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扎伊尔是一个十分贫穷的国家。如同许多发展中国家一样,由于资源所限,政府从未能提供本打算提供的有效而充足的卫生保健服务。基于极端贫困和资源有限这一背景,扎伊尔在卫生健康体系的组织和筹资方面的政策成为第三世界的一个关注的问题。1982年扎伊尔在国内按一定的人口比例,分成306个卫生健康圈。每个卫生健康圈在农村平均有10万人,在城市则为15万人。每个圈包括一个有住院治疗安排的中心医院,加上15～20个附属卫生健康中心,并有村医务工作者和传统的接生员作为补充。这些卫生健康圈完全独立于卫生部,但
Zaire is a very poor country. Like many developing countries, the government has never been able to provide the effective and adequate health-care services it intends to provide because of its limited resources. Based on the background of extreme poverty and limited resources, Zaire’s policies on the organization and financing of health-care systems have become a matter of concern in the Third World. In 1982, Zaire was divided into 306 health circles according to a certain population proportion in the country. Each health circle has an average of 100,000 in rural areas and 150,000 in urban areas. Each circle includes a central hospital with inpatient treatment arrangements, plus 15-20 affiliated health centers, supplemented by village medical workers and traditional birth attendants. These health circles are completely independent of the Ministry of Health but