This article is part of a study that described and analyzed the development of nursing education in Trinidad and Tobago from self-government in 1956 to 1986, with special emphasis on the forces that helped to shape the society from colonial times, and consequently, nursing education. Adaptation and application of major concepts from theories of underdevelopment and development and colonialism formed the basis of the study's theoretical framework. The article focuses on the impact of the metropolitan countries on the development of health care policies. Because of the nation's historical legacy of colonialism and its current linkages with the United States and Canada, a major area fundamental to the analysis was to determine whether those two countries had superseded traditional British influences in determining health care policies. This raised the issue of whether or not health care policies could be autonomously developed to meet the needs of the people.
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References
1.
ChanL. F.Historical background of Port-of-Spain General Hospital. In The Nursing Council of Trinidad and Tobago-25th Anniversary 1950–1975. Key Caribbean Publications, Port-of-Spain, Trinidad, 1975.
2.
ComissiongL. M.Health services in the British Caribbean, 1935 to 1969. Caribbean Med. J.30: 40–42, 1970.
3.
DeVerteuilE.The urgent need for a medical and health policy for Trinidad. Caribbean Med. J.5(3): 107–119, 1943.
4.
Government of Trinidad and Tobago. Report of the Commission of Enquiry, JulienM. T., Chairman, Council Paper No. 14. Port-of-Spain, Trinidad, 1957.
5.
WatermanI.A century of service. In The Nursing Council of Trinidad and Tobago-25th Anniversary, 1950–1975. Key Caribbean Publications, Port-of-Spain, Trinidad, 1975.
6.
Great Britain, Colonial Office. Annual Reports on the Colonies Trinidad and Tobago, 1894–1896. Microfiche, Andronicus, New York.
7.
Great Britain, Colonial Office. Annual Reports on the Colonies Trinidad and Tobago, 1889–99. Microfiche, Andronicus, New York.
8.
Great Britain, Colonial Office. Annual Reports on the Colonies Trinidad and Tobago, 1920–21. Microfiche, Andronicus, New York.
9.
Great Britain, Colonial Office. Annual Reports on the Colonies Trinidad and Tobago, 1930–31. Microfiche, Andronicus, New York.
10.
Great Britain, Colonial Office. Annual Report on the Colonies Trinidad and Tobago, 1936. Microfiche, Andronicus, New York.
11.
Great Britain, Colonial Office. West India Royal Commission Report. Command 6607, His Majesty's Service Overseas, London, June 1945.
12.
HerrmannE.The Development of Nursing Education in Belize (British Honduras), Central America: 1920–1970. Doctoral dissertation, Teacher's College, Columbia University, 1979 (unpublished).
13.
MandersonL.Health services and the legitimation of the colonial state: British Malaya, 1786–1941. Int. J. Health Serv. 17(1): 91–112, 1987.
14.
NavarroV. (ed.). Imperialism, Health and Medicine. Baywood Publishing Company, Farmingdale, N.Y., 1979.
15.
NavarroV.Medicine under Capitalism. Prodist, New York, 1976.
16.
NavarroV.Class Struggle, the State and Medicine: A History and Contemporary Analysis of the Medical Sector in Great Britain. Prodist, New York, 1978.
17.
IllichI.Medical Nemesis: The Expropriation of Health. Croom Helm, London, 1965.
18.
WilliamsE.From Columbus to Castro: The History of the Caribbean, 1492–1969. Tonbridge Printers, London, 1970.
19.
FanonF.Black Skin, White Masks, translated by MarkmannC. L., Grove Press, New York, 1967.
20.
Fanon, F.A Dying Colonialism. Monthly Review Press, New York, 1965.
21.
BacchusM. K.Education for Development or Underdevelopment? Guyana's Educational System and its Implications for the Third World. Wilfrid Laurier University Press, Waterloo, Ont., 1980.
22.
BestL.Character of Caribbean economy. In Caribbean Economy: Dependence and Backwardness, pp. 34–60. Institute of Social and Economic Research. University of the West Indies, Mona, Jamaica, 1975.
23.
McIntyreA.Some issues of trade policy in the West Indies. In Readings in the Political Economy of the Caribbean, edited by GirvanN.JeffersonO., pp. 165–182. Kingston, Jamaica, 1971.
24.
ThomasC.Monetary and Financial Arrangements in a Dependent Monetary Economy: A Study of British Guiana, 1945–62. Institute of Social and Economic Research, University of the West Indies, Mona, Jamaica, 1965.
25.
LewisG.The Growth of the Modem West Indies. Monthly Review Press, London, 1968.
26.
BreretonB.A History of Modern Trinidad, 1783–1962. Heinemann Educational Books, London, 1987.
27.
LaskerJ. N.The role of health services in colonial rule: The case of the Ivory Coast. Cult. Med. Psychiatry1: 277–297, 1977.
28.
PearceT. O.Political and economic changes in Nigeria and the organization of medical care. Soc. Sci Med. 148: 91–98, 1980.
29.
SeheultR.Review of the evolution of health services in Trinidad, 1814–1934. Caribbean Med. J.8(2): 41–47, 1946.
30.
KnightF.The Caribbean: The Genesis of a Fragmented Nationalism. Oxford University Press, New York, 1978.
31.
MandleJ.Patterns of Caribbean Development. Gordon Breach Science, New York, 1982.
32.
CarnoyM.Education as Cultural Imperialism. David McKay, New York, 1974.
33.
WilliamsE.Forged from the Love of Liberty. Longman Caribbean, Trinidad, 1981.
34.
Government of Trinidad and Tobago, Ministry of Health and Housing. First National Health Plan for Trinidad and Tobago, 1967–1976. Port-of-Spain, Trinidad, 1967.
35.
HawkinsI.The Changing Face of the Caribbean. Cedar Press, Barbados, 1976.
36.
The IADB in Trinidad and Tobago. PAHO Documentation Center, Port-of-Spain, Trinidad, undated.
37.
Government of Trinidad and Tobago. Loan Agreement (Population Project) between Trinidad and Tobago and the International Bank for Reconstruction and Development. Port-of-Spain, Trinidad, May 28, 1971.
38.
Government of Trinidad and Tobago. Third Five Year Plan 1969–1973. Port-of-Spain, Trinidad, 1970.
39.
MemmiA.The Colonizer and the Colonized. The Orion Press, New York, 1967.
40.
RyanS.Race and Nationalism in Trinidad and Tobago: A Study of De-colonization in a Multi-racial Society. University of Toronto Press, Toronto, 1972.
41.
GoodingE.The West Indies at the Crossroads. Schenkman Publishing, Cambridge, Mass., 1981.
42.
Government of Trinidad and Tobago, Ministry of Health. Annual Report of the Ministry of Health for the Year ending 31 December, 1980. Port-of-Spain, Trinidad, 1980.
