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History, international relations, and public health : The case of the democratic people's Republic of Korea 1953-2015

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  • History, international relations, and public health
  • Grundy,John
  • Korea Economic Institute of America


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Title History, international relations, and public health
Similar Titles
Sub Title

The case of the democratic people's Republic of Korea 1953-2015

Material Type Reports
Author(English)

Grundy,John

Publisher

[Washington, D.C.] : Korea Economic Institute of America

Date 2017-07
Series Title; No Korea's economy / vol.31
Pages 12
Subject Country South Korea(Asia and Pacific)
Language English
File Type Link
Subject Social Development < Health
Government and Law < General
Government and Law < International Politics
Holding Korea Economic Institute of America
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Abstract

The historical legacy of North Korea is characterized by occupation and conflict, and economic rehabilitation and then collapse, with tragic and widespread consequences for population health. From the standpoint of the historical determinants of health, this paper reviews the health system in North Korea between 1953 and 2016. Ideology and political relations have been dominant forces in determining the evolution of the health care system and population health. Despite the development of an extensive primary health care system in the country from the early 1960s following the establishment of the DPRK state in 1948, the public health system experienced a major decline in the 1990s, with catastrophic implications for the health and survival of the population. In recent years, evidence has emerged of some important public health gains, particularly through immunization, women's and children's health, and communicable disease control initiatives. This experience demonstrates that, within the overall policy context dominated by the historical and political determinants of health, there remains the capacity for implementation of public health programs that can yield both tangible health benefits for the population in North Korea, as well as assist the health system to edge closer to a regional standard.