Johnson Becky A, Khanna Sunil K
Oregon State University, Corvallis, OR, USA.
J Natl Med Assoc. 2004 Apr;96(4):496-502.
In Nyanza Province, Kenya, estimated HIV prevalence is 22%. Given that more than 80% of the population resides in rural areas, the majority of individuals in Nyanza Province do not have access to medical facilities on a regular basis. In response to the growing demands the HIV epidemic has placed on the people and communities in this region, hundreds of lay individuals have been trained as community health workers to provide home-based care to sick or dying HIV/AIDS clients in rural areas. This paper discusses the role and impact of these community health workers in Nyanza Province, Kenya. It outlines the collaborative relationship between community health workers and the Ministry of Health, examining community health workers' use of extant biomedical structures at the district level to provide services that government-run health facilities lack the monetary resources or personnel to provide. Finally, it explores the role played by community health workers in providing HIV/AIDS education to individuals in an attempt to prevent further infections.
在肯尼亚的尼扬扎省,估计艾滋病毒感染率为22%。鉴于该省80%以上的人口居住在农村地区,尼扬扎省的大多数人无法定期获得医疗设施。为应对艾滋病毒疫情给该地区人民和社区带来的日益增长的需求,数百名非专业人员接受培训成为社区卫生工作者,为农村地区患病或濒死的艾滋病毒/艾滋病患者提供居家护理。本文讨论了这些社区卫生工作者在肯尼亚尼扬扎省所发挥的作用和产生的影响。它概述了社区卫生工作者与卫生部之间的合作关系,审视了社区卫生工作者如何利用地区层面现有的生物医学结构来提供政府运营的卫生设施缺乏资金或人员来提供的服务。最后,探讨了社区卫生工作者在向个人提供艾滋病毒/艾滋病教育以防止进一步感染方面所发挥的作用。