KAREN:  Back to the time of the health aides, how much interaction did you have with the doctors and what kind of relationships were established between you as a health aide and the doctors? 

PAULA:  Well, we used to, like I said, we used to report our patients every day all the time.  And when I have emergency, I would call them and they would be so nice, even at night, and just help me just by phone giving me advice and tell me what to do.  And -- or when they are in the village, you know, we work together, same with the Public Health nurse. 

KAREN:  And how often would they come to the -- would the doctors come to the village? 

PAULA:  Usually once a year, I think, once a year the doctor comes. 

The Public Health nurse comes to village maybe two or three times a year.  I don't know how long -- how often they are coming to the village now.  Seems like it's even maybe -- maybe the doctor comes to the village once a year now. 

And as -- as supervisor instructor, I don't have very much contact with the doctor, but we used to go to our villages every two -- two times a year anyway. 

KAREN:  What was that interaction like with the doctors?  Was it -- how were you treated by them? 

PAULA:  They were -- they were very helpful and supportive, you know, towards me anyway, in the village, you know. 

They -- I'd have lots of questions and they'd give me all the information.  And so like -- like while ago I said when we first got clinic when the doctor comes to village, he would be working out of clinic, and he was encouraging people, they have to come to clinic. 

Same with the Public Health nurse.  They have to come to the clinic.  They have to start using the clinic, you know.  So people start going to clinic. 

And then later on, we -- we schedule, we made schedules, so that we started appointment system in the clinic.  So people have to make appointment in order to be seen at the clinic now.  In the past, they just come when they -- come any time.