Chapter 2278: Level 3 System
The old-fashioned delivery method is full of various unhygienic factors. Many midwives directly save pregnant women without washing their hands, let alone disinfect them. These problems have been corrected one by one, although the female students who teach them are even more The midwife's daughter and daughter-in-law are even younger, but they are all capable people who can solve smallpox. In front of these people, the superficial experience of the old midwife is nothing at all.
Nowadays, daughter-in-laws in Ding County prefer to hire young women who have received training to help them deliver their babies after pregnancy. Under such circumstances, if they do not come to study, they will not be able to eat this bowl of rice in the future.
Not only these village doctors and midwives are making progress, but the students under Shen Long have also made considerable progress after undergoing first-line training. Now some people have even figured out some new methods based on the reality of the countryside.
For example, a female student, after careful research, found that many mothers in rural Ding County lacked nutrition, and relying solely on breast milk could not provide adequate nutrition for their babies. With a solution, many farmers in Ding County grow soybeans, and soy milk can supplement the nutrients that breast milk lacks.
Allowing mothers to drink breast milk and soy milk together can supplement nutrition for children and improve the survival rate of babies. In fact, a better way is to use milk, but no one in Ding County raises dairy cows, so we can start from the actual situation and find suitable ones in rural areas. Shen Long was very pleased with the solution to the actual situation.
He asked the female student to write this achievement into a paper and publish it in the "Chinese Medical Journal" with detailed data. Although this is just a little skill, it does not have much significance from a scientific point of view, but it is It is a huge progress from a social point of view to allow more Chinese babies to survive. The weight of this paper is definitely heavy.
This made many students envious, because it is difficult for them to publish papers, but they are not discouraged, because entering the countryside is like entering a new world, where there are rich materials for writing papers, For example, you can process and sort out the previous materials and write a paper on the current situation of medical and health care in rural China. For example, you can analyze several endemic diseases in Ding County and write a paper for publication.
Of course, the most important task right now is to train village doctors and assist Shen Long in editing the "Barefoot Doctor's Handbook". Shen Long asked Bai Ze to help download various versions of "Barefoot Doctor's Handbook" in the future, but they were all edited after the founding of the People's Republic of China. The results cannot be copied in many places, and must be modified in light of reality.
He listed out the outline, divided the work among these students, asked them to complete their respective chapters, and then gathered them together for review and revision. It is estimated that it will take several months to complete the "Barefoot Doctor's Handbook" of the Republic of China version. .
At the same time, Shen Long is also very clear that relying on village doctors alone cannot solve all problems. If he wants to develop the sanitation of Ding County,
It is necessary to establish a bottom-up sanitation network from village to district to county, and all expenses must be low on average.
Training the village doctors in the village is part of it. Let these village doctors who have undergone simple training promote disease prevention, carry out vaccinia, well water disinfection, and skin trauma disinfection, and simply record the number of births, deaths, and causes of death in the village. Go up one level.
Set up a township above the village as a living center. Shen Long intends to select students who are interested in medical work from the graduates of Dingxian Middle School, and go to the Beijing Medical Specialized School for systematic training. After passing the examination, they will work in the township clinic. High education, relatively strong learning ability, they can diagnose some common diseases after receiving formal training.
After returning home, I arrange work nearby. I make outpatient visits in the morning and visit the village doctors in each village in the afternoon. I am responsible for correcting the mistakes made by the village doctors, conducting continuous training for the village doctors, and diagnosing and treating diseases that the village doctors cannot solve.
Finally, a county hospital was set up in the county seat, with 50 beds and an emergency room, and the patients who could not be treated by the township health center were sent to the county hospital. In this way, a three-level health network of village, township, and county was formed. This is also adopted by later generations of China. The public medical and health model, but with the development of transportation, the village-level health institutions have gradually been cancelled. Farmers at the grassroots level also have the ability to receive basic diagnosis and treatment.
Life in the countryside is very hard, but Murong Wu and Yuan Xiaoyan feel very happy, because doing things can bring people a sense of accomplishment, and this sense of accomplishment will make people fulfilled; they put their ideas into practice one by one. In practice, seeing the blossoming and fruiting, I feel unspeakable joy in my heart.
In addition to training village doctors and helping to establish a three-level medical and health system, these energetic young people also help local people to eliminate illiteracy. Increase crop yields.
All of these have made quite good progress. Over the past year or so, the death rate in Ding County has been greatly reduced, the baby survival rate has been greatly improved, and more and more people can know a few words.
And Yuan Xiaoyan and Murong Wu are about to graduate soon. When the new batch of students arrives in Ding County, they, the seniors, should leave too. When they left, they were reluctant to leave, and the common people who heard the news came to see them off one after another.
When he came to Baoding and got on the train, Murong Wu looked at the scenery outside and couldn't help but look forward to it, "Teacher, you said that if we promote the Dingxian model nationwide, will all the rural areas of the country be transformed into Dingxian counties?" so?"
"It's good to have such an idea, but it's not so simple to actually implement it!" Shen Long sighed. To popularize the three-level medical and health system across the country, a government with strong organizational power must spend a lot of money. Human, material and financial resources are used to support it, but how can the current Republic of China do this?
Today's government of the Republic of China doesn't really care about the people. If they have money, they are more willing to spend it elsewhere. How can they be willing to invest so much in mud legs?
These students are not unreal beings, thinking of the current situation in China, they also fell silent, Shen Long turned to encourage them, and their expressions improved.
When he arrived in the capital, Shen Long returned home in a rickshaw. He hadn't been home for a long time, and he didn't know whether the children in the family were still obedient or not!