ABSTRACT
Since the emergence of the first diagnosed case in Lesotho in 1986; the number of cases has continued to increase at a very alarming rate. Although this situation is not unique to Lesotho but follows a similar pattern in most countries of the world; especially the developing countries; it nevertheless gives cause for great concern which demands an increasing effort on the part of every individual and from all sectors of the country. As of September; 1994 a total of some 440 AIDS cases have been diagnosed and reports from sentinel surveillance sites also indicate a rising trend in the spread of the infection as measured by the number of persons infected by HIV
Subject(s)
Acquired Immunodeficiency Syndrome/epidemiology , HIV SeroprevalenceABSTRACT
Sierra Leone; like many African countries; has experienced considerable delay in implementing programmes geared towards the achievement of health for all by the year 2000 through primary health care. There is widespread dissatisfaction towards health care delivery not only as a result of inadequate financing but also due to the general incompetence of health personnel to meet new challenges. A primary health care policy calls for the the training of health personnel of all types and in numbers to meet the needs of the entire country. Training is thus regarded as a priority intervention to meet these challenge. A guideline to relate education and training innovations to the elements of primary care is presented
Subject(s)
Education , Health Personnel/education , Health Plan Implementation , Health Planning Guidelines , Health Policy , Health Workforce/education , Primary Health CareABSTRACT
There is a pressing need for a community-oriented medical training in Sierra Leone to cope with the country's health problems. To enable a community-oriented training programme to be succesfully implemented; it is first necessary to clarify the basic concepts of a community-oriented training programme in order to remove some misconceptions. The following is therefore an attempt aimed at clarifying the situation by giving a brief backgroung to the health needs of Sierra Leone followed by a definition of community-oriented medical education