Research for development of the method for solving a health issue in the remote district of a developing country

自1978年《阿拉木图宣言》以来，初级卫生保健作为发展中国家的一项健康措施得到了推广。我们认为，要推动PHC的发展，需要一个推动者。在发展中国家，接受PHC教育的人分布在城市地区不均衡，农村地区缺乏专业人员。那么，我们选择了摩洛哥的一个偏远地区作为调查对象，为掌握农村地区卫生保健活动的实际情况，阐明初级卫生保健的发展。村里潜伏着许多妇幼保健问题，户主认为怀孕与任何疾病无关，因此村里的人都承认孕妇不必咨询体检，而且死胎多发生在下雪的季节。另一方面，村里的护士正在对有健康问题的个人进行对症治疗，我们和村里的护士一起进行了外展活动。为了解决这些习惯性、社会性的问题，我们护士必须了解家庭制度的差异和对疾病预防的认识，通过我们在摩洛哥的活动，我们相信我们可以提高我们在公共卫生护理方法中解决区域性问题的能力，并进一步研究发展中国家初级卫生保健的可能性。

Primary health care (PHC) has been promoted as a healthy measure of developing countries since the Alma-Ata declaration in 1978. We think that a promoter is required so as to push forward PHC.In the developing countries, those who received PHC education arc unevenly assigned to urban areas, so that the specialists are short of hands in village areas.Then, we selected a remote district in Morocco as an object of investigation and made a research plan for grasping actual conditions of the health care activities in the village areas and clarifying the possibility of development of Primary Health Care.Many problems of maternal and child health were latent in the village.The household head thought that pregnancy had nothing to do with any disease.Therefore, the people in the village recognized that a pregnant woman didn't have to consult a medical checkup.Moreover, stillbirth mostly occurred in the snowy season.On the other hand, nurses in the village was performing symptomatic therapy to the individual with some health problem.We performed outreach activities together with the village nurse. In order to solve these habitual, social problems, we nurses must understand the difference of the family system and.the recognition about disease prevention.Through our activities in Morocco, we nurses believe that we could highten the ability of solving the regional problems in a public-health-nursing approach and go on to another step of researching the possibility of Primary Health Care in the developing countries.