Abstract

Provision of public health services to pastoral nomadic societies has been a difficult task for governments. Is- sues of availability, accessibility, and compatibility of these ser- vices to nomads have in recent years become important in de- bates on development of these societies. Such issues become reinforced when nomads sedentarize and undergo processes of social modernization. Sedentarization of the Israeli Bedouin, al- though exposing them to a modern health care system, has given only partial answers to the issues of availability and spatial, func- tional, and cultural accessibility and compatibility of health ser- vices. Misconception of the primary health care (PHC) concept by service providers has resulted in lack of culturally appropriate intermediate medical technology and administration, and defi- cient health and health-related educational efforts. Con- sequently, socially and culturally service-related welfare for the Bedouin, an objective highly important in an intermediate mod- ernization phase, has not been achieved.

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