Nomads, Development and Health: Delivering Public Health Services to the Bedouin in Israel

Abstract

Provision of public health services to pastoral nomadic societies has been a difficult task for governments. Issues of availability, accessibility, and compatibility of these services to nomads have in recent years become important in debates on development of these societies. Such issues become reinforced when nomads sedentarize and undergo processes of social modernization. Sedentarization of the Israeli Bedouin, although exposing them to a modern health care system, has given only partial answers to the issues of availability and spatial, functional, and cultural accessibility and compatibility of health services. Misconception of the primary health care (PHC) concept by service providers has resulted in lack of culturally appropriate intermediate medical technology and administration, and deficient health and health-related educational efforts. Consequently, socially and culturally service-related welfare for the Bedouin, an objective highly important in an intermediate modernization phase, has not been achieved.

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