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Biomedical subjects

A Cassels

Publications and source records attributed to A Cassels.

3 recordsLinked to original sources
PubMed1990

Training managers for primary health care: teaching about community involvement.

Community involvement is a key element of the Primary Health Care (PHC) approach, and thus an essential topic on a course for managers of Primary Health Care programmes. This paper describes the teaching approach adopted on the Management for Primary Health Care course-a 3-month programme for PHC managers from developing countries, offered by the Liverpool School of Tropical Medicine, which attempts to overcome the difficulty of discussing this subject without a common reference point. Following a series of visits to community organizations in Liverpool, participants analyse factors which have influenced the formation and operation of these groups. Whilst preparing a report on key issues facing the community groups, and developing an analytic framework based on the Liverpool experience, participants are encouraged to draw parallels with their own working situation. Several advantages of this approach have been identified in the paper, but course organizers will have to balance these potential benefits with the investment of time and resources required to make it a success.

Administrative Personnel↗
PubMed1982

Tuberculosis case-finding in Eastern Nepal.

Two methods of case-finding used in Eastern Nepal have been compared. The differences in terms of outcome and patient compliance in one district have been examined in detail and compared with results in 4 other neighbouring districts. The 2 methods compared were active case-finding (ACF) carried out by mobile teams and self referral (SR) of patients to the existing services. The results can be summarised thus: 1 In a district with established tuberculosis services an active case-finding campaign revealed patients that had not presented for treatment of their own accord. 2 These patients tended to be older than self-referred patients and there was a higher proportion of women. 3 ACF patients defaulted from treatment more than SR patients and older women were more likely to default than older men. 4 Proximity to a health facility or treatment at a health post (HP) did not decrease the proportion defaulting in the ACF group but both these factors positively influenced the default rate in SR patients. 5 Over 90% of ACF patients had their first period of default within 6 months of starting treatment and if they returned they were more likely than SR patients to default again. 6 The number of ACF patients completing 1 year's treatment with sputum conversion was significantly lower than SR patients in this and 3 other districts. 7 In a district where no separate tuberculosis services existed the cure rate among ACF patients was significantly lower than in 4 districts where separate services had been established.

Adolescent↗