The Association of Communitarian Health Services (ASECSA) and the Role of Religion and Health in Central America
The Association of Communitarian Health Services (ASECSA) is a transnational, religiously influenced health program in Central America created during the Cold War. ASECSA was founded in 1978 by a small group of international health professionals with ties to programs started by Catholic and Protestant clergy and laity in Guatemala’s western highlands in the 1960s. It introduced a model of healthcare in which Maya health promoters and midwives became partners in healing rather than objects to be cured. Support for the health programs and ASECSA came from secular and religious international agencies, including the United States Agency for International Development (USAID), German Misereor, Catholic Relief Services, and the World Council of Churches. ASECSA was founded to disseminate knowledge of popular health education strategies used by health promoters and midwives to provide preventive and curative medical services to their communities. The education methods grew from Paulo Freire’s Pedagogy of the Oppressed and its use by religious agents influenced by liberation theology. Although it was founded in Guatemala, ASECSA’s publications and meetings attracted participation by health professionals and paraprofessionals from Mexico, Central America, and even the Caribbean. Ecumenical religious centers affiliated with liberation theology in the 1960s and 1970s facilitated the development of popular health programs that played a defining role in the region.
What can we learn about the documents we work with if we incorporate a study of document creation, travel, and storage into the consideration of document content? Some well-known documents, such as the Popol Vuh, have backstories that reveal as much as their content. But even obscure documents, such as a dispute over a road detour in 18th-century Guatemala, can be read productively as objects with life trajectories. Understanding the “life” of this document—the world in which it was made, the tools and knowledge of its making, its travel while being written, its storage in colonial and national archives—sheds new light on its meaning. Similarly, all colonial documents can be interpreted in new ways if their lives are treated as part of the interpretation.
Jorge González Alzate
The Kingdom of Guatemala, a neglected backwater of the Spanish Empire under the Habsburgs, figured prominently in the long-term strategic planning of the Bourbon state. Royal preoccupation with this impoverished colony was reflected in the wide-ranging program of reform that the crown sought to put into practice in the isthmus over the course of the 18th century. For Philip V and his successors, the most pressing concern was the crown’s lack of control over the colony’s Caribbean coast (also known as the Mosquito Shore), a swampy and insalubrious region that for decades had been under the effective control of British interlopers and their native allies, the indomitable Sambo-Mosquitos. The main thrust of the reform project was therefore directed at addressing that serious security gap, a situation which, at the same time, severely limited Spain’s capacity to reap the benefits of Central America’s economy and trade. In its initial stages, the effort to implement the reforms proved to be a protracted and frustrating process, hampered by resistance from vested interests, lack of funds and personnel, natural disasters, and above all by recurring military conflict. It was not until the aftermath of the Seven Years War (1756–1763) that Charles III, facing the prospect of an even more damaging British attack, resolved to take decisive action and commanded his ministers to expedite the pace of reform. Royal orders were then issued that called for the de-Americanization and overhauling of the civil administration, direct state intervention to stimulate economic productivity and expand maritime trade, the establishment of a modern, efficient, crown-administered fiscal structure, the strengthening of the defense system, and the assertion of royal authority over the ecclesiastical establishment. Initially, the uncompromising manner utilized by the crown in introducing the changes, particularly the reforms to the fiscal system, provoked much unrest and resistance among wide segments of the population. But in the end, the reforms survived and, by the closing years of the century, most of the measures had largely met the crown’s objectives. The fiscal surplus generated by the economic and commercial expansion of the second half of the 18th century enabled the Bourbons to attain their principal strategic objective in Central America, namely dislodging the British enemy from much of the Atlantic coast. Unfortunately, not long after this climatic point, the decades-long effort quickly unraveled as the monarchy began to collapse in 1808. In the end, the reform project proved insufficient; the dream of attaining modernization and preeminent status among European powers remained elusive. As conditions in the mother country deteriorated, so did the economic and political stability of Central America. The kingdom’s provinces were engulfed by increasing political volatility and economic depression. Following the example of neighboring New Spain, Central Americans declared their independence in 1821. Thus, in the end, the Bourbons had “gained a revenue and lost an empire.”
From the period of imperial conquest and competition, the Caribbean coast of Central America has served as an interstitial space: between British and Spanish rule; between foreign corporate control and national inclusion; mestizo, black, and indigenous. Running from Guatemala in the north through Honduras, Nicaragua, Costa Rica, and Panama in the south, “la Costa” has functioned as a contested terrain imbued with economic import, ethnic difference, and symbolic power. The coastal zones were transformed in the 20th century through the construction of railroads and later highways, large-scale foreign immigration, the spread of states’ bureaucratic agents, and internal migrants, as well as transnational projects such as the Panama Canal and the United Fruit Company’s integrated banana plantation empire.
The coastal region’s inaccessible terrain, large communities of lowland indigenous people, and vast numbers of Afro-Caribbean migrants from islands such as Jamaica markedly differentiated these lowlands from the wider Central American republics. From indigenous groups such as the Rama, Mayangna-Sumu, Kuna, Guaymí, and Bribri, to the Afro-indigenous Garifuna and Miskitu, and the English-speaking black Creoles and Afro-Antilleans, the region has enjoyed great ethnic diversity compared to the nominally mestizo republics of which it has formed part. Finally, ladino (non-indigenous) or mestizo (mixed-race) campesino migrants from the Pacific or Central regions of the isthmus arrived in large numbers throughout the 20th century. Racism, ethnic exclusion, and marginalization were often the response of national states toward these coastal populations. In some contexts, tensions between and among ethnic groups over land and natural resources, as well as between national states and local autonomy, flared into violent conflict. Elsewhere in Central America, the Caribbean coast’s position in national political development permitted a gradual meshing of national and regional cultures during the second half of the 20th century.
This is an advance summary of a forthcoming article in the Oxford Research Encyclopedia of Latin American History. Please check back later for the full article.
The Sandino Rebellion Digital Historical Archive website, a work in progress, is envisioned as a comprehensive, interpretive, open-access digital archive housing all relevant primary documents, and rare, out-of-print, or hard-to-access published works, that treat the period of the Sandino rebellion in Nicaragua (1927–1934) and the counterinsurgency campaign waged by the U.S. and Nicaraguan governments against this homegrown, campesino-based nationalist insurgency led by Augusto C. Sandino, the supreme chief of the Defending Army of Nicaraguan National Sovereignty (Ejército Defensor de la Soberanía Nacional de Nicaragua, or EDSN). Primary documents, digitized from the originals in public and private archives in the United States, Nicaragua, Great Britain, Honduras, and elsewhere, are categorized by type, provenance, and theme, with many transcribed and fully searchable. The website currently housed more than 3,700 hitherto unpublished primary documents as of May 2014; ultimately, the goal is to make universally accessible approximately 30,000 documents, including letters, diaries, military reports, consular dispatches, court records, newspaper accounts, oral histories, photographs, maps, rare published works, and other materials, to be accompanied by interpretive commentaries on specific documents, events, issues, and controversies.
The digital archive is organized in the manner of a historian’s workspace in the wake of repeated visits to the many libraries, archives, and repositories that bear on the questions we seek to address. The criterion informing the selection of documents is simple: material is included if it helps to shed light on how Nicaraguans struggled to make their own history during this period. In the spirit of social and cultural history, the focus is on ordinary people and members of subordinate groups—campesinos, indigenous communities, women, migrants—while abiding attention is also paid to more prominent and powerful actors, including merchants, landowners, politicians, and military leaders.
Roughly two-thirds of this material was culled from Record Group 127 (Records of the United States Marines) in the U.S. National Archives and Records Administration, which includes a staggering array of documentation relating to virtually every aspect of this rebellion and the counterinsurgency campaign that sought to crush it: patrol and combat reports, intelligence reports and memoranda, photographs, captured correspondence, court records, prisoners’ statements, and much else. Other major repositories and collections include the Library of Congress; the records of the U.S. Department of State (Record Groups 59 and 84 of the U.S. National Archives II in College Park, MD); the Marine Corps Research Center (Quantico, VA); the oral histories produced by the Instituto de Estudio del Sandinismo in the 1980s (now the Instituto de Historia de Nicaragua y Centroamérica of the Universidad Centroamericana, or IHNCA-UCA, in Managua); and private collections, most notably material generously shared by Walter Castillo Sandino, the grandson of General Sandino.
Dora María Téllez
Throughout their history, the countries of Central America have attempted several forms of political and economic integration. After declaring independence in the 19th century, the region lacked its earlier cohesion vis-à-vis Spanish colonial governance. The former provinces aligned themselves in favor of either centralizing regional power in a federal republic or establishing complete political autonomy through the formation of new nation-states. Forces in favor of the latter eventually prevailed.
An attempt at economic integration began in the mid-20th century. It was actively backed by the United Nations Economic Commission for Latin America and the Caribbean (ECLAC) and eventually led to the creation of the Central American Common Market (CACM). Despite favorable economic conditions in the Post-World War II period, a number of complications undermined integration efforts: war, political crises, and interests that ran contrary to those of the United States. Integration was postponed until the end of the 1980s, after the Esquipulas II Accord reestablished peace in the region.
After the countries of Central America signed the Guatemala Protocol in 1993, economic integration was promoted under the banner of free trade. This was done by regional economic groups with the goal of reconnecting the region to global commerce under the most advantageous circumstances possible.
Throughout the 1980s, Central America was wracked by conflict. El Salvador faced a guerrilla insurgency, Guatemala’s long conflict festered, and Nicaragua faced a continually escalating U.S.-led proxy war that used fighters, loosely referred to as the Contras, to wage war on the Nicaraguan government through cross-border raids that implicated Costa Rica and Honduras in persistent violations of sovereignty. The Treaty of Esquipulas, spearheaded by Costa Rican President Oscar Arias Sanchez, ended these conflicts and brought stability to the region.
The Treaty of Esquipulas stands as one of the most significant and understudied peace agreements of the late Cold War. These accords ran counter to the will of the more powerful United States, which throughout the 1980s had sought to use military force as the key to achieving regime change in Nicaragua. The United States policy of supporting guerrillas that waged a war of regime change in Nicaragua fanned the flames of conflict and destabilized the region. Esquipulas undermined this destructive policy. For the first time, the small nations of Central America, so long considered the imperial servants of the United States, thwarted an aggressive U.S. military policy. Through intense diplomatic meetings, and in the wake of the controversy that developed from the Iran–Contra scandal, President Arias of Costa Rica succeeded in creating a peace agreement for Central Americans and authored by Central Americans. The Esquipulas accords were a blanket repudiation of the near decade-long Contra war policy of the United States. Central America created diplomatic unity and facilitated a successful opposition to the military policy of its more powerful neighbor. This agreement was a great triumph of peace and diplomacy created in the face of what seemed like overwhelming odds.
David Carey Jr.
This is an advance summary of a forthcoming article in the Oxford Research Encyclopedia of Latin American History. Please check back later for the full article.
With its diverse ecological zones that vary by vegetation type, altitudes (ranging from tropical to high-altitude zones), and annual and diurnal temperature and rainfall ranges, Central America was a challenging place to practice health care. Faced with diverse public health threats that ranged from lowland epidemic to highland endemic diseases, the region contains challenging landscapes in which to conduct health campaigns. In addition to affording an opportunity to explore how topography and geography influence disease and healing, Central America is a useful site for examining how race and class relations influence the dynamic, contested, and negotiated process of health care in developing countries. Adversarial relations between indigenous people and the state marked the regions’ pasts. Throughout the colonial period, Spaniards extracted land and labor from indigenous communities, which laid the groundwork for racist structures that favored Hispanic citizens over indigenous people and perpetuated elite paternalism. Although most countries assumed that adopting Hispanic customs would improve the lives of indigenous people, many elites felt indigenous peoples’ health was important only insofar as it did not impede their ability to labor. Often with the assistance of multinational companies and nongovernmental organizations, governments deployed biomedicine and public health campaigns to undergird assimilationist projects. Based on assumptions that indigenous medicine was impotent and indigenous people were vectors of disease, public health campaigns often discounted, rejected, or persecuted indigenous healing practices. When authorities embraced rather than problematized the confluences of race and health, they enjoyed some success. Yet neither authoritarian nor democratic governments could establish a medical monopoly
Characterized by holistic approaches to health that took into account psychological, emotional, and physical well-being, indigenous healing practices flourished even after states embraced the fields of bacteriology and parasitology in the late 19th and early 20th centuries. Primarily served by curanderos, midwives, bonesetters, and other traditional healers for generations, many remote rural communities were isolated from scientific medicine and its practitioners. In other rural communities and cities, hybrid health care offered patients palatable and efficacious healing options
Pulque, the alcoholic beverage of pre-Columbian highland Mesoamerica is the fermented derivative of aguamiel, the juice or sap of the agave known as agave pulquero—principally Agave salmiana. Aguamiel is a sweet, somewhat heavy juice that collects in a scraped out basin in the heart of the agave pulquero and, unless refrigerated, rapidly ferments into the alcoholic pulque. The agents of fermentation are ambient and plant-colonizing bacteria and yeasts. Fresh pulque is a frothy, cloudy brew with a slightly sour taste, usually containing around 2 percent alcohol or somewhat higher, meaning it can be drunk in large quantities without intoxicating the imbiber. Although it is a nutritious drink, consumption was condemned by Spaniards in varying degrees during the Colonial Period. Its popularity in contemporary southern Mexico is increasing after more than a century of persecution and public disparagement. Pulque figures prominently in pre- and post-Columbian Mesoamerican history.
Production of tequila and mezcal is completely different from production of pulque. The former are distilled from the pressed juice (tepache) of macerated and roasted hearts of certain agaves. The juice is fermented in vats for several days, then heated in a still, evaporated, and condensed. Tequila, by law is made from A. tequilana, and mezcal by custom is made primarily from A. angustifolia. Both these distillates contain about 40 percent alcohol. Pulque is a naturally occurring product consumed by native peoples for at least two millennia. Tequila and mezcal are industrial products derived from processes introduced into the Americas by Europeans.
The role of religion shifted dramatically in Central American politics during the 20th century, as the Catholic Church moved from a position as conservator of the status quo to a powerful force for reform and human rights. The century also witnessed the rise, then the “boom,” of Protestant—specifically Pentecostal—religion. By the century’s end, Central America had become among the most Protestant regions of Latin America, with every country except Costa Rica and Belize measuring a large and rising evangélico minority. These changes unfolded alongside, and deeply affected, one of the most traumatic and violent periods in the region’s history, the so-called Central American crisis of the late 1970s and 1980s, when Nicaragua, El Salvador, and Guatemala became the battlegrounds for one of the last large proxy wars of the larger Cold War, between Marxist insurgencies and authoritarian governments.