Abstract

While most infant-related health problems in the Third World can be attributed to commonplace diseases, the lack of resources necessary to implement Western styles of medicine suggests the need for new strategies -- those that rely less on technology and more on grass roots efforts. Most illnesses in the developing world are the result of the top 5-10 diseases. Of the 4 million deaths from pneumonia each year, 97% take place in the Third World. Measles causes the yearly deaths of 1.6 million. Many of these diseases have been eradicated in the West; the others can be easily treated. But in the 3rd World, health problems are compounded by the fact that attention is often sought late, as well as the lack of doctors and nurses. Most of those with Western-style medical training rarely practice in rural or urban slum areas. One strategy to meet these difficulties is to train personnel on how to diagnose and treat these 5-10 common diseases without them having to go through Western-style training -- reminiscent of the famous "barefoot doctors" of China. These local health workers can more easily meet the health needs of isolated areas, since they can be trained to carry out immunization, and teach nutrition and family planning. Furthermore, this strategy does not rely on high technology, following instead the scheme laid out by acronym GOBI -- Growth monitoring. Oral rehydration therapy, Breast feeding, and Immunization. Developed nations can help in this effort by supporting WHO, UNICEF and other international organizations, as well as sending personnel to work in 3rd World countries. While individual 3rd World nations must confront these problems, worldwide social, political, and economic changes will be necessary.

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