RURAL HEALTH DELIVERY SYSTEM

PROJECT COMPONENTS INCLUDE 1) HEALTH SERVICES DELIVERY, 2) COMMUNITY ORGANIZATION, 3) PERSONNEL DEVELOPMENT, 4) LOGISTICS, 5) FACILITIES, AND 6) SUPPORT SYSTEMS. RUDIMENTARY HEALTH CARE AND FIRST AID, MATERNAL AND CHILD HEALTH, IMMUNIZATIONS, PATIENT REFERRALS AND HEALTH EDUCATION, AS WELL AS ENVIRONMENTAL HEALTH SERVICES WILL BE PROVIDED IN 780 RURAL COMMUNITIES OF 150 TO 500 PERSONS. IN 300 COMMUNITIES OF 500 TO 3000 PERSONS, BASIC HEALTH CARE WILL BE PROVIDED IN CONJUNCTION WITH PERIODIC VISITS BY THE MEDICAL AND TECHNICAL STAFF FROM THE HOSPITAL HEALTH CENTER. SIMILAR PERSONAL HEALTH SERVICES WILL ALSO BE PROVIDED IN 50 TOWNS OF 3000 TO 20,000 PERSONS. COMMUNITY HEALTH COMMITTEES WILL BE ESTABLISHED IN 780 RURAL COMMUNITIES. THESE COMMUNITIES WILL BE RESPONSIBLE FOR PERSONAL AND ENVIRONMENTAL HEALTH ACTIVITIES CONDUCTED IN THE COMMUNITY, AND THE RECRUITMENT, PAYMENT, AND SUPERVISION OF THE RURAL HEALTH PROMOTER. A PERSONNEL SYSTEM WILL BE ESTABLISHED TO FACILITATE THE RURAL HEALTH ACTIVITIES. THIS WILL INCLUDE ESTABLISHING NEW PERSONNEL CATEGORIES SUCH AS RURAL NURSE AUXILIARIES LEVEL II, SOCIAL WORK AUXILIARIES, NUTRITION AUXILIARIES, AND APPROPRIATE LEVELS FOR MAINTENANCE AND LOGISTIC SUPPORT PERSONNEL. A LOGISTIC SYSTEM WILL BE ESTABLISHED FOR THE PROVISION OF MEDICAL SUPPLIES AND EQUIPMENT. INITIALLY,A ROTATING DRUG FUND WILL BE ESTABLISHED FOR PURCHASE OF SUPPLIES WHICH WILL BE REPLENISHED THROUGH USER FEES. A SYSTEM OF WAREHOUSES -- 1 AT THE NATIONAL LEVEL, 3 AT THE DEPARTMENTAL LEVEL, AND 10 AT THE HOSIPTAL HEALTH CENTER LEVEL -- WILL BE BUILT AND EQUIPPED. THREE HOSIPTAL HEALTH CENTERS AND 70 HEALTH/MEDICAL POSTS WILL ALSO BE BUILT AND EQUIPPED, WHILE 57 EXISTING HOSIPTAL HEALTH CENTERS AND 90 HEALTH/MEDICAL POSTS WILL BE REMODELED AND EQUIPPED. A RURAL HEALTH INFORMATION SYSTEM WILL BE ESTABLISHED, AND SPECIAL STUDIES CONCERNING NUTRITION, WATER QUALITY, INCIDENCE OF COMMUNICABLE DISEASE, AND INCIDENCE OF WATER BORNE & DIARRHEAL DISEASE WILL BE CONDUCTED.