Dissevelt A G
Trop Geogr Med. 1980 Mar;32(1):57-69.
The increasing demand for maternal and child health care in developing countries and the constraints in terms of available resources to meet this demand result in a dysfunction of the existing services. To improve Maternal and Child Health Services on a short term it is the author's contention that available resources can be used more efficiently. The system of conventional Maternal and Child Health Services operating at health centres in Kenya until the early seventies is described and analyzed. An alternative system called the Integrated Maternal and Child Health Clinic--an extension of Morley's proposals for the Under-Fives Clinic--is described and its potential advantages and disadvantages reviewed. A study was carried out in 1971--1975 at a rural health centre where the new system was introduced in 1973. It was found that the new system has several advantages but some aspects did not come up to expectations; also some disadvantages were identified. Implications for planning and management of health services, for staff training and for health services research are discussed.
发展中国家对妇幼保健服务的需求不断增加，而满足这一需求的可用资源却受到限制，导致现有服务功能失调。作者认为，为了在短期内改善妇幼保健服务，可以更有效地利用现有资源。本文描述并分析了直到七十年代初在肯尼亚保健中心运作的传统妇幼保健服务体系。介绍了一种名为综合妇幼保健诊所的替代体系——这是莫利关于五岁以下儿童诊所提议的扩展——并对其潜在的优缺点进行了评估。1971年至1975年在一个农村保健中心进行了一项研究，该中心于1973年引入了新体系。结果发现，新体系有几个优点，但有些方面未达预期；同时也发现了一些缺点。文中还讨论了对卫生服务规划与管理、员工培训以及卫生服务研究的启示。
