Walt G, Ross D, Gilson L, Owuor-Omondi L, Knudsen T
Evaluation and Planning Centre, London School of Hygiene and Tropical Medicine, UK.
Trans R Soc Trop Med Hyg. 1989 Jan-Feb;83(1):49-55. doi: 10.1016/0035-9203(89)90703-7.
Community health worker programmes have become a prominent feature of many primary health care schemes in developing countries. This paper, which is based on a larger collaborative study undertaken in 3 countries, focuses on the experiences with such workers in Botswana, and concludes that many of the key issues that were highlighted in the Botswana study are similar to those in other countries. These can be summarized under four headings: unrealistic expectations, poor initial planning, problems of sustainability, and the difficulty of maintaining quality of care. The future success of these workers will depend on their being integrated more systematically into local services, with concomitant strengthening of management support and supervision.
社区卫生工作者项目已成为发展中国家许多初级卫生保健计划的一个显著特征。本文基于在3个国家开展的一项规模更大的合作研究，重点关注博茨瓦纳这类工作者的经历，并得出结论：博茨瓦纳研究中凸显的许多关键问题与其他国家类似。这些问题可归纳为四个标题：期望不切实际、初始规划不佳、可持续性问题以及维持护理质量的困难。这些工作者未来的成功将取决于他们更系统地融入当地服务，同时加强管理支持和监督。
