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Appendix

POLICY CHANGE AND CHINA'S ANTISCHISTOSOMIASIS PROGRAM: AN EVALUATION

This brief afterword seeks to place the findings of the U.S. Schistosomiasis Delegation (April–May 1975) in context. To appreciate the Delegation's findings, a longitudinal perspective is necessary. Present Chinese programs must be seen in the context of the policy problems which have been encountered in the past. We must identify the ways in which present policy reflects "a learning experience" and specify present difficulties which will probably produce further changes. Secondly, as the Delegation is well aware, we must preliminarily ask, How "representative" were the areas visited?

The Antischistosomiasis Program: "The Learning Experience". The Chinese would certainly agree that the program which the American Schistosomiasis Delegation saw in the Spring of 1975 was the product of a "trial and error" process; that process continues. While policy changes have occurred along a broad front, three are particularly important in assessing the likelihood of continued progress and evaluating the transferability of these programs to other countries.