Moir J S, Tulloch J L, Vrbova H, Jolley D J, Heywood P F, Alpers M P
P N G Med J. 1985 Dec;28(4):257-66.
As part of a multi-disciplinary malaria research programme in a rural area of Madang Province, the Papua New Guinea Institute of Medical Research (PNG IMR) in 1982 established a village-based intervention programme of presumptive treatment of fever in 35 villages (population about 5,200). Seventy-four villages aides, selected by people from their own village, attended two-week training courses conducted by PNG IMR staff, and were trained to dispense three-day courses of amodiaquine (for children) or chloroquine (for adults) to anyone presenting with fever (presumptive malaria). The majority of village aides, who were voluntary workers, were married men and women between the ages of 20 and 35 years, who had had up to six years' schooling. In 1983, 5,075 fever cases were treated by village aides, which represents a quarter of the number of fever episodes estimated to occur each year in this area. Utilization of village-aide services was variable, the most important determining factors being the personality and standing of the village aide, and the distance (walking time) to the village aide's house from the patient's house. The village aides' role was expanded to include taking blood slides, dispensing other medicines (aspirin and dressings), treatment of diarrhoea by oral rehydration, and registration of vital demographic events in the village. Regular supervision, currently undertaken on a two-weekly basis by PNG IMR staff, regular refresher courses, and, probably, some sort of compensation (not necessarily monetary) are important for the long-term continuation of the programme, which may serve as a model for other areas.(ABSTRACT TRUNCATED AT 250 WORDS)
作为巴布亚新几内亚医学研究所（PNG IMR）在马当省农村地区开展的多学科疟疾研究项目的一部分，该研究所在1982年在35个村庄（约5200人）建立了基于村庄的发热推定治疗干预项目。74名由本村村民选出的村级助手参加了由PNG IMR工作人员举办的为期两周的培训课程，接受培训以便为任何发热（推定疟疾）患者发放为期三天的阿莫地喹（用于儿童）或氯喹（用于成人）疗程药物。大多数村级助手是志愿者，为年龄在20至35岁之间、受过至多六年教育的已婚男女。1983年，村级助手治疗了5075例发热病例，占该地区每年估计发生的发热病例数的四分之一。村级助手服务的利用率各不相同，最重要的决定因素是村级助手的个性和威望，以及从患者家到村级助手家的距离（步行时间）。村级助手的职责扩大到包括采集血涂片、发放其他药物（阿司匹林和敷料）、通过口服补液治疗腹泻以及登记村里的重要人口统计事件。目前由PNG IMR工作人员每两周进行一次的定期监督、定期进修课程以及某种形式的补偿（不一定是金钱补偿）对于该项目的长期持续开展很重要，该项目可作为其他地区的一个范例。（摘要截选至250词）
