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Water can produce both favourable and unfavourable health outcomes. As this has been well known since the mid-nineteenth century, the following question arises: why did many polities across the world struggle to commit to improving water supplies and sanitation in the twentieth century? My research explores how the marginalisation of water within the fragmentary structures of imperial and international policy making shaped commitment (or lack thereof) to developing water supplies and sanitation facilities in twentieth-century Africa. By exploring how administrators and scientists did or did not conceptualise water as a key public health issue—and how this framing shaped imperial, colonial, national, and international health policy—we can better understand water's marginalisation in twentieth century health discourses. Researching at the Rockefeller Archive Center (RAC), I sought to better understand the role of Rockefeller Foundation, Near East Foundation, and Ford Foundation officials and associates in conceptualising the relationship between water and health, and between water and development, particularly in relation to the Sudan and Uganda. This report will focus primarily on the work of Rockefeller Foundation officials and associate researchers between c. 1925 and 1940. It also draws from papers held by officials and associate researchers, which were written for, or on behalf of, the League of Nations Health Organisation or the British Colonial Office.
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