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Barefoot Doctors in China

Barefoot doctors were farmers who received minimal basic medical and paramedical training and worked in rural villages in the People's Republic of China. Their purpose was to bring health care to rural areas where urban-trained doctors would not settle. They promoted basic hygiene, preventive health care, and family planning and treated common illnesses. The name comes from southern farmers, who would often work barefoot in the rice paddies.

In the 1930s, the Rural Reconstruction Movement had pioneered village health workers trained in basic health as part of a coordinated system, and there had been provincial experiments after 1949, but after Mao Zedong’s healthcare speech in 1965 the concept was developed and institutionalized. In his speech, Mao Zedong criticized the urban bias of the medical system of the time, and called for a system with greater focus on the well being of the rural population.  China’s health policy changed quickly after this speech and in 1968, the barefoot doctors program became integrated into national policy.  These programs were called “rural cooperative medical systems” (RCMS) and strove to include community participation with the rural provision of health services.  Barefoot doctors became a part of the Cultural Revolution, which also radically diminished the influence of the Weishengbu, China's health ministry, which was dominated by Western-trained doctors.

Barefoot doctors acted as a primary health-care provider at the grass-roots level. They were given a set of medicines, Western and Chinese that they would dispense. Often they grew their own herbs in the backyard. As Mao had called for, they tried to integrate both Western and Chinese medicine, like acupuncture and moxibustion. An important feature was that they were still involved in farm work, often spending as much as 50% of their time on this - this meant that the rural farmers perceived them as peers, and respected their advice more. They were integrated in a system where they could refer seriously ill people to township and county hospitals.

Barefoot doctors provided mostly primary health care services, and focused on prevention rather than treatment.  They provided immunizations, delivery for pregnant women, and improvement of sanitation.  The income of the barefoot doctors was calculated as if it were agricultural work; they were paid roughly half of what a classically trained doctor made.  This funding came from collective welfare funds as well as from local farmer contributions (from 0.5% to 2% of their annual incomes). This program was successful in part because the doctors were selected and paid by their own villages. By the 1960s, there were RCMS programs in 90% of China's rural villages.

The work of the barefoot doctors effectively reduced health care costs in the People’s Republic of China, and provided primary care treatment to the rural farming population. The World Health Organization regarded RCMS as a “successful example of solving shortages or medical services in rural areas”.

Reference: http://en.wikipedia.org/wiki/Barefoot_doctor