Cover Image
close this bookWhere There Is No Doctor - A Village Health Care Handbook (Hesperian Foundation, 1993, 516 p.)
View the document(introduction...)
View the documentHOW TO USE THIS BOOK
View the documentTHANKS
View the documentINTRODUCTION
close this folderWORDS TO THE VILLAGE HEALTH WORKER (Brown Pages)
View the document(introduction...)
View the documentHealth Needs and Human Needs
View the documentMany Things Relate to Health Care
View the documentTake a Good Look at Your Community
View the documentUsing Local Resources to Meet Needs
View the documentDeciding What to Do and Where to Begin
View the documentTrying a New Idea
View the documentWorking Toward a Balance Between People and Land
View the documentWorking Toward a Balance Between Prevention and Treatment
View the documentSensible and Limited Use of Medicines
View the documentFinding Out What Progress Has Been Made (Evaluation)
View the documentTeaching and Learning Together - The Health Worker as an Educator
View the documentTools for Teaching
View the documentMaking the Best Use of This Book
close this folderChapter 1 - HOME CURES AND POPULAR BELIEFS
View the document(introduction...)
View the documentHome Cures That Help
View the documentBeliefs That Can Make People Well
View the documentBeliefs That Can Make People Sick
View the documentWitchcraft - Black Magic - and the Evil Eye
View the documentQuestions and Answers on Some Folk Beliefs and Home Remedies
View the documentSunken Fontanel or Soft Spot
View the documentWays to Tell Whether a Home Remedy Works or Not
View the documentMedicinal Plants
View the documentHomemade Casts-for Keeping Broken Bones in Place
View the documentEnemas, Laxatives, and Purges: When to Use Them and When Not To
close this folderChapter 2 - SICKNESSES THAT ARE OFTEN CONFUSED
View the documentWhat Causes Sickness?
View the documentDifferent Kinds of Sicknesses and Their Causes
View the documentNon-Infectious Diseases
View the documentInfectious Diseases
View the documentSicknesses That Are Hard to Tell Apart
View the documentExamples of Local Names for Sicknesses
View the documentMisunderstandings Due to Confusion of Names
View the documentConfusion between Different Illnesses That Cause Fever
close this folderChapter 3 - HOW TO EXAMINE A SICK PERSON
View the document(introduction...)
View the documentQuestions
View the documentGeneral Condition of Health
View the documentTemperature
View the documentHow to Use a Thermometer
View the documentBreathing (Respiration)
View the documentPulse (Heartbeat)
View the documentEyes
View the documentEars, Throat, and Nose
View the documentSkin
View the documentThe Belly (Abdomen)
View the documentMuscles and Nerves
close this folderChapter 4 - HOW TO TAKE CARE OF A SICK PERSON
View the document(introduction...)
View the documentThe Comfort of the Sick Person
View the documentSpecial Care for a Person Who Is Very Ill
View the documentLiquids
View the documentFood
View the documentCleanliness and Changing Position in Bed
View the documentWatching for Changes
View the documentSigns of Dangerous Illness
View the documentWhen and How to Look for Medical Help
View the documentWhat to Tell the Health Worker
View the documentPatient Report
close this folderChapter 5 - HEALING WITHOUT MEDICINES
View the document(introduction...)
View the documentHealing with Water
View the documentTimes When the Right Use of Water May Do More Good than Medicines
View the document(introduction...)
View the documentGuidelines for the Use of Medicine
View the documentThe Most Dangerous Misuse of Medicine
View the documentWhen Should Medicine Not Be Taken?
View the document(introduction...)
View the documentGuidelines for the Use of Antibiotics
View the documentWhat to Do if an Antibiotic Does Not Seem to Help
View the documentImportance of Limited Use of Antibiotics
close this folderChapter 8 - HOW TO MEASURE AND GIVE MEDICINE
View the document(introduction...)
View the documentMedicine in Liquid Form
View the documentHow to Give Medicines to Small Children
View the documentHow to Take Medicines
View the documentDosage Instructions for Persons Who Cannot Read
View the documentWhen to Inject and When Not To
View the documentEmergencies When It Is Important to Give Injections
View the documentMedicines Not to Inject
View the documentRisks and Precautions
View the documentDangerous Reactions From Injecting Certain Medicines
View the documentHow to Avoid Serious Reactions to a Penicillin Injection
View the documentHow to Prepare a Syringe for Injection
View the documentHow to Inject
View the documentHow Injections Can Disable Children
View the documentHow to Clean (Sterilize) Equipment
close this folderChapter 10 - FIRST AID
View the documentFever
View the documentShock
View the documentLoss of Consciousness
View the documentWhen Something Gets Stuck in the Throat
View the documentDrowning
View the documentWhat to Do When Breathing Stops: Mouth-to-Mouth Breathing
View the documentEmergencies Caused by Heat
View the documentHow to Control Bleeding from a Wound
View the documentHow to Stop Nosebleeds
View the documentCuts, Scrapes, and Small Wounds
View the documentLarge Cuts: How to Close Them
View the documentBandages
View the documentInfected Wounds: How to Recognize and Treat Them
View the documentBullet, Knife, and Other Serious Wounds
View the documentEmergency Problems of the Gut (Acute Abdomen)
View the documentAppendicitis, Peritonitis
View the documentBurns
View the documentBroken Bones (Fractures)
View the documentHow to Move a Badly Injured Person
View the documentDislocations (Bones that Have Come Out of Place at a Joint)
View the documentStrains and Sprains (Bruising or Tearing in a Twisted Joint)
View the documentPoisoning
View the documentSnakebite
View the documentOther Poisonous Bites and Stings
close this folderChapter 11 - NUTRITION: WHAT TO EAT TO BE HEALTHY
View the documentSicknesses Caused by Not Eating Well
View the documentWhy It is Important to Eat Right
View the documentPreventing Malnutrition
View the documentMain Foods and Helper Foods
View the documentEating Right to Stay Healthy
View the documentHow to Recognize Malnutrition
View the documentWays of Eating Better When You Do Not Have Much Money or Land
View the documentWhere to Get Vitamins: In Pills, Injections, Syrups - or in Foods?
View the documentThings to Avoid in Our Diet
View the documentThe Best Diet for Small Children
View the documentHarmful Ideas about Diet
View the documentSpecial Diets for Specific Health Problems
View the documentAnemia
View the documentRickets
View the documentHigh Blood Pressure (Hypertension)
View the documentFat People
View the documentConstipation
View the documentDiabetes
View the documentAcid Indigestion, Heartburn, and Stomach Ulcers
View the documentGoiter (A Swelling or Lump on the Throat)
close this folderChapter 12 - PREVENTION: HOW TO AVOID MANY SICKNESSES
View the document(introduction...)
View the documentCleanliness - and Problems that Come from Lack of Cleanliness
View the documentBasic Guidelines of Cleanliness
View the documentPublic Cleanliness (Sanitation)
View the documentWorms and Other Intestinal Parasites
View the documentRoundworm (Ascaris)
View the documentPinworm, Threadworm, Seatworm (Enterobius)
View the documentWhipworm (Trichuris, Trichocephalus)
View the documentHookworm
View the documentTapeworm
View the documentTrichinosis
View the documentAmebas
View the documentGiardia
View the documentBlood Flukes (Schistosomiasis, Bilharzia)
View the documentVaccinations (Immunizations) - Simple, Sure Protection
View the documentOther Ways to Prevent Sickness and Injury
View the documentHabits That Affect Health
close this folderChapter 13 - SOME VERY COMMON SICKNESSES
View the documentDehydration
View the documentDiarrhea and Dysentery
View the documentThe Care of a Person with Acute Diarrhea
View the documentVomiting
View the documentHeadaches and Migraines
View the documentColds and the Flu
View the documentStuffy and Runny Noses
View the documentSinus Trouble (Sinusitis)
View the documentHay Fever (Allergic Rhinitis)
View the documentAllergic Reactions
View the documentAsthma
View the documentCough
View the documentBronchitis
View the documentPneumonia
View the documentHepatitis
View the documentArthritis (Painful, Inflamed Joints)
View the documentBack Pain
View the documentVaricose Veins
View the documentPiles (Hemorrhoids)
View the documentSwelling of the Feet and Other Parts of the Body
View the documentHernia (Rupture)
View the documentFits (Convulsions)
View the document(introduction...)
View the documentTuberculosis (TB, Consumption)
View the documentRabies
View the documentTetanus (Lockjaw)
View the documentMeningitis
View the documentMalaria
View the documentDengue (Breakbone Fever, Dandy Fever)
View the documentBrucellosis (Undulant Fever, Malta Fever)
View the documentTyphoid Fever
View the documentTyphus
View the documentLeprosy (Hansen's Disease)
close this folderChapter 15 - SKIN PROBLEMS
View the document(introduction...)
View the documentGeneral Rules for Treating Skin Problems
View the documentInstructions for Using Hot Compresses (Hot Soaks)
View the documentIdentifying Skin Problem
View the documentScabies (Seven Year Itch)
View the documentLice
View the documentBedbugs
View the documentTicks and Chiggers
View the documentSmall Sores with Pus
View the documentImpetigo
View the documentBoils and Abscesses
View the documentItching Rash, Welts, or Hives (Allergic Reactions in the Skin)
View the documentPlants and Other Things That Cause Itching or Burning of the Skin
View the documentShingles (Herpes Zoster)
View the documentRingworm, Tinea (Fungus Infections)
View the documentWhite Spots on the Face and Body
View the documentMask of Pregnancy
View the documentPellagra and Other Skin Problems Due to Malnutrition
View the documentWarts (Verrucae)
View the documentCorns
View the documentPimples and Blackheads (Acne)
View the documentCancer of the Skin
View the documentTuberculosis of the Skin or Lymph Nodes
View the documentErysipelas and Cellulitis
View the documentGangrene (Gas Gangrene)
View the documentUlcers of the Skin Caused By Poor Circulation
View the documentBed Sores (Pressure Sores)
View the documentSkin Problems of Babies
View the documentEczema (Red Patches with Little Blisters)
View the documentPsoriasis
close this folderChapter 16 - THE EYES
View the document(introduction...)
View the documentDanger Signs
View the documentInjuries to the Eye
View the documentHow to Remove a Speck of Dirt from the Eye
View the documentChemical Burns of the Eye
View the documentRed, Painful Eyes - Different Causes
View the document‘Pink Eye’ (Conjunctivitis)
View the documentTrachoma
View the documentInfected Eyes in Newborn Babies (Neonatal Conjunctivitis)
View the documentIritis (Inflammation of the Iris)
View the documentGlaucoma
View the documentInfection of the Tear Sac (Dacryocystitis)
View the documentTrouble Seeing Clearly
View the documentCross-Eyes and Wandering Eyes
View the documentSty (Hordeolum)
View the documentPterygium
View the documentA Scrape, Ulcer, or Scar on the Cornea
View the documentBleeding in the White of the Eye
View the documentBleeding behind the Cornea (Hyphema)
View the documentPus Behind the Cornea (Hypopyon)
View the documentCataract
View the documentNight Blindness and Xerophthalmia (Vitamin A Deficiency)
View the documentSpots or 'Flies' before the Eyes (Mouches Volantes)
View the documentDouble Vision
View the documentRiver Blindness (Onchocerciasis)
close this folderChapter 17 - THE TEETH, GUMS, AND MOUTH
View the documentCare of the Teeth and Gums
View the documentIf You Do Not Have A Toothbrush
View the documentToothaches and Abscesses
View the documentPyorrhea, a Disease of the Gums
View the documentSores or Cracks at the Corners of the Mouth
View the documentWhite Patches or Spots in the Mouth
View the documentCold Sores and Fever Blisters
close this folderChapter 18 - THE URINARY SYSTEM AND THE GENITALS
View the document(introduction...)
View the documentUrinary Tract Infections
View the documentKidney or Bladder Stones
View the documentEnlarged Prostate Gland
View the documentDiseases Spread By Sexual Contact (Sexually Transmitted Diseases)
View the documentGonorrhea (Clap, VD, the Drip) and Chlamydia
View the documentSyphilis
View the documentBubos: Bursting Lymph Nodes in the Groin (Lymphogranuloma Venereum)
View the documentHow and When to Use a Catheter (A Rubber Tube to Drain Urine from the Bladder)
View the documentProblems of Women
View the documentVaginal Discharge (a mucus or pus-like stuff that comes from the vagina)
View the documentHow a Woman Can Avoid Many Infections
View the documentPain or Discomfort in the Lower Central Part of a Woman's Belly
View the documentMen and Women Who Are Not Able to Have Children (Infertility)
close this folderChapter 19 - INFORMATION FOR MOTHERS AND MIDWIVES
View the documentThe Menstrual Period (Monthly Bleeding in Women)
View the documentThe Menopause (When Women Stop Having Periods)
View the documentPregnancy
View the documentHow to Stay Healthy during Pregnancy
View the documentMinor Problems during Pregnancy
View the documentDanger Signs in Pregnancy
View the documentCheck-ups during Pregnancy (Prenatal Care)
View the documentRecord of Prenatal Care
View the documentThings a Mother Should Have Ready before Giving Birth
View the documentPreparing for Birth
View the documentSigns That Show Labor is Near
View the documentThe Stages of Labor
View the documentCare of the Baby at Birth
View the documentCare of the Cut Cord (Navel)
View the documentThe Delivery of the Placenta (Afterbirth)
View the documentHemorrhaging (Heavy Bleeding)
View the documentThe Correct Use of Oxytocics: Ergonovine, Oxytocin, Pitocin, etc.
View the documentDifficult Births
View the documentTearing of the Birth Opening
View the documentCare of the Newborn Baby
View the documentIllnesses of the Newborn
View the documentThe Mother's Health after Childbirth
View the documentChildbirth Fever (Infection after Giving Birth)
View the documentBreast Feeding - And Care of the Breasts
View the documentLumps or Growths in the Lower Part of the Belly
View the documentMiscarriage (Spontaneous Abortion)
View the documentHigh Risk Mothers and Babies
View the document(introduction...)
View the documentIs Birth Control Good - and Is It Safe?
View the documentChoosing a Method of Birth Control
View the documentBirth Control Pills (Oral Contraceptives)
View the documentOther Methods of Birth Control
View the documentCombined Methods
View the documentMethods for Those Who Never Want to Have More Children
View the documentHome Methods for Preventing Pregnancy
close this folderChapter 21 - HEALTH AND SICKNESSES OF CHILDREN
View the documentWhat to Do to Protect Children's Health
View the documentChildren's Growth - and the 'Road to Health'
View the documentChild Health Chart
View the documentReview of Children's Health Problems Discussed in Other Chapters
View the documentHealth Problems of Children Not Discussed in Other Chapters
View the documentEarache and Ear Infections
View the documentSore Throat and Inflamed Tonsils
View the documentRheumatic Fever
View the documentInfectious Diseases of Childhood
View the documentChickenpox
View the documentMeasles (Rubeola)
View the documentGerman Measles (Rubella)
View the documentMumps
View the documentWhooping Cough
View the documentDiphtheria
View the documentInfantile Paralysis (Polio, Poliomyelitis)
View the documentHow to Make Simple Crutches
View the documentProblems Children Are Born With
View the documentDislocated Hip
View the documentUmbilical Hernia (Belly Button That Sticks Out)
View the documentA 'Swollen Testicle' (Hydrocele or Hernia)
View the documentMentally Slow, Deaf, Or Deformed Children
View the documentThe Spastic Child (Cerebral Palsy)
View the documentRetardation in the First Months of Life
View the documentSickle Cell Disease (Sickle Cell Anemia)
View the documentHelping Children Learn
close this folderChapter 22 - HEALTH AND SICKNESSES OF OLDER PEOPLE
View the document(introduction...)
View the documentSummary of Health Problems Discussed in Other Chapters
View the documentOther Important Illnesses of Old Age
View the documentHeart Trouble
View the documentWords to Younger Persons Who Want to Stay Healthy When They Are Older
View the documentStroke (Apoplexy, Cerebro-Vascular Accident, CVA)
View the documentDeafness
View the documentLoss of Sleep (Insomnia)
View the documentDiseases Found More Often In People over 40 Years Old
View the documentCirrhosis of the Liver
View the documentGallbladder Problems
View the documentAccepting Death
close this folderChapter 23 - THE MEDICINE KIT
View the document(introduction...)
View the documentHow to Care for Your Medicine Kit
View the documentBuying Supplies for the Medicine Kit
View the documentThe Home Medicine Kit
View the documentThe Village Medicine Kit
View the documentWords to the Village Storekeeper (or Pharmacist)
close this folderTHE GREEN PAGES - The Uses, Dosage, and Precautions for the Medicines Referred to in This Book
View the document(introduction...)
View the documentInformation on Medicines
close this folderTHE BLUE PAGES - New Information
View the document(introduction...)
View the documentAIDS (Acquired Immune Deficiency Syndrome, HIV)
View the documentSores on the Genitals
View the documentCircumcision and Excision (Cutting Away Skin From the Sex Parts)
View the documentSpecial Care for Small, Early, and Underweight Babies-'Kangarooing'
View the documentEar Wax
View the documentLeishmaniasis
View the documentGuinea Worm
View the documentEmergencies Caused by Cold
View the documentHow to Measure Blood Pressure
View the documentPoisoning from Pesticides
View the documentComplications from Abortion
View the documentDrug Abuse and Addiction
View the documentVOCABULARY - Explaining Difficult Words
View the documentDosage Blanks - For Giving Medicines to Those Who Cannot Read
View the documentPatient Report
View the documentInformation on Vital Signs
View the documentBack cover



Look for the word in the VOCABULARY right after the green pages in the back of the book. Words explained in the Vocabulary are written in italics the first time they are used in a chapter.


Always look at the GREEN PAGES for information on uses, dosage, risks, and precautions.


1. Keep a Medicine Kit like the ones recommended in Chapter 23 handy in the house or in the village.

2. Study this book before it is needed, especially Chapter 10, FIRST AID, and Chapter 4, HOW TO CARE FOR A SICK PERSON.


Carefully study Chapter 11, on NUTRITION, and Chapter 12, on PREVENTION, and pay attention to the guidelines and precautions.


Organize a meeting of your neighbors, to study this book and discuss local health problems. Or ask a teacher to give classes to the children and adults, using the book. You will find many useful suggestions in the brown pages, WORDS TO THE VILLAGE HEALTH WORKER, in the first part of this book.