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- W2290158949 abstract "This article reports the experience of a nongovernmental community-based health program in the Philippines initiated in 3 pilot areas in 1975 by the Rural Missionaries. The health program was conceptualized as a point of entry for broader community development. It was recognized that village health workers must be taught preventive and curative skills; however they must also learn about the associations between illness and social conditions such as poverty and malnutrition that give rise to ill health. Trainers who were required to undergo several months of supervised field work played several roles: teacher organizer healer and facilitator of the development process in the village. The cultural gap between the urban-schooled trainers and rural trainees required sensitivity to the role of traditional beliefs. Village health workers were permitted to carry out their tasks independently when they were able to diagnose common illnesses instruct mothers on the use of oral rehydration solution and knew when to refer patients to physicians. Longterm follow up of trained village workers has posed complex problems. The increase in the number of trained workers has not been accompanied by increases in the size of the training staff. One possibility is to turn longterm follow up tasks over to other agencies e.g. government health personnel. However many village health programs have failed because of difficulties in making this transition. About 30% of village workers who complete training drop out within 1 year often because of the lack of material inducements. These workers have played and important leadership role in community development. Nonetheless the experience of this program suggests that enduring changes in health are dependent upon fundamental political and economic changes that lie beyonbd the scope of a village health program." @default.
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- W2290158949 date "1985-01-01" @default.
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- W2290158949 title "Training village health workers in the Philippines: a nongovernmental approach." @default.
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