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  3. The Functions and Development of the Community Health Workers AIDS can kill by disgrace even when lifesaving medical treatme

The Functions and Development of the Community Health Workers AIDS can kill by disgrace even when lifesaving medical treatme

admin2013-01-10  62
问题           The Functions and Development of the Community Health Workers
    AIDS can kill by disgrace even when lifesaving medical treatment is available. Until recently, an HIV-infected woman in Sauri, Kenya, was discouraged by her husband, also HIV-infected, from seeking medical care because of his fear of disgrace. All too often, death quickly ensues in such cases. But not in this one. Husband and wife were saved by Mary Wasonga, a fellow villager recently trained to be a community health worker by the Millennium Village Project, which is helping more than 400,000 people in dozens of African communities fight extreme poverty, hunger and disease. Wasonga visited the couple and encouraged them to get home-based HIV testing and counseling, and then helped them enroll in a treatment program. Indeed, she and the 82 other community health workers in Sauri have helped thousands of villagers do the same.
    These workers also attend to women in labor who need urgent transport to a delivery room, individuals too weakened by cholera to get to a clinic, children with malaria and many others. They do this with one year of on-the-job training that builds on at least some secondary education. That basic training is enough to save lives in vast numbers.
    Across Africa, Asia and Latin America, programs are under way that are reminiscent of China’s successful use of village-based health workers—the so-called barefoot doctors—a few decades ago, but today’s workers have even better health-care tools. The mother of all community health efforts is India’s National Rural Health Mission. Initiated by Prime Minister Manmohan Singh and spearheaded by the young, dynamic Minister of Health, Dr. Anbumani Ramadoss, the program has, in just over three years, mobilized more than half a million new community health workers, each known as an ASHA—short for "accredited social health activist," and the Hindi word for hope.
    Technology companies and foundations are also joining the effort to support community health workers. Mobile-phone giant Ericsson is empowering these workers with phones and support systems for training, reporting vital statistics and calling ambulances, among other services. In India, Saty-am Computer Services and other organizat-ions have partnered with the state government of Andhra Pradesh to provide emerg-encyrresponse coverage for 80 million people. The Gates Foundation is similarly stepping up its programs of mobile-phone-based health delivery.
    In the coming years, community health workers can support a breakthrough in the decisive control of many devastating diseases. The rich world can help through expanded financial support for community health workers and training programs by its universities. And the U. S. can learn something from these programs: we too need to enlist more community workers to help our own poor and vulnerable.
In the first paragraph, why did the husband discourage his wife from getting medical care?
选项 A、Because he wanted to die with his wife together.
B、Because he knew no medical was effective.
C、Because he was afraid of being despised by others.
D、Because no one offered help to him.
答案C
解析 事实细节题。本题考查丈夫阻挠妻子寻求医疗救助的原因。第一段第二句指出because of his fear of disgrace，即丈夫害怕遭人耻笑，由此判断[C]正确。[A]、[B]和[D]的说法在文中均未体现。
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