[原著］Unbalanced distribution of health sector human resources and malfunctioning of peripheral health services in Lao P.D.R. : Analysis of the causes and possible solutions

概要

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A critical problem facing Lao People's Democratic Republic (Lao P.D.R.) is the lack of functioning peripheral health services. There appears to be a lack of resources, and at the same time an awareness of the need for such services is virtually nonexistent among the people. The reasons for the malfunctioning of peripheral health services in the community are analyzed from the viewpoint of human resources. The absolute number of government health staff decreased dramatically in 1990, but the average ratio of health sector human resources per total population in Lao P.D.R. is still not that low compared with other developing countries, Other causes were ascertained through the direct observation of the field situation. The unbalanced distribution of health sector human resources in rural areas is one of the most likely causes for the malfunctioning of peripheral health services, such as health posts, which are the most decentralized public health facilities in Lao P.D.R. One possible way to solve this problem is to promote the role and function of health posts, thus giving motivation or incentive to the health staff working in remote areas where health posts exist. This will increase availability and accessibility to services and enable the rural population to utilize them as their first contact with the public health sector.
琉球医学会の論文