ABSTRACT

The PRINAPS program, designed to be carried out within the framework of the health system, has worked on strengthening the position of all members of the health team. The program is leading the way in gaining experience in the development of job descriptions for various levels of health personnel and training materials for rural health promoters (RHPs). Data from the baseline survey and from the anthropological survey under way will provide information for project evaluation. In order to improve rural health outreach, the Ministry of Public Health and Social Assistance has defined a number of new worker categories and has been testing different training programs for these workers. One important function of the tecnicos de salud rural (TSR) is the training and supervision of RHPs, volunteers who receive no salary. Reports from RHPs, TSRs, doctors, and social workers seem to indicate that interpersonal work relationships have improved over the life of the project to date.