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(单词翻译:双击或拖选)
Voice 1
Voice 2
And I'm Adam Navis. Spotlight uses a special English method of broadcasting. It is easier for people to understand, no matter where in the world they live.
Voice 1
The village of Jawalke, India is like many other poor villages in India. Houses have dirt floors. Animals walk around outside. Clothes dry on a line. Small fires cook bread. But Jawalke does have something different than many other poor villages.
Voice 2
Sarubai Salve and Babai Sathe are two female2 health workers. They walk through the streets every day visiting people. They are responsible3 for keeping the people of the village healthy. They help women before, during, and after pregnancy4. They measure blood pressure. They visit old people and people recovering from diseases5. They are village health workers and this is their story.
Voice 1
But today's Spotlight is on more than just these two women. Today's Spotlight is on how village health workers like Salve and Sathe are changing life for the people in hundreds of villages in India. And while they do this, they are changing their own lives as well.
Voice 2
It is difficult to keep a doctor working in a poor country. Often, doctors leave for richer countries. There are many reasons that this happens. Most doctors from poor countries became doctors for the same reason that anyone becomes a doctor: to make a good living. Doctors can earn more money in more wealthy countries. There are programs that encourage doctors to work in poor countries. And some doctors do work in poor countries because they have a caring heart. But adding doctors to a poor country may not be the solution to a country's health problems.
Voice 1
The country of Malawi is a good example. It has three doctors for every one hundred fifty thousand [150,000] people. Even if it could have two times as many doctors in the country, there would still not be enough. Also, doctors often stay in larger cities where there are hospitals and more resources6. In places like Malawi and India, village health workers offer a real chance at improving the health of poor people outside the large cities.
Voice 2
In 1970, doctor Raj Arole and his wife began a program called, "Jamkhed." It is named after the village where the program began. The goal of this program is to encourage health among the very poor. They found an old animal hospital and they made it into a hospital for people. This served as their base for their work. Tina Rosenberg, a writer for National Geographic7 Magazine, writes,
Voice 3
"Arole knew that treatment could do very little for the poor. They needed to encourage the prevention8 of sickness in the villages. So they decided9 to work with the villagers themselves. Arole says that a village health worker can take care of eighty [80] percent of the village's health problems. This is because most problems are related10 to food and to the environment. Child death rate is three things: severe11 lack of food, diarrhoea, and breathing diseases. For all three, you do not need doctors. "Rural12 problems are simple," Arole says. "Safe drinking water, education, and getting rid of poverty13 will do more to aid health than medical tests and drugs."
Voice 1
Jamkhed is the program that trained the women health workers Salve and Sathe. When they first became health workers they were extremely14 poor. They were members of India's ‘Untouchable' group. They could not touch things that would touch people from higher groups. They could not wear shoes or pump their own water.
Voice 2
Neither woman had much education. Sathe was married at age ten. Salve was married at two years old! Neither felt they had much to offer. But Arole knew that this kind of woman was the key to encouraging health. He says,
Voice 4
"An educated15 woman probably comes from a higher group. She may not want to work for the poorest of the poor."
Voice 1
Arole believed that it was important that health workers could relate to poor people. They needed to know how people lived. They needed to be willing16 to work in difficult conditions. They needed to not care about praise and honour. This is why he started the Jamkhed project. The biggest problem was getting the women to believe in themselves.
Voice 2
When women begin the Jamkhed program, they would not look people in the eye when they talked. They did not feel they were intelligent. If someone asked, "Who is more intelligent - a woman or a rat?" They would answer, "A rat." The women slowly began to believe in themselves. But it was a process. Even once the women are health workers they continue to gather together. They discuss problems in their villages. They encourage one another in their work. They continue to learn more about different medical conditions.
Voice 1
The positive effects of having health workers like Sathe and Salve have come slowly. But it has made a big change. Salve has been working in Jawalke since 1984. She says that she has helped five hundred and fifty [550] mothers give birth. Not once has a mother or baby died in birth in her care.
Voice 2
Today there are health workers in three hundred [300] villages. In these villages, many of the traditional problems are almost gone. These include childhood diarrhoea, babies dying17 before birth, malaria18, skin diseases, and tuberculosis19. Almost half of children in India do not get enough to eat. But in villages with health workers, there are not even enough hungry children to count.
Voice 1
The Jamkhed program addresses total health. So the villages have improved their environment as well as their bodies. In places where there were no trees, trees have been planted. People are growing different fruits and vegetables. Each village now has clean water.
Voice 2
One of the greatest changes happens to the women who have become village health workers. Here again is what Sathe said to writer Tina Rosenberg:
Voice 5
"When I started as a health worker, I had no support from anyone. I had no education and no money. I was like a stone with no life. When I came to the program, they gave me shape and a life. I learned20 courage and boldness21. I became a human being."
Voice 1
The writer and producer of this program was Adam Navis. The voices you heard were from the United22 States and the United Kingdom. All quotes23 were adapted for this program and voiced by Spotlight. Computer users24 can hear our programs, read our scripts25, and see our word list on our website at www.Radio.English.net. This program is called "Village Health Workers."
Voice 2
If you have a comment or question for Spotlight you can email us. Our email address is Radio @ English . net. We hope you can join us again for the next Spotlight program. Thank you for listening. Goodbye!
点击收听单词发音
1 spotlight | |
n.公众注意的中心,聚光灯,探照灯,视听,注意,醒目 | |
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2 female | |
adj.雌的,女(性)的;n.雌性的动物,女子 | |
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3 responsible | |
adj.有责任的,应负责的;可靠的,可信赖的;责任重大的;vi.休息,睡;静止,停止 | |
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4 pregnancy | |
n.怀孕,怀孕期 | |
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5 diseases | |
n.疾病( disease的名词复数 );弊端;恶疾;痼疾 | |
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6 resources | |
n.勇气;才智;谋略;有助于实现目标的东西;资源( resource的名词复数 );[复数]物力;办法;来源 | |
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7 geographic | |
adj.地理学的,地理的 | |
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8 prevention | |
n.阻止,妨碍,预防 | |
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9 decided | |
adj.决定了的,坚决的;明显的,明确的 | |
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10 related | |
adj.有关系的,有关联的,叙述的,讲述的 | |
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11 severe | |
adj.严格的,凶猛的,严肃的,严重的,严厉的,朴素的 | |
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12 rural | |
adj.乡下的,田园的,乡村风味的 | |
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13 poverty | |
n.贫穷, 贫困, 贫乏, 缺少 | |
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14 extremely | |
adv.极其,非常,极度 | |
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15 educated | |
adj.受过教育的,有教养的 | |
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16 willing | |
adj.愿意的,自愿的,乐意的,心甘情愿的 | |
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17 dying | |
adj.垂死的,临终的 | |
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18 malaria | |
n.疟疾 | |
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19 tuberculosis | |
n.结核病,肺结核 | |
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20 learned | |
adj.有学问的,博学的;learn的过去式和过去分词 | |
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21 boldness | |
n.大胆,冒失,勇敢;魄力 | |
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22 united | |
adj.和谐的;团结的;联合的,统一的 | |
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23 quotes | |
v.引用,援引( quote的第三人称单数 );报价;引述;为(股票、黄金或外汇)报价 | |
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24 users | |
用户,使用者( user的名词复数 ) | |
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25 scripts | |
剧本( script的名词复数 ); 文字; 笔迹; (一种语言的)字母系统 | |
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