Yakanyorwa naShelly Ten Napel, Chief Executive Officer

Gore rino rinoratidza chiitiko chakakosha cheCHAD—kusvitsa kwedu makore makumi mana sePrimary Care Association ichishanda munzvimbo dzehutano kuNorth Dakota neSouth Dakota. Kubva 40, CHAD yakashanda pamwe chete nezvipatara kuona kuti nharaunda yese, zvisinei nekuti yekumaruwa kana yemudhorobha sei, inowana rubatsiro rwehutano rwakachipa, rwemhando yepamusoro, uye rwakavimbika.
Kupemberera gore rino, vashandi veCHAD vakaungana kwemazuva maviri ekufungisisa, kubatana, uye nharaunda. Zuva rekutanga rakatanga nekutarisa kumashure kunhoroondo yeCHAD kuburikidza nemifananidzo, marogo, uye nyaya dzakaumba rwendo rwedu. Boka revashandi vekare uye venguva refu vakagovana maonero avo, vachipa nzwisiso yakakosha yekuti CHAD yakashanduka sei ichiramba yakatendeka kuchinangwa chayo.

Imwe yeakanakisa kwandiri mukuvaka ajenda ye40 yeduth kupemberera zuva rekupemberera waive mukana wekupedza nguva nemutungamiri weCHAD, Scot Graff. Takarekodha nyaya kubva kumakore ekutanga, sekufunga kwake kuti - CHAD isati yavambwa - aishanda ega munzvimbo yehutano asingazive kuti aive nevamwe vaaishanda navo mudunhu rese. Nhasi, tine a network yakasimba yenzvimbo dzehutano munharaunda uye Tribal uye Urban Indian hutano nzvimbo vane kudyidzana kwakawanda, senge network yedata yakagovaniswa, chikuva chekunyorera, uye matimu ekudzidza/mataneti anoshanda munzvimbo dzakasiyana siyana semhando yekiriniki, hutano hwehunhu, zviwanikwa zvevanhu, kutaurirana nezvimwe. Kana iwe uchifarira kuumba zano uye kugovera zvakanakisa maitiro, funga kujoinha chimwe cheCHAD's network timu kuti ubatane nevezera rako uye kusimbisa hutano hwehutano. Bata darci@communityhealthcare.net kuti ubatanidzwe.
Ini ndaidawo kudzidza zvakawanda nezve mangani emasaiti edu ekumaruwa ekuSouth Dakota akatanga kuburikidza ne Rural Health Initiative mukupera kwemakumi manomwe akagadzirirwa kusimbisa nekuchengetedza kuwanikwa kwekuchengetwa munharaunda dzekumaruwa. Kuburikidza neRural Health Initiative, mabhodhi akawanda emunharaunda-akavakirwa munharaunda uye nheyo dzakavambwa kutungamira nzvimbo dzehutano munharaunda, uye basa repakati-level rakasimbiswa, kunyangwe kushandisa varapi vakamboshanda muVietnam. Patiri kufunga nezve Rural Health Transformation Fund gore rino, ndanga ndichifunga nezve mavakirwo atingaite zvivakwa zvekugara, hukama, uye kuwedzera mazano matsva nenzira dzinoita. chengetedza kuwanikwa kwekumaruwa kwekuchengetwa kwemakore anotevera, zvakafanana neRural Health Initiative iyo yakatanga basa redu makore anopfuura 40 apfuura.
Scot yakagoverawo nhoroondo yekutanga yedzimwe nzvimbo dzedu dzemudhorobha, uko kudyidzana pakati pezvirongwa zvekurapa zveyunivhesiti zvakatungamira mukugadzwa kwenzvimbo dzehutano dzenharaunda dzakashanda senzvimbo dzekudzidzira pekugara muSioux Falls, Rapid City, neFargo. Chete nzvimbo yehutano yeSioux Falls inoenderera senzvimbo yekudzidzira pekugara, asi kuvandudzwa kwevashandi kunoenderera mberi sechinhu chepamusoro-soro chenzvimbo dzehutano avo vachiri kunetseka kupinza vashandi munzvimbo dzine kushomeka kwenyanzvi dzehutano. Nhasi, nzvimbo dzehutano dziri kushingaira kutarisana ne "pombi yevashandi" kubva pakugamuchira makambi echikoro chepakati, kusvika kukubatana nechikoro chesekondari HOSA (Health Occupations Students of America), kubata zvirongwa zvekudzidzisa vadzidzi zvakasiyana-siyana zvinosanganisira mukoti, utsanana, vanachiremba, kudzidzira zvekurapa uye mazino uye nezvimwe, kuisa pamwe chete kudyara mukudzidziswa kwevashandi varipo uye kusimudzira vashandi. Muchokwadi, CHAD iri kutambira LeadU kudzidziswa kutsigira vatariri vatsva uye varipo nemaneja munaGunyana 3 muRapid City, South Dakota, uye Gumiguru 1 muJamestown, North Dakota.
Apo tinopemberera makore makumi mana ebasa, CHAD yakatarisanawo neramangwana. Tarisa zvedu 3-gore chirongwa chirongwa kuona kuti tinoronga sei kuvaka kune kusimudzira, kuwana rubatsiro, kuvandudzwa kwemhando, mari yevashandi, uye kugona kwesangano.
Pamwe chete nenhengo dzedu dzenzvimbo dzehutano, takazvipira kusimudzira hunyanzvi, kukurudzira kubatana, uye kugadzirisa zvinogara zvichichinja zvinodiwa munharaunda dzatinoshandira. Matambudziko ari mberi akakosha — asi nemikanawo yekuvaka nharaunda dzine hutano, dzakasimba mhiri kweDakotas.
Zvakapfuura zvedu zvakatipa nheyo yakasimba. Ramangwana redu rinozotsanangurwa nekuzvipira kwedu pamwe chete kwekuona kuti munhu wese-zvisinei nekwaanogara kana mamiriro ake ezvinhu-anokwanisa kuwana rubatsiro rwaanoda uye rwakakodzera.
