Medicine at the Doorstep.
International Association of Agricultural Medicine, Proceedings of the VII International Congress of Rural Medicine, Salt Lake City, Utah, September 17-21, 1978 1978 Sep:395-402
The organization of rural health care centers in Pakistan was examined. A program was needed because of the following: infant mortality rate of 115 per 1000 live births, maternal mortality rate of six to eight per 1000 live births, 80.7 percent of hospital beds were used by 28.94 percent of the population, potable water was available for only 5 percent of the rural population, and average life spans of 52.9 years for men and 51.8 years for women. The primary causes of death were congenital and neonatal diseases, tuberculosis, malaria, pneumonia, gastroenteritis and diarrhea, and anemia; the most prevalent diseases were worms, respiratory infections, arthritis, goiter, and nutritional deficiencies, and fevers. Establishment of a potable water system was a priority. Qualifications and requirements of medical practitioners were discussed. A goal of 500 people per doctor in the rural areas was set. Pharmacognosy was explored as an untapped resource, as local medicinal plants could provide anthelminthics (Artemisia-maritima- Linn), antidiarrheals (Asparagus-adscendens-Roxb.), therapy for respiratory illness (Ephedra-guardiana-Wall), and multiple uses (Mentha-arvensis-Linn). Goals were set as follows: two health care workers per village of 1000 people, four to six health auxiliaries or paramedics per unit of 10000 people, two doctors and eight auxiliaries with ten beds per unit of 40000 to 100000 people, a basic hospital per unit of 380000 people, and specialized hospitals per unit of 1.6 million people. The cost of the total program was estimated at 930 million dollars, while 65 million dollars for the 1978 to 1979 year was allocated. Medical and paramedical training and increases in the number of hospital beds were to be effected immediately. The author concludes that the development of such changes depends on the economic growth rate of the country.
NIOSH-Grant; Grants-other; Humans; Health-care-facilities; Health-care-personnel; Sanitation; Occupational-health-programs; Health-services; Medical-facilities; Medical-services;
Prev Med & Environmental Hlth University of Iowa Inst/agric Med & Environ Hlth Iowa Oakdale, Iowa 52319
Infectious Diseases; Disease and Injury; Other Occupational Concerns; Grants-other;
International Association of Agricultural Medicine, Proceedings of the VII International Congress of Rural Medicine, Salt Lake City, Utah, September 17-21, 1978
University of Iowa, Iowa City, Iowa