Orubuloye I O, Oyeneye O Y
Soc Sci Med. 1982;16(6):675-86. doi: 10.1016/0277-9536(82)90457-9.
The country health programmes reviewed in this paper are aimed at meeting the World Health Organization's (WHO) target of providing basic health services for all by the year 2000. In accordance with the objective of the programme, each of the country health programme is expected to focus on the mechanisms for expanding health facilities and strengthening the health planning machinery in order to achieve an equitable distribution of health facilities in the foreseeable future as part of social development and in the spirit of social justice. Although there are marked differences in the approach to the realization of the objectives of the various country programmes reviewed in this paper, the primary aim is to bridge the widening gap between the health 'haves' and the health 'have-nots' in the respective countries. A substantial part of the resources of these countries are now being set aside for the implementation of the health care programmes so as to meet the health aspirations of their people. It is our belief that the health programmes of these countries are laudable and if properly implemented they will meet the health needs of the people of the various countries. A continuous evaluation of the programmes will enable each country to assess the successes and failures of the schemes and the organizational bottlenecks that may make the realization of stated objectives a well nigh impossible task.
本文所回顾的国家卫生项目旨在实现世界卫生组织(WHO)提出的到2000年为所有人提供基本卫生服务的目标。根据该项目的目标,每个国家卫生项目都应着重于扩大卫生设施的机制以及加强卫生规划机构,以便在可预见的未来,作为社会发展的一部分并本着社会正义的精神,实现卫生设施的公平分配。尽管本文所回顾的各个国家项目在实现目标的方法上存在显著差异,但其主要目的是缩小各自国家中享有卫生服务者与未享有者之间不断扩大的差距。这些国家目前正将大量资源拨出用于实施医疗保健项目,以满足其人民的健康期望。我们相信,这些国家的卫生项目值得称赞,如果得到妥善实施,它们将满足各国人民的健康需求。对这些项目进行持续评估将使每个国家能够评估这些计划的成败以及可能使实现既定目标几乎成为不可能任务的组织瓶颈。