World Health Organization : Year 1994 ; World Health Organization, Strengthening of Health Service, National Health Planning, No. 94.4: Health Care on Small Islands 1 a Review of the Literature

By World Health Organization

Book Id: WPLBN0000040234
Format Type: PDF eBook
File Size: 1.6 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1994 ; World Health Organization, Strengthening of Health Service, National Health Planning, No. 94.4: Health Care on Small Islands 1 a Review of the Literature
Author:	World Health Organization
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Organization, W. H. (n.d.). World Health Organization : Year 1994 ; World Health Organization, Strengthening of Health Service, National Health Planning, No. 94.4. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
The aim of this review was to identify and describe those features of small island communities which are of relevance to the planning and provision of health care.

Table of Contents
TABLE OF CONTENTS ABSTRACT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 AIMANDMETHOD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Status of islands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Environmental features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Finite resources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Energy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 General demographic features of islands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Fert.~ . l~ctoyn trol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 0 Migration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 1 Economic situation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Special case study .J apan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 3 Major disasters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 4 Special case study .S andwip island. Bangladesh . . . . . . . . . . . . . . . . . . . 1 4 HEALTHCARE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 Health information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Health research on islands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16 Health Care Budgets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Health Care Systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 8 Primary Health Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 .S.p.ec ial case study .K iribati . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 8 Access~b~l~.ty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 0 Generalistlspecialist balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 0 Communication difficulties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.1 Communication channels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Special case study . Grimsey island. Iceland . . . . . . . . . . . . . . . . . . . . . . 22 Professional isolatinn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.2 Trad.iti.on.a l medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 3 Flex~b~l~.t.y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.3 Balance between on-island provision and sending islanders elsewhere . . . . . . . . . . . 24 Regional Cooperation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 5 Recruitment and training of personnel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Special case study . Leyte. Philippines . . . . . . . . . . . . . . . . . . . . . . . . . 26 Distance ducation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 OTHER SPECIAL FEATURES WHICH AFFECT HEALTH . . . . . . . . . . . . . . . . . . . . 27 Strategic position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 Acculturation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2 7 Isolation . . . . . . . . . . . . . . . . . . . . . . . . .