HSOC 010 :

HSOC 010 Jen

Brown’s 10am Friday Group

Difficulties trying to generalize across the region

Differences in…

- Economic development

- Health problems

3. Trained and Mentored Professionally

1.Target and Select Local Candidates

2. Transported to Urban Medical Centers(Location of Majority of Health Resources)

4. Return To Serve Local Communities

Using Acquired Medical Knowledge

Our Proposal

Phase 1:Community

Health Workers

Our Proposal

Phase 2:Collaborative Health

Database(Recording Results,

Supplies, Reports, and All Administrative

Activity)

1. Community Health Workers

Selection Process By panels actively recruiting

and interacting with community members

Training:2 years volunteer, part-time

-Trained by doctors in their own country as a shadowing/apprenticeship program

- Worker stays at doctor’s house -Training in primary health care

After 2 years: Paid salary-Specialize to the region’s biggest problem

IncentivesRecognition – social benefits from medical training

Future job opportunity – after 2 year commitment, long term position offered

Health benefits --

1. Community Health Workers

Collaboration

Structure

International Board

National Representatives(from each country)

Community Health Workers

(from each country)

3 Treasurers

Financial Representatives

(from each country)

Funding

Regional Fund

NGOPrivate Sector

Past and present interventions

– Barefoot doctors :• Success: effectively reduced costs and provided timely

treatment to the rural people

•

Failure: Barefoot doctors lost their source of income when the agricultural sector was privatized

– Vanuatu• Success: Vanuatu has 206 'Aid Posts' targeting an estimated

30,000 people. here are around 250 trained Village Health Workers throughout Vanuatu manning 206 aid posts. In some locations, there are 2 Village Health Workers per Aid Post.Failure: Changing people's cultural beliefs and attitudes towards

their health and well-being is a challenge

Village Health Worker Program – Vanuatu

Village health workers are minimally trained to work with communities to promote hygiene, good sanitation and

disease prevention.

– Vanuatu• Success: Vanuatu has 206 'Aid Posts' targeting an estimated

30,000 people. here are around 250 trained Village Health Workers throughout Vanuatu manning 206 aid posts. In some locations, there are 2 Village Health Workers per Aid Post.Failure: Changing people's cultural beliefs and attitudes towards

their health and well-being is a challenge

Success: Set up 206 'Aid Posts' targeting an estimated 30,000 people with 250 trained Village Health Workers.

Failure: Changing people's cultural beliefs and attitudes towards their health and well-being is a challenge

Time Table

2013 (5 yrs) 2018 (4yrs) 2022 (3 yrs) 2025 (2yrs) 2027

Implement intervention in the 5countries with the lowest ratio of doctors

Implement into next 5 countries with lowestratio

Implement into next 5 countries with lowest ratio

Implement into next 5 countries with lowestratio

All countries have implemented the intervention

Density of physicians (total # per 1000 population)

Countries with

Lowest Ratios

Goal 1: Improved Health Care

Goal 2:More

community involvement

3. Local Healthcare Collaboration

Potential Critiques

Not addressing urban areas

High start up costsVoluntary position

Accommodations of workerIncentive for doctorLanguage barriers Funds drying up