Demystifying the Maoist barefoot doctors of Nepal.
Though not purposefully targeted, Nepal's decade-long violent conflict waged by the United Communist Party Nepal-Maoist (UCPN-M) has had considerable impact on the health of the population. Fairly early on the UCPN-M established its own primary health care services in the rural areas under its control. This questionnaire study included 197 Maoist health workers recruited from a wide range of backgrounds in terms of age, experience, gender, caste and ethnicity, and schooling. Many appear to be young paramedics with few skills, who received a short training during the decade long conflict. For two-thirds of them political ideology was a key motivating factor for joining, and for unemployed youths this proportion was significantly higher. Nine out of 10 considered themselves as 'qualified' to work as support level health workers in the future. Regression analysis shows that a significantly higher proportion of women and those with previous academic and basic type of training were willing to integrate/rehabilitate into the mainstream health sector since the conflict ended in 2006. It is important to capitalize upon this opportunity to redevelop the health services, especially in rural areas in Nepal, and to contribute to the peace process.
Devkota
Bhimsen
B
Section of Population Health, University of Aberdeen, Aberdeen, AB25 2ZD, Scotland, UK. b.devkota@abdn.ac.uk
van Teijlingen
Edwin
E
D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D002960:Civil Disorders; D002983:Clinical Competence; D003148:Communism / Q000639:trends*; D003150:Community Health Workers / Q000706:statistics & numerical data / Q000639:trends*; D003430:Cross-Sectional Studies; D003695:Delivery of Health Care / Q000458:organization & administration / Q000639:trends; D003906:Developing Countries; D004522:Educational Status; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D008507:Medically Underserved Area; D009042:Motivation; D009390:Nepal; D011057:Politics; D011634:Public Health / Q000639:trends; D012423:Rural Health / Q000639:trends*; D011795:Surveys and Questionnaires; D014754:Violence / Q000639:trends*; D014857:Warfare; D055815:Young Adult