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Integrated management of childhood illness. Introduction

WORLD HEALTH ORGANIZATION (WHO)
United Nations Children's Fund (UNICEF)
1997

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A series of workbooks forming the basis of a modular training course for health workers. Two audio visual tapes accompany the training manuals. See record numbers 0343 and 0344 on the Audiovisuals database

Disability prevention and rehabilitation in primary health care : a guide for district health and rehabilitation managers

WORLD HEALTH ORGANIZATION (WHO)
1996

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This book is aimed at mid-level rehabilitation workers and health workers. It gives suggestions on how to strengthen disability prevention and rehabilitation work within existing primary health care services. It describes how to assess disabled people's situation, assess the healthcare system's provision of services to disabled people, set priorities and make a plan of action

Strategic issues in preventing cataract blindness in developing countries

Ellwein, L B
Kupfer, C
1995

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Cataract blindness is a public health problem of major proportions in developing countries. Intracapsular cataract extraction with aphakic spectacles has been the standard surgical technique for restoring sight. Because of image magnification in the operated eye, however, the result in unilaterally blind patients is less than satisfactory. Fortunately, with the availability of low-cost intraocular lenses ( IOL) and ophthalmologists trained in extracapsular surgery, it is now practical to intervene successfully in the unilateral case. The need for increased attention on the quality of the visual outcome is only one of three important strategic issues in cataract blindness control. The existing high prevalence of cataract blindness in developing countries and an increasing cataract incidence due to an aging population require substantial increases in surgical volume. The third issue relates to cost. If significant increases in surgical volume and quality of outcomes are to be realised without an increased need for external funding, service delivery must be made more efficient. The expansion of IOL surgery for unilateral blindness is a favourable trend in ensuring financial sustainability of delivery systems; patients can be operated on while still economically productive and able to pay rather than waiting for bilateral blindness and a less favourable economic and social impact. It the quality, volume, and cost issues are to be successfully addressed, operational and structural changes to eye care delivery systems are necessary. These changes can be effected through training, technology introduction, management of facilities, social marketing, organizational partnerships, and evaluation. With improved understanding of the critical factors in successful models their widespread replication will be facilitated.

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