PARTNERSHIP IN HEALTH

The idea behind primary health care is to move the emphasis away from large institutions with professionally trained people and to share the responsibility for health care with ordinary people. The emphasis is not on curing health problems, but on preventing them. Information about health needs to be shared with everyone. Ordinary people who are helped with clear, simple information can prevent and treat many common health problems in their own homes. In 1978, over 150 governments from around the world signed the Alma Ata Declaration to support primary health care in their own countries.

In this issue we hope to open a discussion on how to encourage community based primary health care.  

Please find below articles from Footsteps issue 12.

To download a pdf version of Footsteps issue 12, please click here (PDF 4.2 MB).


  • Case studies - primary healthcare

    These examples give some idea of the variety of approaches in primary health care, looking in particular at the selection and training of community health workers, community involvement and funding.

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  • Editorial

    The idea behind primary health care is to move the emphasis away from large institutions with professionally trained people and to share the responsibility for health care with ordinary people. The emphasis is not on curing health problems, but on preventing them. Information about health needs to be shared with everyone. Ordinary people who are helped with clear, simple information can prevent and treat many common health problems in their own homes. In 1978, over 150 governments from around ...

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  • Knotty Problems

    The Haunted Well Mengo Hospital, near Kampala, have recently identified three wells in nearby villages, that they would like to ‘protect’. These are 15 feet or so in diameter and look like stagnant ponds, although they are fed by underwater springs. They provide the only source of water for many local people, but are constantly being polluted by animals and humans.

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  • Lettering guide for posters

    In Footsteps No 8, we looked at some ideas for producing illustrations which could be used as posters. Here is a simple idea for producing lettering for posters or banners. These are outlines of lettering guides. They will give a neat and uniform result which can be easily achieved by anyone with a little practice. They will usually be much better and easier to read than letters drawn free-hand. The letter guides include ways of drawing numbers. They may also give ideas for other symbols ...

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  • Letters

    Composting toilets The sanitation guidelines outlined in the December 1991 issue of Footsteps give readers a helpful guide to the relevant issues in sanitation. My point is that other toilet systems, like composting, should be included in any survey of sanitation programmes.

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  • Partnership in primary health care

    by Isabel Carter and Ted Lankester. Developing partnership Primary health care is often only thought of in medical terms. However, the key to successful community based health care is to work in partnership with the community.  This, an often revolutionary aim, is too often neglected.

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  • Resources

    Making Health Care Equipment - Ideas for local design and production ISBN 1 85339 067 4 This practical book contains illustrated step-by-step instructions for making items such as folding beds, ward screens, wheelchairs and mobility aids. It gives guidelines for adapting the designs for particular circumstances. Ideas and designs are included for laboratory equipment, maternity and child care equipment and many other items of hospital furniture. Order from...

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  • The ‘Diarrhoea Doll’!

    Jean-Pierre, Toussaint, Patrice and Raphael supervise a group of health workers in Rafai, Central Africa Republic. Their task is to teach how to avoid some diseases. One of the commonest diseases in the area is diarrhoea. To make the teaching more effective, a ‘diarrhoea doll’ is used! Toussaint tells us how it works... 

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  • Three-pile sorting cards

    This is a very useful teaching method which has been developed and used by Kumasi Health Education Unit in Ghana. It encourages community health workers to participate in discussion and to develop self confidence in thinking through the problems and needs of their community. It is also an exercise which will help trainers to assess the understanding and knowledge of their trainees.

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