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Judith Justice uses an interdisciplinary approach to show how anthropologists and planners can combine their expertise to make health care programs culturally compatible with the populations they serve.
Price: $31.95
Pages: 220
Publisher: University of California Press
Imprint: University of California Press
Series: Comparative Studies of Health Systems and Medical Care
Publication Date:
02 November 1989
Trim Size: 8.25 X 5.50 in
ISBN: 9780520067882
Format: Paperback
BISACs:
Judith Justice is Associate Professor of Health Policy and Medical Anthropology, University of California, San Francisco.
Abbreviations
Preface
1 Introduction
Nepal: The Setting
Research Methods
2 The Health Bureaucracies: Structure and Culture
The Dynamics of Nepal's Bureaucracy
Government Structure
Traditional Patterns in Administrative Behavior
The International Donor Agencies
The World Health Organization (WHO)
The United States Agency for International Development (USAID)
Interaction Between the Government and the Agencies
Nepali Administrators and International Advisors
3 Policies and Plans
International Health Policy and Nepal
Hospital-Based and Vertical Programs
The Shift to Integrated Basic Health
Services
Integrated Community Health Program and Primary Health Care
The Planning Process
Country Health Programming
Further Planning Efforts
Planning for Community Participation: A Case Example
4 Delivering Services to Rural Villages
A Partially Integrated Health Post
A Fully Integrated Health Post
The Local Panchayat
Shortages
The Villagers' Response to Services
The District Health Office
Problematic Roles of Health Workers
The Invisible Health Worker: The Peon
The Community Health Volunteer and the Village Health Worker
5 Sources and Channels of Information
Sources of Information
Reports
Field Travel
Formal and Informal Meetings
The Flow of Information within Government
Data, Plans, and Targets
Vertical Barriers
Horizontal Barriers
Reliance on Quantitative Data
6 Sociocultural Information and the Health Planning Process
The Anthropologist's Role in Planning Using Sociocultural Information to
Improve Health Planning: A Case Study
Some Suggestions for Changing the ANM's Role
Overcoming Obstacles in the Health Bureaucracy
Appendixes
1. A Chronology of Health-Sector Events in Nepal
2. Profile of Health Workers in ICHP
3. Job Descriptions for ICHP
Functions of Community Health Volunteer
Village Health Worker
Assistant Nurse-Midwife (ANM)
Notes
Bibliography
Index
Preface
1 Introduction
Nepal: The Setting
Research Methods
2 The Health Bureaucracies: Structure and Culture
The Dynamics of Nepal's Bureaucracy
Government Structure
Traditional Patterns in Administrative Behavior
The International Donor Agencies
The World Health Organization (WHO)
The United States Agency for International Development (USAID)
Interaction Between the Government and the Agencies
Nepali Administrators and International Advisors
3 Policies and Plans
International Health Policy and Nepal
Hospital-Based and Vertical Programs
The Shift to Integrated Basic Health
Services
Integrated Community Health Program and Primary Health Care
The Planning Process
Country Health Programming
Further Planning Efforts
Planning for Community Participation: A Case Example
4 Delivering Services to Rural Villages
A Partially Integrated Health Post
A Fully Integrated Health Post
The Local Panchayat
Shortages
The Villagers' Response to Services
The District Health Office
Problematic Roles of Health Workers
The Invisible Health Worker: The Peon
The Community Health Volunteer and the Village Health Worker
5 Sources and Channels of Information
Sources of Information
Reports
Field Travel
Formal and Informal Meetings
The Flow of Information within Government
Data, Plans, and Targets
Vertical Barriers
Horizontal Barriers
Reliance on Quantitative Data
6 Sociocultural Information and the Health Planning Process
The Anthropologist's Role in Planning Using Sociocultural Information to
Improve Health Planning: A Case Study
Some Suggestions for Changing the ANM's Role
Overcoming Obstacles in the Health Bureaucracy
Appendixes
1. A Chronology of Health-Sector Events in Nepal
2. Profile of Health Workers in ICHP
3. Job Descriptions for ICHP
Functions of Community Health Volunteer
Village Health Worker
Assistant Nurse-Midwife (ANM)
Notes
Bibliography
Index