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Integrated management of childhood illness. Introduction

United Nations Children's Fund (UNICEF)

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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


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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

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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.

Disability awareness in action : campaigns


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This resource kit focuses on campaigns run by organisations of disabled people, which promote independence, equality of opportunity and full participation. It proposes that taking part in campaigns will increase members' skills and confidence and show disabled people as active participants in their communities, who have ideas and abilities that can be of benefit to everyone

Disease, illness and health : theoretical models of the disablement process

Minaire, P

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Handicap is the result of a process of disablement whose origin is a pathological condition (disease). According to some definitions of health (eg a state of complete physical, mental and social well- being), the classical biomedical concept is too restrictive to cover all the consequences of disease. New models have been proposed: the impairment-disability-handicap model presented by WHO, the situational handicap model, and the quality-of-life model. A unifying schema of the disablement process includes these concepts and provides a useful way of analysing the consequences of disease. Factors that modify the disablement process can be identified by their respective impacts, and provide operational guidelines for public health interventions.