Low-cost health delivery systems
Lessons from Nicaragua
Bibliographic Data
| ID | 11028053 |
|---|---|
| Authors | James R Heiby (corresponding author) |
| Year | 1981 |
| Volume | 71 |
| Issue | 5 |
| Pages | 514-519 |
| Publication date | 1981-05-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | American Journal of Public Health (JOURNAL) |
| Journal identifiers | ISSN: 0090-0036 • E-ISSN: 1541-0048 |
| Publisher | American Public Health Association (PUBLISHER • US) |
| DOI | 10.2105/ajph.71.5.514 |
| PMID | 7212140 |
| OpenAlex | W2053422752 |
| Language | EN |
| Citations received | 9 |
| References cited | 9 |
In 1976 the Ministry of Health of Nicaragua began a low cost program to deliver simple health services in rural areas through trained traditional birth attendants or "parteras." After two years the program had prepared 768 parteras in a five-day training course. Parteras were equipped with a kit that included oral rehydration salts, an antihelminthic, multi-vitamins with iron, aspirin, contraceptives, and obstetrical equipment. The difficulties encountered in implementing this limited set of simple health services illustrate a number of potential obstacles to the achievement of universal, comprehensive primary health care in less developed countries. The most prominent difficulties involved elements of the health service delivery system itself: supervision, the collection and use of management information, training, partera selection, and logistics. The experience also provided examples of issues in the design of delivery systems that require specific applied research
Business · Christian ministry · Economic growth · Environmental health · Health care · Health services · Population · Service (business) · Service delivery framework · Global Maternal and Child Health · Marketing · Medicine · Nursing
The Politics of Health Care in Nicaragua before and after the Revolution of 1979
Do Health Indicators Indicate Health
Health for All by the Year 2000
Venceremos
Health care behavior on Nicaragua's Atlantic coast
Ors and the treatment of childhood diarrhea in Managua, Nicaragua
Primary mental health care in Nicaragua five years later
The political and administrative context of primary health care in the third world
Selectivity within primary health care
| Unique citing works | 9 |
|---|---|
| Citations per year | 0.2 |
| Citation span | 1981 - 1993 (13) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 9 |