神戸大学附属図書館デジタルアーカイブ
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https://doi.org/10.24546/00104141
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2024-04-26
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00104141 (fulltext)
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メタデータID
00104141
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open access
出版タイプ
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タイトル
ラオス保健サービスシステムの課題と展望 : 「Health Strategy up to the Year 2020」の実現へ
ロンセツ ラオス ホケン サービス システム ノ カダイ ト テンボウ:Health Strategy up to the Year 2020 ノ ジツゲン ヘ
その他のタイトル
Issue and Prospect in the Health Service System in Lao PDR with Particular Regard to ;Health Strategy up to the Year 2020;
著者
著者名
川端, 眞人
kawabata, Masato
カワバタ, マサト
所属機関名
神戸大学大学院国際協力研究科
収録物名
国際協力論集
巻(号)
9(3)
ページ
57-69
出版者
神戸大学大学院国際協力研究科
刊行日
2002-02
公開日
2007-05-30
抄録
Lao PDR is a small land-locked country located in the Indo-China Peninsula. Because of its mountainous landscape and poor development of transportation, a provision of social services is problematic for the government. In addition, Lao PDR is a multi-ethnic country consisting of 49 ethno-cultural and linguistic groups. Both physical and socio-cultural conditions make access to health service difficult in the rural regions. Since the country introduced market-oriented economic reforms in the mid-1980s, the government has changed its policies from the territorial defense and infra-structure development to the improvement of social services sectors, including education and health. As a result of an introduction of new policy, Lao PDR has achieved substantial progress in a health status. Even with this outstanding advance, Lao PDR remains one of the worst countries of the world in terms of infant mortality (82 per 1,000 live births in 2000) , under-five mortality (107 per 1,000 live births in 2000) and life expectancy (57 in male and 61 in female, in 2000). These results are far from the targeted figures in WHO goal of “Health For All 2000". In response to this situation, MOH (Ministry of Health) took its initiatives in May 2000 to produce a policy and strategy document, called “Health Strategy up to the Year 2020". This is considered to be the beginning of new health policies and MOH strategies. In the developing countries like Lao PDR, the health care units in a peripheral level are often poorly utilized. In Lao PDR, however, even provincial and district hospitals are also very poorly utilized because of limited accessibility to health service and their poor quality both in curative care and in health promotion care. Easy accessibility and the high quality of health care service are essential for the improvement of health status in Lao PDR, particularly in rural regions. In addition, strengthening of a provincial hospital as a referral facility is imperative. As to infectious diseases that impose the greatest burden on the country, for example, providing health education to caretakers/health workers in a community level and integration of various on-going programs are desirable. Meanwhile, vertical approaches in tuberculosis and malaria control should remain in order to maintain a high quality in their referral laboratory system.
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国際協力研究科
国際協力論集
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9巻
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9巻3号(2002-02)
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資源タイプ
departmental bulletin paper
言語
Japanese (日本語)
ISSN
0919-8636
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NCID
AN10418744
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110000587214
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