xvi / PREFACE
While I am deeply grateful for and readily acknowledge the
many contributions of colleagues, advisors, and friends, it must also
be said that they are not responsible for what is written here—for
that, I alone am accountable.
Finally, I owe special tribute to my wife, Nancy, who never ques-
‘tioned, and to my children, Mayche, Peter, and Chirawan, who
somehow knew it was important.
Bangkok
April 1969
Joun BRYANT
= ee :
Bd
ath
apes en ae
ment, skill, whimsy, perception, and, at the end, the design.
ADVISORY COMMITTEE
“Ow
the world are devoted men and women whosecollective experience
in less developed countries can only be called remarkable. To help
our cause, they arranged strange and complex schedules, and drove,
hiked, flew, and even rowed with us. Miss Thelma Ingles and Dr.
> Joe Wray wereparticularly helpful in contributing helpful suggestions and fresh ideas.
The illustrations by Praphan Srisouta were done on masonite
panels, cut and printed by hand onthefloor of a simple Thai house.
The sensitive portrayal of man’s problemsin his world reflects the
concern and insight of this gentle and perceptive Thai artist.
There were special problems involved in a study carried out on
multiple continents, written in Bangkok, and published in Ithaca,
but the difficulties were largely overcome by the competent secretarial help of Kathy Masters, Pitaya Morgan, and Papit Gualtieri
in Bangkok, and Charlotte van Deusen, Edith King, Barbara Winokar, and many others in New York. Henry Romneyprovided important editorial advice, Richard Dodson guided the manuscript
through critical phases, and the staff of Cornell University Press
saw what needed to be done and helped to do it. Mybrother, Will,
artist and writer in his own field, was always there with encourage-
Medical
Director,
was formerly Associate
York. New
: Miss Virginia ARNOLD
er Foundation, New
The Rockefell
stu’ and Natural Sciences,
of International
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of Nursing, Boston, Mas
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strater
formerly Assistant Admini
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eedical
Dr. Leona
Development, Wasnin
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Int
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ofthe Agen
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sor of Social Medicine,
She is now Visiting Profes
husetts.
School, Boston, Massac
daMacy,; Jr., FoundaPresident of the Josiah
,
Dr. John Z. BOWERS is
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York
New
,
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tion,
of Educates an
Director of the Division
Dr. Ernani BRAGA is
: zerland.
Swit
va,
nization, Gene
: ining, World Health Orga
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Deputy Director-General
Dr. Pierre DOROLLE is
eva, Switzerland.
Health Organization, Gen
of Paps Health
is Director HU, Division
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Dr. N.
rland.
anization, Geneva, Switze
Services “World Health Org
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Aceistan
ly| Assist
Philip R. LEE was former
wea
ion, and
ment of Health, Educat
cuentifie Affaies, Depart
versity
Uni
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r of
now Chancello
Washington, D.C. He is
, California.
San Francisco
fornia Medical Center,
ical Services for
formerly Director of Med
Dr. James M LISTON,
ry of Overseas Develop
Adviser, Minist
Tanzania is now Medical
ment, London, England.