World Health Organization Publication : 9241560487: Alternative Approaches to Meeting Basic Health Needs in Developing Countries

By V. Djukanovic, Dr.

Book Id: WPLBN0000209944
Format Type: PDF eBook:
File Size: 5.83 MB
Reproduction Date: 2005

Title:	World Health Organization Publication : 9241560487: Alternative Approaches to Meeting Basic Health Needs in Developing Countries
Author:	V. Djukanovic, Dr.
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 Djukanovic, Dr, B. V. (n.d.). World Health Organization Publication : 9241560487. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
INTRODUCTION Despite great efforts by governments and international organizations, the basic health needs of vast numbers of the world's people remain unsatisfied. In many countries less than 15% of the rural population and other underprivileged groups have access to health services. More serious still, these people are both particularly exposed and particularly prone to disease. A hostile environment, poverty, ignorance of the causes of disease and of protective measures, lack of health services or inability to seek and use them-all may combine to produce this sorry situation. To meet the main health needs of the underprivileged; who make up about 80% of the population in less developed countries, health services should seek out these people, find what they need and want, and protect, treat and educate them. The strategy adopted for this purpose by many developing countries has been modelled on that of the industrialized countries, but as a strategy it has been a failure. The tendency has been to create relatively sophisticated health services staffed by highly qualified personnel, in the hope of expanding them progressively as resources increased until the entire population was covered. The outcome has been quite different. The services have become centred largely on the cities and towns, are predominantly curative in nature, and are accessible mainly to a small and privileged section of the population.

Table of Contents
CONTENTS Page Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . Background of the study . . . . . . . . . . ; . . . . . . . . . . Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . World poverty and health . . . . . . . . . . . . . . . . . . . The underprivileged . . . . . . . . . . . . . . . . . . . . . . . The rural population . . . . . . . . . . . . . . . . . . . . . The nomads . . . . . . . . . . . . . . . . . . . . . . . . . Slums and shanty towns . . . . . . . . . . . . . . . . . . . The glaring contrasts in health . . . . . . . . . . . . . . . . . . The obstacles to be overcome . . . . . . . . . . . . . . . . . . . Problems of broad choices and approaches . . . . . . . . . . . Problems of resources . . . . . . . . . . . . . . . . . . . . Problems of the general structure of health services . . . . . . . . Technical weaknesses . . . . . . . . . . . . . . . . . . . . . . Selected bibliography for Part I . . . . . . . . . . . . . . . . . . I1 . Main features of the case studies . . . . . . . . . . . . . . . . (i Bangladesh : approach to the development of health services . . . . . Health care in the People's Republic of China . . . . . . . . . . . Cuba's health care system . . . . . . . . . . . . . . . . . . . . United Republic of Tanzania : an innovative approach to the development of health services . . . . . . . . . . . . . . . . . . . . . . Venezuela : the simplijied medicine programme . . . . . . . . . he health programme in Ivanjica. Yugoslavia . . . . . . . . . . . Comprehensive rural health project. Jamkhed. India . . . . . . . . . Use of village health workers and trained traditional birth attendants in the Department of Maradi. Niger . . . . . . . . . . . . . . . . . Indigenous systems of medicine : Ayurvedic medicine in India . . . . . Nigeria : use of two-way radio in the delivery of health services . . . . 111 . Conclusions . . . . . . . . . . . . . . . . . . . . . . . . IV . Recommendations to WHO and UNICEF . . . . . . . . . . . Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . Annex 1 . WHO and UNICEF policies . . . . . . . . . . . . . . Annex 2 . Different types of health services adapted to different degrees of development . . . . . . . . . . . . . . . . . . . . . . . . . . . .