Chabot H T, Bremmers J
Royal Tropical Institute, Amsterdam, The Netherlands.
Soc Sci Med. 1988;26(9):957-62. doi: 10.1016/0277-9536(88)90416-9.
From their daily experiences with PHC implementation in Mali, the authors discuss the relation between the government oriented basic health services (BHS) and the community health services (CHS) practised at village level. They question the general assumption that the two 'systems' work harmoniously together to improve the health of the rural population. They argue that the workers within the BHS have little interest in the health of the rural population for economic reasons, for reasons of training and background, for reasons of their own curative interests and finally for reasons inherent to the BHS organisation. Thus the BHS are not likely to respond to the essential needs and problems of the CHS. Some suggestions for what can be done in such a situation are made.
基于他们在马里实施初级卫生保健的日常经验，作者探讨了以政府为主导的基本卫生服务（BHS）与在村级开展的社区卫生服务（CHS）之间的关系。他们质疑一种普遍的假设，即这两个“体系”能和谐协作以改善农村人口的健康状况。他们认为，由于经济原因、培训和背景因素、自身治疗方面的利益，以及基本卫生服务组织本身固有的原因，基本卫生服务的工作人员对农村人口的健康兴趣不大。因此，基本卫生服务不太可能满足社区卫生服务的基本需求和解决其问题。针对这种情况可以采取的措施提出了一些建议。
