Examines Colombia's efforts to halt escalating violence and social destruction through political and educational decentralization aimed at bolstering participatory democracy. Discusses the efficiency and anticorruption goals of centralization policies of the 1970s. Describes lack of shared vision and other national and local barriers to…

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.…