatherer groups live on the outskirts of wider society, experiencing poor health outcomes with little access to medical care. From a development perspective, key interventions include the sedentarisation of these mobile peoples into camps nearby larger towns with sanitation infrastructure and medical care, as increased access to services is assumed to improve outcomes. However, recent research in the Agta (Philippine foragers from North-east Luzon) has demonstrated that individuals residing in more ‘developed’ communities suffer from increased morbidity and mortality. Here, using quantitative and ethnographic data on health collected between 2002 and 2014, we explore why this trend occurs by examining the relationship between key development initiatives with self-reported illness and the uptake of medical interventions with 415 Agta men, women and children. We demonstrate that health outcomes worsen as sedentarisation progresses, despite some increases in medical access. We argue this is because the development paradigm is not evidence-based, but rather stems from an ideological dislike of mobile hunter-gatherer lifestyles. Compounded by cultural insensitivity and daily discrimination, current interventions are ill-suited to the unique needs of hunter-gatherers, and thus ineffective. Based on our findings we offer future short and long-term policy suggestions which seek to reduce the Agta's vulnerability, rather than increase it.

Type: Article
Title: Hunter-gatherer health and development policy: How the promotion of sedentism worsens the Agta's health outcomes
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.socscimed.2017.12.002
Publisher version: https://doi.org/10.1016/j.socscimed.2017.12.002
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Philippines, Agta, Hunter-gatherers, Health, Development, Sedentarisation, Policy, Multi-level modelling
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > UCL SLASH
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of S&HS > Dept of Anthropology
URI: https://discovery.ucl.ac.uk/id/eprint/10046833
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