非洲医疗体制亟待改革
非洲医疗体制亟待改革

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Researchers recently completed a study of a new method of giving health care to women in Northern Nigeria(尼日利亚). They found women and children would use health services more often when they could see a female health worker.

Northern Nigeria is conservative (保守的)area with a population that is mostly Muslim. Dr. Sally Findley is a professor at Columbia University Medical Center. She co-wrote the report on the study. She said it is unusual for women to work as health care providers there.

Nigeria has one of the world's highest death rates of women connected with pregnancy and childbirth. This is called the "maternal death" rate. The worst rate of maternal death in Nigeria is in the northern region.

Male health workers do travel from town to town, but many women patients do not want to talk with a man about their own health care needs.

Dr. Findley said the trial study in Jigawa state required that many in the community be involved. It also needed support from religious leaders, even on such matters as transportation for the workers.

The program brought women into northern Nigeria as Community Health Extension Workers. It seems they were a big success in their community. There were five times more visits to the health center after the women health workers arrived than before. Dr. Findley said the program changed the minds of the women taking part.

The women of northern Nigeria could get health care at all hours in the local clinic. Mothers got help from women when they had normal births. If a mother giving birth needed more help, the Community Health Extension Workers sent her to a hospital. They also gave advice on family planning.

State officials in Jigawa were happy with the positive results of the study. They plan to expand the program of women community health workers.


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1.It can be inferred from the first paragraph that________.

A researchers like to give health care to women in Northern Nigeria

B in Northern Nigeria women and children only like women doctors

C researchers studied a new method of giving health care to women in Northern Nigeria

D in Northern Nigeria women tend to seek help from female doctors

解析:选D。D。 推理判断题。第1段第2句women and children would use health services more often when they could see a female health worker。如果是女性医疗工作者,妇女和儿童都更容易去寻求帮助。

2.What is ‘maternal death’?

A Women die when giving birth.

B Women die of pregnancy.

C Women were killed by their baby.

D Both A and B.

解析:选D。D。细节理解题。根据文中第3段的This is called ‘maternal death rate’中的this指的是前面的the death of women with pregnancy and childbirth。

3.Which is not the reason that Northern Nigeria has the worst maternal death rate?

A The population there is mostly Muslin.

B Few women work as health care providers.

C Women don’t want to talk with men doctors.

D They are conservative.

解析:选A。A。推理判断题。根据文中所提及的女性医疗工作者少、女性不愿与男性医疗工作者谈病情、思想保守可知,这些因素共同导致孕妇高死亡率。Muslin是宗教信仰,这与女性死亡率无关。

4.It is________that changed the situation of women health care in Northern Nigeria.

A changing the minds of women

B giving them advice on family planning

C bringing women doctors to the area

D sending women with babies to hospitals

解析:选C。C。细节理解题。从第6段可知答案。

5.What do we know from the last paragraph?

A The transportation of the country will be improved.

B The government will expand the program.

C Dr. Sally Findley will continue her research.

D Dr. Sally Findley will be sent to another hospital.

解析:选B。B。细节理解题。政府对本次研究结果很满意,有打算推广此法的计划。