Describes a participatory research project among the Sikuani Indians of Colombia that uncovered solutions to a failing government-imposed health program. Discusses promoting community involvement in and control of its own health care, integrating traditional and modern medical practices, and adapting national health dictums to local circumstances.…

Five decades of international assistance for economic and educational development failed because of top-down management and the questionable premise that defined development problems, interventions, and human factors solely in economic terms. In contrast, the Inter-American Foundation (IAF) supported communities' capacity to formulate their…