Beliefs about child illness were investigated using semi-structured intervi
ews with mothers and providers in four rural Guatemalan communities. The tw
o most common forms of child illness in Guatemala - diarrhoea and respirato
ry disease - were focused upon. These illnesses are particularly difficult
to prevent and treat, especially with the rudimentary health services avail
able in rural areas of developing countries. Comparisons with other ethnogr
aphic studies in Guatemala suggest that some traditional models of illness
causation identified in these earlier investigations are relatively unimpor
tant in the communities studied here. This finding, in conjunction with fre
quent responses related to hygiene and water, suggests that traditional exp
lanations may be co-existing with biomedical views of illness causation to
a greater degree today than in the past.