Distribution and performance of rural health workers in Papua New Guinea

1991 ◽  
Vol 32 (2) ◽  
pp. 159-165 ◽  
Author(s):  
Jane A. Thomason ◽  
Riitta-Liisa Kolehmainen-Aitken
1995 ◽  
Vol 25 (2) ◽  
pp. 69-74 ◽  
Author(s):  
Elvira Beracochea ◽  
Rumona Dickson ◽  
Paul Freeman ◽  
Jane Thomason

A study was carried out to assess the quality of case management of malaria, malnutrition, diarrhoea and acute respiratory tract infections in children in rural primary health services in Papua New Guinea. In particular, the study focused on the knowledge and skills of different categories of rural health workers (HW) in history taking, examination, diagnosis, treatment and patient education. Quality criteria were defined and health centre (HCW) and aidpost workers' (APWs) knowledge and practices were assessed. Primary health workers' (PHW) knowledge of case management was weak, but in all cases better than their actual practice. History taking and examination practices were rudimentary. HWs tended not to make or record diagnoses. Treatment knowledge was often incorrect, with inappropriate or insufficient drugs prescribed, being worst at aidpost level. These findings raise serious questions about the effectiveness of providing health services through small, isolated health units. Far greater attention must now be directed to focus on the institutionalization of problem-based training, continuous supportive supervision and maintenance of clinical skills and provision of essential drugs, supplies and equipment to ensure that rural health workers (RHW) can provide sound care.


2012 ◽  
Vol 75 (5) ◽  
pp. 828-835 ◽  
Author(s):  
Husna Razee ◽  
Maxine Whittaker ◽  
Rohan Jayasuriya ◽  
Lorraine Yap ◽  
Lee Brentnall

1988 ◽  
Vol 22 (1) ◽  
pp. 23-28 ◽  
Author(s):  
Sherilynn F. Spear ◽  
Ellen Vor Der Bruegge ◽  
Charles B. Hamilton ◽  
Stewart N. Blumenfeld

2004 ◽  
Vol 15 ◽  
pp. 29-42 ◽  
Author(s):  
Betty E. Koka ◽  
Frank P. Deane ◽  
Gordon Lambert

Confidence in identifying different diagnostic categories of mental disorders by general health workers who provide the bulk of Papua New Guinea's (PNG) mental health care is vital for the country's provision of mental health care. Making a psychiatric diagnosis is complicated by PNG's diverse culture and estimated 800 distinct languages. These cultural-linguistic factors influence help-seeking behaviour and continued use of traditional treatment despite the introduction of western approaches to mental health care. The aim of this study was to determine the confidence of health workers in identifying and diagnosing different categories of mental health problems in this complex environment. A sample of 209 Papua New Guinea health workers from four geographic regions completed a questionnaire that assessed background levels of training and confidence in diagnosing a range of modern and culture specific diagnoses. Overall, respondents reported relatively little prior mental health training. Consistent with this were the relatively low levels of confidence for culture specific diagnoses (e.g. sorcery), but significantly higher levels of confidence with modern diagnoses (e.g. depression). The implications of the findings for training and provision of mental health care are discussed.


1994 ◽  
Vol 39 (8) ◽  
pp. 1105-1115 ◽  
Author(s):  
Jane Thomason ◽  
Navy Mulou ◽  
Caroline Bass

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