Answer


The article illustrates/explains a process. At each stage of the process, people are responsible for part of it. This is called the supply chain. This process takes place all over the world, in most healthcare settings.


D


Students read the whole article. They order the steps in pairs or a group.


Answers purchasing


packing


manufacturing E


Answers See Exercise D.


Grammar for reading: Identifying the subject and the verb (2)


Work through the table. Get students to tell you the subject and the verb in each case. Don’t worry about the extra information after the verb – this is dealt with later, beginning in the next lesson.


Put students into pairs to find the subjects in the second paragraph. Feed back, ideally with a visual medium of the text for marking up.


Answers


(bold = subject; italics = verb) It’s a process and it happens all over the world. A factory manufactures medications: pills, injections, etc. Another company packs them. A lorry transports them to a distributor. The distributor sells them to a purchaser. The purchasers buy medications for an area, or group of hospitals or pharmacies. Finally, the nurse or the doctor brings the medicines to you.


4 2


use 5 transport


3 1


Students label the chain on page 43 using the labels from Exercise D.


Getting better


Make notes from a text Say large numbers


Identify subject, verb and object (SVO) in written sentences Practise writing SVO sentences


Research information for writing a paragraph about healthcare in a country


Content note Ask students to search for a map of Malawi online, and to find out information about Malawi.


A


1. Elicit ideas about healthcare problems in developing countries. Don’t confirm or correct.


2. Elicit what students know about Malawi. Write questions on the board, such as: Where is it? What is it like? What are its most important products? Which countries is it near? Brainstorm and make a list.


Possible answers


1. Rich people get the best care. Poor people can’t pay. Governments don’t have enough money. Drinking water or food isn’t safe.


2. Further information can easily be found online.


B Students read the website and complete the information in pairs or groups. Elicit answers and let students show where they found evidence for their answers.


Answers


1. Natural attractions: Great Rift Valley, Lake Nyasa 2. Cities: Lilongwe 3. Health services: public and private hospitals, regional health centres


4. Health industry: pharmaceutical manufacturing 5. Life expectancy: 54.8 years 6. Health risks: AIDS/HIV, infectious diseases


C


Students discuss in pairs or groups what they find most interesting about Malawi. They report back to the class.


Pronunciation: Saying large numbers Read the box and practise saying the numbers. Play the recording.


Transcript 058


one point one million, twenty-four point six billion, one point five seven trillion


49


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64  |  Page 65  |  Page 66  |  Page 67  |  Page 68  |  Page 69  |  Page 70  |  Page 71  |  Page 72  |  Page 73  |  Page 74  |  Page 75  |  Page 76  |  Page 77  |  Page 78  |  Page 79  |  Page 80  |  Page 81  |  Page 82  |  Page 83  |  Page 84  |  Page 85  |  Page 86  |  Page 87  |  Page 88  |  Page 89  |  Page 90  |  Page 91  |  Page 92  |  Page 93  |  Page 94  |  Page 95  |  Page 96  |  Page 97  |  Page 98  |  Page 99  |  Page 100  |  Page 101  |  Page 102  |  Page 103  |  Page 104  |  Page 105  |  Page 106  |  Page 107  |  Page 108  |  Page 109  |  Page 110  |  Page 111  |  Page 112  |  Page 113  |  Page 114  |  Page 115  |  Page 116  |  Page 117  |  Page 118  |  Page 119  |  Page 120  |  Page 121  |  Page 122  |  Page 123  |  Page 124  |  Page 125  |  Page 126  |  Page 127  |  Page 128  |  Page 129  |  Page 130  |  Page 131  |  Page 132  |  Page 133  |  Page 134  |  Page 135  |  Page 136  |  Page 137  |  Page 138  |  Page 139  |  Page 140  |  Page 141  |  Page 142  |  Page 143  |  Page 144  |  Page 145  |  Page 146  |  Page 147  |  Page 148  |  Page 149  |  Page 150  |  Page 151  |  Page 152  |  Page 153  |  Page 154  |  Page 155  |  Page 156  |  Page 157  |  Page 158  |  Page 159  |  Page 160  |  Page 161  |  Page 162  |  Page 163  |  Page 164  |  Page 165  |  Page 166  |  Page 167  |  Page 168  |  Page 169  |  Page 170  |  Page 171  |  Page 172  |  Page 173  |  Page 174  |  Page 175  |  Page 176  |  Page 177  |  Page 178  |  Page 179  |  Page 180  |  Page 181  |  Page 182  |  Page 183  |  Page 184  |  Page 185  |  Page 186  |  Page 187  |  Page 188  |  Page 189  |  Page 190  |  Page 191  |  Page 192  |  Page 193