Regime characteristics and health policy reform in the post-colonial state: a comparative case study of the influence of regime characteristics on health human resources policy and policy reform processes in Guyana, Jamaica and Trinidad and Tobago, 1970-1990
In this dissertation, I examine and compare the influence of the following regime characteristics -strength, stability, ideology, democracy and survival/maintenance - on post-colonial health human resources policy processes within one sub-region: the Commonwealth Caribbean; with special reference to Guyana, Jamaica and Trinidad and Tobago (hereinafter called Trinidad) between 1970 to 1990. As I want to comparatively assess the role of these characteristics in post-colonial policy processes, I shall in this chapter place my study within the context of colonial regime characteristics, society and reform processes, assessing its possible influences on post-colonial political developments. This forms the basis of my analysis of policy within these three `post-colonial' states during the 1970s and 1980s. Section One describes the paradox of health and health human resources status in the Commonwealth Caribbean during the 1970s and 1980s. In Section Two, I describe the area under study. In Section Three, I examine possible linkages with the nature of power and reform under colonial regimes. In Section Four, I analyse the influence of regime characteristics on policy processes by assessing health policy outcomes of postwar reform. I begin with an examination of the contradictory status of Commonwealth Caribbean health and health human resources development in the 1970s and 1980s.