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“The Refer Less Resolve More” Initiative: A Five-year Experience from CMC Vellore, India.

Reports on a distance learning programme offered by CMC Vellore, a medical education institution in India.
In response to the vast healthcare needs of the country, attempts have been made to extend sustainable rural health services with a small number of CHW programs formed through international and community partnerships. The purpose of the current mixed methods research was to evaluate the efficacy, sustainability, and cultural compatibility of an annual volunteer-led training program for CHWs in rural southeast Haiti.
This article derives lessons from international experience of innovative rural health placements for medical students. It provides pointers for strengthening South African undergraduate rural health programmes in support of the government’s rural health, primary healthcare and National Health Insurance strategies.
 The Friends of Mosvold Scholarship Scheme in northern KwaZulu-Natal is a locally based scholarship scheme that offers the local community a chance to develop its own human resources for health care. This concept is being extended to the Limpopo and North-West provinces through the Wits Initiative for Rural Health Education. The scheme provides a model for human resource development at a district level that could be usefully adopted by any tier of government.

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