Garner P A
P N G Med J. 1989 Mar;32(1):55-60.
The aid post orderly system remains the cornerstone of primary health services in Papua New Guinea (PNG). Inadequate supervision limits its impact. Recent promotion of voluntary village health aides (VVHA) is leading some provincial Divisions of Health to start large-scale projects, which are even more likely to break down through poor supervision. VVHAs are in general inappropriate to provide widespread curative care in PNG. Health personnel should rather reinforce and support existing services. However, voluntary village aide schemes may be appropriate in localized disadvantaged areas. Health planners should consider carefully their goals in setting up such schemes; how they are going to develop projects; and, if villagers want VVHA schemes, the staff required for training and supervision. Monitoring and evaluation should be incorporated into the initial design and provide feedback to participants. Intensive supervision may be appropriate for a defined period, with subsequent closure of the project, or its absorption into the existing health care framework.
援助站勤杂工制度仍然是巴布亚新几内亚（PNG）初级卫生服务的基石。监督不足限制了其影响力。最近对志愿乡村卫生员（VVHA）的推广导致一些省级卫生部门启动大规模项目，而这些项目因监督不力更有可能失败。在巴布亚新几内亚，志愿乡村卫生员总体上不适合提供广泛的治疗护理。卫生人员应加强并支持现有服务。然而，志愿乡村助手计划可能适用于局部贫困地区。卫生规划者在设立此类计划时应仔细考虑他们的目标；他们将如何开展项目；以及，如果村民希望实施志愿乡村卫生员计划，培训和监督所需的人员。监测和评估应纳入初始设计并向参与者提供反馈。在规定时期内进行强化监督可能是合适的，随后关闭该项目，或将其纳入现有的医疗保健框架。
