- revised edition -

by
David Werner
with
Carol Thuman and Jane Maxwell

Figure

with drawings by David Werner

© Copyright The Hesperian Foundation, 1919 Addison Street, Suite 304,
Berkeley, California 94704, USA

First English edition 1977, revised from the Spanish Donde No Hay Doctor. Second, slightly revised printing March 1978. Third, slightly revised printing September 1978.

First English international edition published 1979; reprinted with slight
revision 1980
Reprinted 20 times
This revised English edition published 1993

Published by
MACMILLAN EDUCATION LTD
London and Oxford
Companies and representatives throughout the world

ISBN 0-333-51651-6 (Pbk)

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This book is printed on paper suitable for recycling and made from fully managed and sustained forest sources.

A catalogue record for this book is available from the British Library

Printed in Malaysia

Any parts of this book, including the illustrations may be copied, reproduced, or adapted to meet local needs, without permission from the author or publisher, provided the parts reproduced are distributed free or at cost - not for profit. For any reproduction with commercial ends, permission must first be obtained from the author or the Hesperian Foundation. The author would appreciate being sent a copy of any materials in which text or illustrations have been used.

Note to those considering translation: To avoid duplication of efforts, and for suggestions about adapting the information in this book, before beginning any translation please contact the Hesperian Foundation.

THIS REVISED EDITION CAN BE IMPROVED WITH YOUR HELP. If you are a village health worker, doctor, mother, or anyone with ideas or suggestions for ways this book could be changed to meet the needs of your people better, please write to the author at the Hesperian Foundation address. Thank you for your help.

Cover photograph courtesy of Dr John Hubley

Thanks to the work and dedication of many groups and individuals around the world. Where There Is No Doctor has been translated into more than 50 languages. The following are some of the translations and the addresses where you can obtain them.

SPANISH AND ENGLISH:

The Hesperian Foundation
1919 Addison Street, Suite 304
Berkeley, CA 94704
U.S.A.

HINDI AND ENGLISH:

VHAI
40, Institutional Area
(Near Qutab Hotel, S. of I.T.T.)
New Delhi, 11016 INDIA

SPANISH:

Editorial Pax-México
Ave. Cuauhtémoc 1434
México, D.F. 03310 MEXICO

PORTUGUESE:

Edicoes Paulinas
Caixa Postal 8. 107
Sao Paulo, S.P. BRAZIL

ARABIC:

Arab Resource Collective
P.O. Box 7047
Nicosia, CYPRUS

INDONESIAN:

Yayasan Essentia Medica
P.O. Box 58
Yogyakarta, INDONESIA

SWAHILI:

Rotary Club of Dar es Salaam
P.O. Box 1533
Dar es Salaam, TANZANIA

VIETNAMESE:

CIDSE-Vietnam
G.P.O. Box 2914
General Post Office
Bangkok, THAILAND

ITALIAN:

Lay Volunteers Internat'l Assoc.
Via Meucci 35
12100 Cuneo, ITALY

For information about lower costs in poor countries or for large orders, contact the Hesperian Foundation, TALC or one of the other addresses.

Please write to the Hesperian Foundation for information on other editions, including Amharic, Bengali, Chinese, Dari, German, Iban, Kannada, Korean, Lao, Marathi, Marshallese, Miskito, Nepalese, Pushtu, Quechua, Shuar, Sindhi, Sinhala, Tamil, Thai, Tigre, Tigrina, Tswana, and Urdu as well as English editions adapted for specific countries.

Where There is No Doctor - A new revised edition for Africa A new revised edition of the special English language edition for Africa is now available. It has been edited to take into account medical conditions which are more prevalent in Africa, as well as social and cultural factors. The illustrations have been placed in the African context. It is available from The Macmillan Press Ltd and from TALC, P.O. Box 49, St. Albans, Herts AL1 4AX. U.K. ISBN 0-333-51652-4 Tel: + 44 727 853869 Fax: +44 727 846852