[Neighbourhood rural medicine: an experience of rural doctors in Mali]. / Une médecine rurale de proximité: l'expérience des médecins de campagne au Mali.
Educ Health (Abingdon)
; 20(2): 47, 2007 Aug.
Article
en Fr
| MEDLINE
| ID: mdl-18058682
ABSTRACT
The main constraint to improving access to health services of quality in rural areas is to attract qualified health personnel in these areas. A fifteen years experience in rural health in Mali has shown that it is possible to develop community medicine practices in an African context that do integrate individual care and public health activities. The policy of decentralization of health services encouraged local communities and municipalities to recruit rural doctors themselves. An initiative of rural doctors materialized with this event as they founded a national association and adhere to the principles of a Charter to provide quality health care at an affordable cost. A mechanism of quality improvement was established with the participation of several partners a professional association, a funding non-governmental organization, and groups of academic staff and health managers. This paper describes the evolution of the rural doctors' experience, its philosophy, conditions that made it successful, constraints it had to overcome and the attitude of partners. It highlights the potential of health care personnel in Africa to provide primary health care well beyond traditional programs on prevalent diseases and to respond to both urgent individual needs and pressing public health requirements.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Desarrollo de Programa
/
Servicios de Salud Comunitaria
/
Servicios de Salud Rural
Tipo de estudio:
Diagnostic_studies
Límite:
Humans
País/Región como asunto:
Africa
Idioma:
Fr
Revista:
Educ Health (Abingdon)
Asunto de la revista:
EDUCACAO
/
SERVICOS DE SAUDE
Año:
2007
Tipo del documento:
Article
País de afiliación:
Mali