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Bolivia's Movimiento Nacionalista Revolucionario (Revolutionary Nationalist Movement, MNR) took power in April 1952 via a popular social revolution. After 1952, the party implemented state‐sponsored modernisation projects, including extending rural public health programmes. The MNR used health programmes to change rural practices, cultivate political loyalty, and expand the state's political power. Yet rural indigenous communities were hardly passive recipients of these programmes. These communities often requested government services, and they borrowed the MNR's own political rhetoric to position themselves as worthy of state attention. Public health programmes increased access to rural health care, but they also allowed state officials and rural communities to negotiate the MNR's authority.  相似文献   

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