Back in 1985 I was working in a tiny community health project in the western hills of Nepal. We had the usual mix (for the era) of maternal & child health, drinking water & sanitation, and non formal education & income generation. And it was then that, like many others working in community development, I first read this wonderful book. At the same time I was reading some helpful and very practical articles on primary health care in the highly influential magazine 'Contact' produced by the World Council of Churches. And the wonderful newsletter 'Diarrhoea Dialogue' which deserved to be read for its title alone!
But what I lacked was a book that would bridge the theory and practice of health and development. I had started on Freire's 'Pedagogy of the Oppressed' but struggled with the impenetrable language. So it was as a parched traveller searching for a cool oasis in the middle of the desert that I came across this powerful book.
First reaction - a sense of disbelief that anyone could write with such clarity and humour about a subject that usually seemed to attract writers with a gift for mind-numbing verbosity. And then a sense of wonder that so much experience and wisdom could be packed into such a small volume. A book that quite simply, you couldn't put down. A book that mixed science and faith, philosophy and anecdote, devastating criticism and passionate exhortation. A book that had a profound influence on me, and I know on many others working in community health at that time.
So returning to it a quarter of a century later, how does it stand up to the test of time? Remarkably well, in my humble opinion.
My work has changed, and I am largely ignorant of the extensive field of current literature in community development. But I wonder if there has been a book written since then that has had such an impact on practitioners in the field? And I wonder how Robert Chambers would write it now, if updating it?
For the world has changed. Since 1983 we have witnessed the explosive pandemic of HIV, the even more explosive growth in the internet and mobile communication technologies, the end of the cold war and the new globalization of economies and people, the rapid urbanisation of the planet, the growth in foreign aid, the MDGs, and many other social, political, economic and technological developments that impact negatively and positively on the lives of the poor. It would most certainly be a different book.
But a book I am sure I would again want to read.