Health Workers Learn
Werner and Bill Bower Published by the Hesperian Society 20 th printing
very popular book is also a companion piece to "Where there is no
authors have a lot of experience in Developing countries. This book
gives suggestions on how to deal with common basic problems in the
developing world in the context of poverty and corruption. It presents
some very original thoughts on how to improve education by involving
local people more. It has a definite sociological analysis on how
much of the problems affecting local peoples in developing countries
can be traced to inequalities.
presents arguments how traditional doctor/nurse based solutions
can contribute to and maintain these inequalities. At times I felt
these arguments to be wearisome and too centred on doctor bashings.
I had to reflect though how my own medical education might have
been different if we had more group cooperative involvement discussions
rather than the traditional didactic lectures based on authority
and subservient which fostered far too much rivalry and competition
in medical schools.
of what this book is food for thought and like its predecessor it
does not claim to be a blueprint for international development and
each project must find its own way. Recently, I also realized that
our own travel clinic was see both International Development Students
as well as missionaries.
of International development- devote themselves to studying through
a four year university program the positive and negative effects
of interventions and what solutions should and should not be used.
missionaries may have similar training but many are people who just
signed up for a working vacation.
the understanding that a book like Helping Health Care Workers Learn
, it is more likely than not that untrained volunteers will ultimately
harm more people in the long run.
book like the other publications from the Hesperian Society are
must-reads for anyone doing international relief. Medically trained
may find the descriptions of disease too simplistic (but in these
low resource situations that is exactly the point) but may benefit
from the philosophic questions this book brings forth