SUSTAINABLE HEALTHCARE

Good, accessible healthcare is something we all need. Without it many of us would be unlikely to recover from serious diseases, infections or wounds. In an ideal world everyone should have access to good, affordable primary healthcare. No government would claim otherwise. However, the reality is often different… 

Please find below articles from Footsteps issue 37 in html.

To download a pdf version of Footsteps issue 37 click here (852K).


  • Bible study: Nehemiah, the development worker

    Nehemiah, the development worker Nehemiah is one of the men of the Bible whose working methods must inspire every Christian development worker. As we read the book of Nehemiah, we can learn much to improve our own work strategy to obtain better results. If possible, try to read the whole book before making this study.

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  • Editorial

    Good accessible healthcare is something we all need. Without it many of us would be unlikely to recover from serious diseases, infections or wounds. In an ideal world everyone should have access to good, affordable primary healthcare. No government would claim otherwise. However, the reality is often different…

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  • Health services for rich and poor

    by Dr Apolos B Landa. In our societies, healthcare often becomes a commodity. The rich few can afford good healthcare while the vast majority of people do not have the means to pay – they have no access to healthcare as a basic human right. Is it possible to make healthcare more equal?

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  • Healthcare priorities in Marabo village

    Our third case study from the Democratic Republic of Congo comes from Marabo, a village of 5,000 people. Though near Nyankunde Christian Centre – a 250 bed hospital – health activities were limited to a poorly attended private health post. There was little support for primary healthcare and only 23% of children were fully immunised.

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  • Letters

    Market for soya beans RABEMAR (Research and Action for the Well-being of the Rural People) has initiated a project to promote the cultivation of soya beans instead of cotton which has damaging effects on the environment. However we are faced today with a lack of markets for the soya. Our groups produce more than 100 tons of soya beans per year. We are looking for partners either to export the soya beans, or to establish a soya oil press. Any partner able to help us reach our aims would be ...

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  • Palm oil soap production

    I read issue 26 and was very interested in the subject of self-financing projects. In my work as a community health nurse I visit many homes. One successful example of a self-financing project I have observed is soap-making. Here is the method they use:

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  • Participatory research in action

    Community Viewpoint by Boureima Kabre. It is essenial when beginning a new community project to have the full involvement of all the layers of society which make up this community. Each society has its own particular knowledge and ability which enables it to function, however poor its members may be.

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  • Providing essential drugs - The Bamako Initiative

    There are many reasons for drug shortages. Many countries, particularly in Africa, have not adopted an essential drugs list to ensure good supplies of the most commonly used drugs. There may not be enough foreign exchange to import the necessary raw materials to produce the drugs within country. Drugs can be lost due to theft, poor storage and wastage through expiry. When drugs are prescribed to patients there may be further losses due to over-prescription, unnecessary injections or ...

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  • Resources

    District Laboratory Practice in Tropical Countries This detailed book (464 pages) is aimed at medical staff working in district laboratories and those who train them. It contains details of managing and equipping laboratories, health and safety aspects and numerous clinical and parasitological tests (with a large section of colour photos). It emphasises the need for integration with community health services. Details are available on planning a training curriculum for laboratory staff. Can ...

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  • The IPASC programme for Safe Motherhood

    by Kaswera Vulere. The Safe Motherhood Programme at IPASC (Institut Panafricain de Santé Communautaire), Nyankunde in the Democratic Republic of the Congo recently extended its work in the local communities. Mothers join small groups where they can discuss problems and find their own solutions, according to local culture and the available local resources. We also hope to start discussions and workshops for young people, couples and women who have reached the menopause.

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  • Tricycle for disabled people

    We have developed a tricycle here in Beraca Vocational School in Haiti. This is made by cutting up two old bikes (available very cheaply here) and welding the parts together. The design is lightweight with brakes and gears, so more fun to use than a wheelchair. It is completely hand-powered and can be ridden by anyone who has lost the use of their legs.

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