Abstract
A project aiming at creating a model for comprehensive maternal and child health care for urban underdeveloped areas was started in a new settlement area of migrants in the vicinity of Istanbul. The project had an impact on health care status, particularly among infants and children, but the results indicated that more effort was needed to reach the mothers. It was noted that building space and the appearance of the work place influenced the prestige of the team. Absentee problems could be partly surmounted by repeated home visits. Based on this experience, it was concluded that health services in underdeveloped areas need to be supported by non medical personnel to act as home visitors and as mediators between the community and the health team. It was also concluded that an established recording system to include both clinical data and attendance is needed to define the cases who need special care.
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Ayşen Bulut is Associate Professor of Public Health; Nedret Uzel is Professor of Paediatrics; Olcay Neyzi is Professor of Paediatrics and Director of the Institute of Child Health, University of Istanbul, Çapa, Istanbul 34390, TURKEY
Türkan Kutluay is Professor of Nutrition and Dietetics in the University of Hacettepe. Sihhiye, Ankara, TURKEY
The project was supported by the Pathfinder Foundation
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Bulut, A., Uzel, N., Kutluay, T. et al. Experiences of a health team working in a new urban settlement area in Istanbul. J Community Health 16, 251–258 (1991). https://doi.org/10.1007/BF01320333
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DOI: https://doi.org/10.1007/BF01320333