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Health and Family Planning in Community-Based Distribution Programs最新文献

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Research Design in the Evaluation of Operations Research Projects—A Framework 运筹学项目评估中的研究设计——a框架
Pub Date : 1900-01-01 DOI: 10.4324/9780429046315-26
R. Gray
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引用次数: 0
Research Program for the Training of Rural Health Promoters (PRINAPS) 农村卫生促进者培训研究计划
Pub Date : 1900-01-01 DOI: 10.4324/9780429046315-24
D. Aldana, Delgado Méndez
The objectives of Guatemalas research program for the training of rural health promoters (PRINAPS) are the following: 1) to form in 5 health areas 400 rural health promoters 200 of them with their respective wives or any other female relative that will live in the same house with the promoter; 2) develop 2 educational models in the training of rural health promoters--the traditional and the modular model; 3) establish a municipal sale of medicines in each of the 5 health areas in order to guarantee supplies for the rural health promoters of the program; and 4) to develop a supervisory model for the rural health promoter. The training program will last 36 months and it will provide training to 400 rural health promoters. Each promoter either alone or with an assistant will serve a population of about 250 persons. The total population covered by the trained promoters will be a little more than 100000 people in the 5 health areas. The physician of the district along with the technician in rural health will organize activities for continuous education. The promoters will be included. The design and evaluation plan of the investigation are summarized in tables. A series of motivational measures directed to the personnel of the health services have resulted in a greater acceptance of the family planning program in the working areas. This is important for it demonstrates that with the use of a similar methodology a new program can be implemented at the national level. The teachers guides and the promoter handbooks have developed in detail the themes of family planning. The promoters have begun the promotion and the sale of contraceptives to families in the community.
危地马拉农村健康促进者培训研究方案(PRINAPS)的目标如下:1)在5个保健区组建400名农村健康促进者,其中200人与各自的妻子或任何其他女性亲属同住;2)在农村健康促进员的培养中,形成传统模式和模块化模式两种教育模式;3)在5个卫生区域中的每一个建立市级药品销售点,以保证该方案的农村卫生推广人员的药品供应;4)建立农村健康促进者的监督模式。该培训计划将持续36个月,将为400名农村卫生促进者提供培训。每个促销员单独或与一名助手一起为大约250人服务。在5个卫生领域,训练有素的宣传人员所覆盖的总人口将略多于10万人。地区医生和农村卫生技术人员将组织继续教育活动。发起人将被包括在内。调查的设计和评估方案以表格形式总结。针对保健服务人员采取的一系列激励措施使计划生育方案在工作领域得到更大程度的接受。这一点很重要,因为它表明,通过使用类似的方法,可以在国家一级执行新的方案。教师指南和宣传手册详细阐述了计划生育的主题。发起人已经开始向社区的家庭推广和销售避孕药具。
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引用次数: 2
Community-Based Distribution of Low-Cost Family Planning and Maternal and Child Health Services in Rural Nigeria 在尼日利亚农村以社区为基础的低成本计划生育和妇幼保健服务的分配
Pub Date : 1900-01-01 DOI: 10.4324/9780429046315-22
Ladipo Oa, Weiss Em, D. Ge, J. Revson, Onadeko Mo, O. Ayeni
There is a need for low-cost family planning and maternal and child health (MCH) in rural Nigeria where the crude birth rate is 50/1000 death rate is 20/1000 and infant mortality rate is 111/1000; population growth is 3% and physician density is 1/60000 people. A program to train nurse-widwives in the supervision of community agents in MCH/family planning delivery of service information and supplies was tested in Akinyele North Local Government Area population 85000. Maternity centers supervised 18-32 agents who were equipped to give 1st aid primary care for malaria cough anemia worms and diarrhea for a voluntary nominal fee and free information. 1/3 of the agents were male volunteers 2/3 female traditional birth assistants (TBAs). Directed by the personnel of the Department of Obstetrics and Gynecology of University College Hospital Ibadan with foreign funding and technical assistance the project included a 2-week training course (to be reinforced by practical training) for the agents after their selection by village leaders during which they were trained to execute health education on a wide range of subjects from environmental health to contraceptive use and trained in the use of medical kits. Recordkeeping included inventory records for supplies especially drugs. Agents had some authority to refer patients to a health facility. Results of a 1980 preliminary survey showed a continued pronatalist sentiment and opposition to family planning decreasing slightly with age and education but with developed postpartum abstinence and prolonged breastfeeding. Involving village leaders in the project has apparently been effective and there is evidence of lives saved by agent referrals. During June 1985 over 1100 were treated for illness and 50 became new family planning acceptors. The initial field results will be useful as planning feedback.
尼日利亚农村地区的粗出生率为50/1000,死亡率为20/1000,婴儿死亡率为111/1000,因此需要实行低成本的计划生育和妇幼保健;人口增长率为3%,医生密度为六万分之一。在阿金耶勒北部地方政府区85000人口中,对护士寡妇进行培训,监督社区代理提供妇幼保健/计划生育服务信息和用品。妇产中心负责监督18-32名医务人员,这些医务人员有能力为疟疾、咳嗽、贫血、蠕虫和腹泻提供急救初级护理,只收取象征性的自愿费用和免费信息。1/3为男性志愿者,2/3为女性传统助产员(TBAs)。在外国资助和技术援助下,伊巴丹大学附属医院妇产科的工作人员指导下,该项目包括一个为期两周的培训课程(将通过实际培训加以加强),由村领导选出的代理人员在此期间接受培训,开展从环境卫生到避孕药箱使用等广泛主题的健康教育,并接受使用医疗包的培训。记录保存包括供应品,特别是药品的库存记录。代理人有权将病人转介到医疗机构。1980年的一项初步调查结果显示,随着年龄和受教育程度的增加,生育主义情绪和反对计划生育的情绪略有下降,但随着产后禁欲和延长母乳喂养的发展。让村领导参与该项目显然是有效的,有证据表明,通过代理推荐挽救了许多生命。1985年6月,1100多人接受了治疗,50人成为新的计划生育接受者。最初的实地结果将作为规划反馈有用。
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引用次数: 0
Nutrition and Family Planning: An Integrated Program in Bali, Indonesia 营养和计划生育:印度尼西亚巴厘岛的一个综合项目
Pub Date : 1900-01-01 DOI: 10.4324/9780429046315-16
D. Soejatni
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引用次数: 0
Oral Fluid Therapy and Diarrheal Mortality Among Children in Egyptian Villages 口服液治疗和腹泻死亡率在埃及农村儿童
Pub Date : 1900-01-01 DOI: 10.4324/9780429046315-10
B. Tekce
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引用次数: 0
Family Planning Components in Community-Based Distribution Projects Risk/Benefit Considerations in the Choice of Methods 社区分配项目中的计划生育组成部分——方法选择中的风险/收益考虑
Pub Date : 1900-01-01 DOI: 10.4324/9780429046315-6
R. Gray, M. Labbok
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引用次数: 0
Nutrition Activities in Community-Based Projects 社区项目中的营养活动
Pub Date : 1900-01-01 DOI: 10.4324/9780429046315-14
S. Huffman
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引用次数: 0
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Health and Family Planning in Community-Based Distribution Programs
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