On the front line of primary health care: the profile of community health workers in rural Quechua communities in Peru.
On the front line of primary health care: the profile of community health workers in rural Quechua communities in Peru.
复制标题
DOI：
10.1186/1478-4491-4-11
复制
发表时间：
2006-05-17
影响因子：
4.5
通讯作者：
Miranda, J Jaime
中科院分区：
文献类型：
--
作者：
Brown, Angela;Malca, Rosa;Miranda, J Jaime
目的：描述社区卫生工作者的概况--健康促进者、传统助产士和传统治疗师--来自秘鲁阿亚库乔的农村盖丘亚族社区。方法：收集基本的定量和定性信息，作为1997年至2002年在40个安第斯社区实施的社区卫生项目的一部分，这些信息来自问卷调查、个人访谈和小组讨论。目前大多数社区保健工作者是受教育程度有限的男子，他们主要讲盖丘亚语，在自愿基础上开展工作。健康促进者大多是年轻的男性，高中毕业生。这些工人的辍学率很高。相比之下，传统医士和传统助产士在年龄、教育和辍学率方面的情况几乎完全相反，尽管男性仍然占主导地位。在社区一级的健康促进员是最明显的社区health workers.CONCLUSION：这是非常重要的考虑和意识到的形象，社区卫生工作者，以提供适当的替代品时，与这些群体以及与土著人口，特别是在文化，语言和性别问题。
OBJECTIVE: To describe the profile of community health workers--health promoters, traditional birth attendants and traditional healers--in rural Quechua communities from Ayacucho, Peru.METHODS: Basic quantitative and qualitative information was gathered as part of a community health project implemented between 1997 and 2002 in 40 Andean communities with information from questionnaires, personal interviews and group discussions.RESULTS: The majority of current community health workers are men with limited education who are primarily Quechua speakers undertaking their work on a voluntary basis. Health promoters are mostly young, male, high school graduates. There exists a high drop-out rate among these workers. In contrast, traditional healers and traditional birth attendants possess an almost diametrically opposite profile in terms of age, education and drop-out rates, though males still predominate. At the community level the health promoters are the most visible community health workers.CONCLUSION: It is very important to consider and to be aware of the profile of community health workers in order to provide appropriate alternatives when working with these groups as well as with the indigenous population, particularly in terms of culture, language and gender issues.