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2008 세계아동현황보고 - 농촌마을에도 보건 혜택을 (이집트)

2008.01.22

* State of the World’s Children 2008 – improving health care delivery to farming communities in Egypt
* 03 min 19 secs
* Sept 2007

Spreading out along the banks of the Nile south of Cairo - Upper Egypt is a picturesque landscape of small farming villages, many of them seemingly frozen in time.

These communities are some of the poorest in Egypt and represent a significant challenge in meeting the Millennium Development Goals.

A lack of access to high quality health services and a history of traditional remedies meant that many people were reluctant to use government clinics.

That's why in 2003 UNICEF launched an innovative project in eight villages to improve health care delivery to ordinary people.

SOUNDBITE (Arabic) Dr. Essam Allam – UNICEF Health officer: “Once the project got going and people started coming to the clinic to receive health care, and once the message started getting to them, I really felt how much the relationship between the people and the clinic had improved, and how people’s confidence in the Ministry of Health’s services through these local health clinics has grown. We discovered that it was of utmost urgency and importance to change people’s way of thinking and improve their education on all levels. Also, taking the messages directly to the people was much better than waiting for people to come to us.”

UNICEF worked hand in hand with the Ministry of Health to develop ways of raising the profiles of local clinics, by networking them within their communities.

Part of the project is aimed at empowering women by raising their awareness on key health issues.
“Your next appointment is in a month. If there’s any problems before then you are most welcome to come in.”

SOUNDBITE (Arabic) Dr. Tafreeh Baheeg Me’aawel, East Karamta Clinic: “Of course, when there is raised awareness for health issues, this makes my job easier. There are people that I try to impart correct health information to who remain resistant to it. Why? Because they are conditioned with wrong information and they feel that doctors don’t understand the particulars of the community. They’ll say, “ask about it, but don’t bother asking a doctor.” But when the message has already been conveyed to a woman before she comes to me, by a woman from her own community who knows her and can relate to her, this brings things full circle.”

Working as a team the nurse and community health worker travel house to house. The nurse provides basic health services while the community health worker delivers awareness raising messages.

Today the team visits Shadia, who only 40 days ago gave birth to her son. They have been visiting her

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