| Trip logistics: - 24/01/03: trip to Nong Khiao, organisation with the district health department and overnight stay. - 25/01/03: trip to Hatsa Pheuil with Mr Boun Muang (Muang Ngoy doctor), screening and treatment of patients and overnight stay at Ban Ngoy Neua. - 26/01/03: return to Luang Prabang Screening and treatment of patients: Total 40 cases - Skin diseases (dermatis) 12 - Flue: 8 - Otitis: 2 - Gastritis: 6 - Wound: 3 - Skin rash: 3 - Abcess: 1 - Articular pain: 2 - Dysentery: 3 - Pneumonia: 1 Health Education - Village and house cleanliness - Body hygien of children - use of health facility when children are sick Budget in us$. Total 75 - Drugs 20 - Transport 15 - Perdiem 40 Beside this, Dr Visith made some comments. His assessment is that the village is not affected by a particular epidemic disease. He estimates that the villagers are neglecting basic care to children such as cleaneliness and early treatment of sick children. To him it is much of a surprise and he comments that is will be a long way before the villagers develop awareness on prevention and conservation of health. French doctor's comments: I feel Dr Visith has done as good as he thinks. However, my feeling is that he remained in a "too professional" approach. I guess what was possibly expected was something a little bit more than professional, including an attempt to socialize with the villagers in order to create a more productive interaction. I assume that was the point in the "commitment" to spend overnight at the village which he did not fulfill (and does not hide it). Budget wise, this makes almost 2us$/patient which is quite high for local standards. This could be justified if for instance it could be combined with an effective dynamic towards sustainable prevention and conservation of health. |
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