Geographia medica最新文献

The paper discusses in four parts material related to health services and administration in Madras City. A historical account on the health services establishment and administration is first presented. This is followed by the structural and organizational characteristics of the present health service system. A brief analysis of health services in Madras City and the problems they face in their day-to-day operations is then presented. And finally the discussion turns to professional perceptions on the administrative problems and their redress where we see different views of people handling at present the several departments in public hospitals of the city. The perceptions are such that they leave us enormously concerned with the state of affairs in public health services delivery system.

The centenary of the discovery of the tuberc bacillus (Koch-centenary) threw light on the unsolved problems of the epidemiology of tuberculosis in the world. Despite of the definitively significant progress made since the turn of the century the world-wide elimination and eradication of tuberculosis is not yet accomplished. Deficiencies in the fight against tuberculosis in the developing countries which represent two-third of the world play firstly a role in it. The number of new tuberculosis cases keeps being about 5.000 yearly in Hungary thus the present programme requires modification. An increased fight against tuberculosis on a global scale may be successful only with international collaboration and with higher rate of financial support provided by the highly developed industrial countries.

The objective of the paper is to examine the methods of keeping medical records in medical institutions in Nigeria and the limitations of present practices of record keeping to the study of various aspects of the spatial pattern of health problems in the country. There are suggestions of the type of additional information to be recorded about patients and methods of storage so that records at our health institutions can be more useful in understanding the health problems and needs of the country.

The author has stated that the teeth of the population of a village on the Great Hungarian Plain were much better in the last century than now concerning the quality of teeth. The water supply of the village has changed by the turn of the century, as the population began to drink the water of deep wells instead of that of the superficial ones. The relation between the decay of teeth and the change in the quality of drinking water could be detected on the basis of the chemical analysis of the water. The water of the last century contained much more fluoride than the water used at present. It must be pointed out that the change in the quality of drinking water was much more favourable from the point of view of epidemiology.

There have been many participatory devices developed and applied for programme planning in a variety of fields by the social scientists in the recent past, of which brainstorming is one. This device has been widely used in interpretive structural modelling to higher education programme planning, programme planning for housing in urban development, etc. Following these studies, application of brainstorming to develop a preliminary operational value system as a structural model for programme planning in Family planning was attempted. The products of a sequence of three sessions of approximately 5 hours each generated 39 needs, 28 alterables, and 22 constraints, all of which were used to set Family Planning objectives /34/. The objectives thus derived were used in building an intent structure to understand their priorities in plan formulation and eventual implementation.