Kolehmainen-Aitken R L
Department of Health, Boroko, Papua New Guinea.
P N G Med J. 1990 Sep;33(3):187-93.
A survey of all aid post and hospital orderlies was conducted in 1987 and 1988 to gather information about their sex, age, length of service, public service status, qualifications and work location. Information was collected for an estimated 71% of the total number of orderlies. A fifth of all orderlies--almost all of whom were men--were 55 years of age or over and almost half had served 20 years or more. Substantial provincial differences were evident, with Gulf, Northern and Enga provinces having the oldest orderlies. A quarter of the orderlies were public servants and 16% did not hold a certificate. The majority (70%) worked at the aid post level. health centre orderlies were older, less likely to hold a certificate and more likely to belong to the public service. Using the most conservative estimate, the orderly cadre is estimated to be short by almost 500 workers. The paper argues that considerable gains in both the cost and the quality of services could be achieved by replacing older, untrained orderlies with newly trained community health workers with clear job descriptions.
1987年和1988年对所有急救站和医院护理员进行了一项调查，以收集有关他们的性别、年龄、服务年限、公职身份、资质和工作地点的信息。收集到的信息涵盖了估计71%的护理员总数。五分之一的护理员——几乎全是男性——年龄在55岁及以上，近一半的人服务年限达20年或更长。省级差异明显，海湾省、北部省和恩加省的护理员年龄最大。四分之一的护理员是公务员，16%没有证书。大多数（70%）在急救站工作。保健中心的护理员年龄更大，持有证书的可能性更小，更有可能属于公职人员。使用最保守的估计，护理员队伍估计短缺近500名工作人员。该论文认为，用有明确工作职责的新培训社区卫生工作者取代年长、未经培训的护理员，在服务成本和质量方面都能取得可观的收益。
