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CLOSE THIS BOOKWhere There Is No Doctor - A Village Health Care Handbook (Hesperian Foundation, 1993, 516 p.)
VIEW THE DOCUMENT(introduction...)
VIEW THE DOCUMENTHOW TO USE THIS BOOK
VIEW THE DOCUMENTTHANKS
VIEW THE DOCUMENTTEACHING AIDS AT LOW COST
VIEW THE DOCUMENTINTRODUCTION
VIEW THE DOCUMENTNOTE ABOUT THIS NEW EDITION
WORDS TO THE VILLAGE HEALTH WORKER (Brown Pages)
Chapter 1 - HOME CURES AND POPULAR BELIEFS
Chapter 2 - SICKNESSES THAT ARE OFTEN CONFUSED
Chapter 3 - HOW TO EXAMINE A SICK PERSON
Chapter 4 - HOW TO TAKE CARE OF A SICK PERSON
Chapter 5 - HEALING WITHOUT MEDICINES
Chapter 6 - RIGHT AND WRONG USES OF MODERN MEDICINES
Chapter 7 - ANTIBIOTICS: WHAT THEY ARE AND HOW TO USE THEM
Chapter 8 - HOW TO MEASURE AND GIVE MEDICINE
Chapter 9 - INSTRUCTIONS AND PRECAUTIONS FOR INJECTIONS
Chapter 10 - FIRST AID
Chapter 11 - NUTRITION: WHAT TO EAT TO BE HEALTHY
Chapter 12 - PREVENTION: HOW TO AVOID MANY SICKNESSES
Chapter 13 - SOME VERY COMMON SICKNESSES
Chapter 14 - SERIOUS ILLNESSES THAT NEED SPECIAL MEDICAL ATTENTION
Chapter 15 - SKIN PROBLEMS
Chapter 16 - THE EYES
Chapter 17 - THE TEETH, GUMS, AND MOUTH
Chapter 18 - THE URINARY SYSTEM AND THE GENITALS
Chapter 19 - INFORMATION FOR MOTHERS AND MIDWIVES
Chapter 20 - FAMILY PLANNING - HAVING THE NUMBER OF CHILDREN YOU WANT
Chapter 21 - HEALTH AND SICKNESSES OF CHILDREN
Chapter 22 - HEALTH AND SICKNESSES OF OLDER PEOPLE
Chapter 23 - THE MEDICINE KIT
THE GREEN PAGES - The Uses, Dosage, and Precautions for the Medicines Referred to in This Book
THE BLUE PAGES - New Information
VIEW THE DOCUMENTVOCABULARY - Explaining Difficult Words
VIEW THE DOCUMENTADDRESSES FOR TEACHING MATERIALS
VIEW THE DOCUMENTDosage Blanks - For Giving Medicines to Those Who Cannot Read
VIEW THE DOCUMENTPatient Report
VIEW THE DOCUMENTInformation on Vital Signs
VIEW THE DOCUMENTABBREVIATIONS - WEIGHT - VOLUME
VIEW THE DOCUMENTBack cover

NOTE ABOUT THIS NEW EDITION

In this revised edition of Where There Is No Doctor, we have added new information and updated old information, based on the latest scientific knowledge. Health care specialists from many parts of the world have generously given advice and suggestions.

When it would fit without having to change page numbers, we have added new information to the main part of the book. (This way, the numbering stays the same, so that page references in our other books, such as Helping Health Workers Learn, will still be correct.)

The Blue Pages - a completely new section at the end of the book - has information about health problems of growing or special concern: AIDS, sores on the genitals, leishmaniasis, complications from abortion, guinea worm, and others. Here also are new topics such as measuring blood pressure, misuse of pesticides, drug addiction, and a method of caring for early and underweight babies.

New ideas and information can be found throughout the book - medical knowledge is always changing! For example:

· Nutrition advice has changed. Experts used to tell mothers to give children more foods rich in proteins. But it is now known that what most poorly nourished children need is more energy-rich foods. Many low-cost energy foods, especially grains, provide enough protein if the child eats enough of them. Finding ways to give enough energy foods is now emphasized, instead of the 'four food groups'. (See Chapter 11.)

· Advice for treatment of stomach ulcer is different nowadays. For years doctors recommended drinking lots of milk. But according to recent studies, it is better to drink lots of water, not milk.

· Knowledge about special drinks for diarrhea (oral rehydration therapy) has also changed. Not long ago experts thought that drinks made with sugar were best. But we now know that drinks made with cereals do more to prevent water loss, slow down diarrhea, and combat malnutrition than do sugar-based drinks or “ORS” packets.

· A section has been added on sterilizing equipment. This is important to prevent the spread of certain diseases, such as AIDS.

· We have also added sections on dengue, sickle cell disease, contraceptive implants. Chapter 10 contains revised information about treatment of snakebite.

· See chapter 12 for details on building the fly-killing VIP latrine.

If you have suggestions for improving this book, please let us know. Your ideas are very important to us!

The Green Pages now include some additional medicines. This is because some diseases have become resistant to the medicines that were used in the past. So it is now harder to give simple medical advice for certain diseases - especially malaria, tuberculosis, typhoid, and sexually spread diseases. Often we give several possibilities for treatment. But for many infectious diseases you will need local advice about which medicines are available and effective in your area.

In updating the information on medicines, we mostly include only those on the World Health Organization's List of Essential Drugs. (However, we also discuss some widely used but dangerous medicines to give warnings and to discourage their use) In trying to cover health needs and variations in many parts of the world, we have listed more medicines than will be needed for any one area. To persons preparing adaptations of this book, we strongly suggest that the Green Pages be shortened and modified to meet the specific needs and treatment patterns in your country.

In this new edition of Where There Is No Doctor we continue to stress the value of traditional forms of healing, and have added some more “home remedies.” However, since many folk remedies depend on local plants and customs, we have added only a few which use commonly found items such as garlic. We hope those adapting this book will add home remedies useful to their area.

Community action is emphasized throughout this book. For example, today it is often not enough to explain to mothers that 'breast is best'. Communities must organize to make sure that mothers are able to breast feed their babies at work. Likewise, problems such as misuse of pesticides, drug abuse, and unsafe abortions are best solved by people working together to make their communities safer, healthier, and more fair.


Figure

“Health for all” can be achieved only through the organized demand by people for greater equality in terms of land, wages, services, and basic rights. More power to the people!

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