Akpala C O
Department of Community Medicine, College of Health Science, University of Sokoto, Nigeria.
Cent Afr J Med. 1991 Nov;37(11):374-7.
Despite the acknowledgement and adoption of the Alma-Ata declaration by majority of the countries of the world as a strategy for achieving Health For All, medical educational systems often remain as ivory towers from the health service system. This traditional system of medical education does not adequately prepare doctors in developing countries for their expected leadership role in meeting the health needs for their communities through primary health care. In Nigeria, primary health care forms the basis for an official health policy aimed at meeting the health care needs of the entire population particularly those in the rural areas. This article, while highlighting the need for integration of medical education and the primary health care services, also examines the structural relationships between the two components at the Sokoto University in Nigeria, a West African country with one of the oldest medical educational system in the area.
尽管世界上大多数国家都认可并采用了《阿拉木图宣言》作为实现全民健康的战略，但医学教育体系往往与卫生服务体系脱节，犹如象牙塔一般。这种传统的医学教育体系无法让发展中国家的医生充分做好准备，以在通过初级卫生保健满足社区卫生需求方面发挥预期的领导作用。在尼日利亚，初级卫生保健是官方卫生政策的基础，旨在满足全体民众尤其是农村地区民众的卫生保健需求。本文在强调医学教育与初级卫生保健服务整合必要性的同时，还审视了尼日利亚索科托大学这两个组成部分之间的结构关系。尼日利亚是西非国家，拥有该地区最古老的医学教育体系之一。
