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Health surveys and use of maternal and child health care services in three municipalities within the Sao Paulo metropolitan area

CARVALHO, Wladithe Organ de; CESAR, Chester Luiz Galvao; CARANDINA, Luana; BARROS, Marilisa Berti de Azevedo; ALVES, Maria Cecilia Goi Porto; GOLDBAUM, Moises
Fonte: PAN AMER HEALTH ORGANIZATION Publicador: PAN AMER HEALTH ORGANIZATION
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
66.19%
Objectives. To describe the changes in the use of maternal and child health care services by residents of three municipalities-Embu, Itapecerica da Serra, and Taboao da Serra-in the Sao Paulo metropolitan area, 12 years after the implementation of the Unified Health System (SUS) in Brazil, and to analyze the potential of population-based health care surveys as sources of data to evaluate these changes. Methods. Two population-based, cross-sectional surveys were carried out in 1990 and 2002 in municipalities located within the Sao Paulo metropolitan area. For children under 1 year of age, the two periods were compared in terms of outpatient services utilization and hospital admission; for the mothers, the periods were compared in terms of prenatal care and deliveries. In both surveys, stratified and multiple-stage conglomerate sampling was employed, with standardization of interview questions. Results. The most important changes observed were regarding the location of services used for prenatal care, deliveries, and hospitalization of children less than 1 year of age. There was a significant increase in the use of services in the surrounding region or hometown, and decrease in the utilization of services in the city of Sao Paulo (in 1990...

Health surveys and use of maternal and child health care services in three municipalities within the São Paulo metropolitan area

de Carvalho, Wladithe Organ; Galvao Cesar, Chester Luiz; Carandina, Luana; de Azevedo Barros, Marilisa Berti; Goi Porto Alves, Maria Cecilia; Goldbaum, Moises
Fonte: Pan Amer Health Organization Publicador: Pan Amer Health Organization
Tipo: Artigo de Revista Científica Formato: 314-323
SPA
Relevância na Pesquisa
66.19%
Objectives. To describe the changes in the use of maternal and child health care services by residents of three municipalities-Embu, Itapecerica da Serra, and Taboao da Serra-in the São Paulo metropolitan area, 12 years after the implementation of the Unified Health System (SUS) in Brazil, and to analyze the potential of population-based health care surveys as sources of data to evaluate these changes.Methods. Two population-based, cross-sectional surveys were carried out in 1990 and 2002 in municipalities located within the São Paulo metropolitan area. For children under 1 year of age, the two periods were compared in terms of outpatient services utilization and hospital admission; for the mothers, the periods were compared in terms of prenatal care and deliveries. In both surveys, stratified and multiple-stage conglomerate sampling was employed, with standardization of interview questions.Results. The most important changes observed were regarding the location of services used for prenatal care, deliveries, and hospitalization of children less than 1 year of age. There was a significant increase in the use of services in the surrounding region or hometown, and decrease in the utilization of services in the city of São Paulo (in 1990...

Health surveys and use of maternal and child health care services in three municipalities within the Sao Paulo metropolitan area

CARVALHO, Wladithe Organ de; CESAR, Chester Luiz Galvao; CARANDINA, Luana; BARROS, Marilisa Berti de Azevedo; ALVES, Maria Cecilia Goi Porto; GOLDBAUM, Moises
Fonte: PAN AMER HEALTH ORGANIZATION Publicador: PAN AMER HEALTH ORGANIZATION
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
66.19%
Objectives. To describe the changes in the use of maternal and child health care services by residents of three municipalities-Embu, Itapecerica da Serra, and Taboao da Serra-in the Sao Paulo metropolitan area, 12 years after the implementation of the Unified Health System (SUS) in Brazil, and to analyze the potential of population-based health care surveys as sources of data to evaluate these changes. Methods. Two population-based, cross-sectional surveys were carried out in 1990 and 2002 in municipalities located within the Sao Paulo metropolitan area. For children under 1 year of age, the two periods were compared in terms of outpatient services utilization and hospital admission; for the mothers, the periods were compared in terms of prenatal care and deliveries. In both surveys, stratified and multiple-stage conglomerate sampling was employed, with standardization of interview questions. Results. The most important changes observed were regarding the location of services used for prenatal care, deliveries, and hospitalization of children less than 1 year of age. There was a significant increase in the use of services in the surrounding region or hometown, and decrease in the utilization of services in the city of Sao Paulo (in 1990...

Treatment patterns for childhood diarrhoea: evidence from demographic and health surveys.

Muhuri, P. K.; Anker, M.; Bryce, J.
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica
Publicado em //1996 EN
Relevância na Pesquisa
56.09%
Treatment patterns for childhood diarrhoea among providers in public and private settings have been examined using data from 28 surveys in the Demographic and Health Surveys programme. In the majority of surveys, at least 50% of the children with diarrhoea who sought care from a health provider (public or private) received treatment that included oral rehydration salts (ORS). Private providers are a significant source of care for children with diarrhoea, but they are less likely to use ORS and more likely to prescribe unneeded drugs than providers in public settings. In countries where data are available, bloody diarrhoea appears to be undertreated. The results indicate that national public health programmes must continue to improve their strategies to ensure correct treatment of childhood diarrhoea by all health providers.

HIV testing in national population-based surveys: experience from the Demographic and Health Surveys.

Mishra, Vinod; Vaessen, Martin; Boerma, J. Ties; Arnold, Fred; Way, Ann; Barrere, Bernard; Cross, Anne; Hong, Rathavuth; Sangha, Jasbir
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica
Publicado em /07/2006 EN
Relevância na Pesquisa
56.06%
OBJECTIVES: To describe the methods used in the Demographic and Health Surveys (DHS) to collect nationally representative data on the prevalence of human immunodeficiency virus (HIV) and assess the value of such data to country HIV surveillance systems. METHODS: During 2001-04, national samples of adult women and men in Burkina Faso, Cameroon, Dominican Republic, Ghana, Mali, Kenya, United Republic of Tanzania and Zambia were tested for HIV. Dried blood spot samples were collected for HIV testing, following internationally accepted ethical standards. The results for each country are presented by age, sex, and urban versus rural residence. To estimate the effects of non-response, HIV prevalence among non-responding males and females was predicted using multivariate statistical models for those who were tested, with a common set of predictor variables. RESULTS: Rates of HIV testing varied from 70% among Kenyan men to 92% among women in Burkina Faso and Cameroon. Despite large differences in HIV prevalence between the surveys (1-16%), fairly consistent patterns of HIV infection were observed by age, sex and urban versus rural residence, with considerably higher rates in urban areas and in women, especially at younger ages. Analysis of non-response bias indicates that although predicted HIV prevalence tended to be higher in non-tested males and females than in those tested...

Condições de saúde bucal em escolares de 12 anos do município de Goiânia-GO, 2010; Oral health status of 12-year-old schoolchildren in the city of Goiânia, Goiás, 2010

VASCONCELOS, Daniela Nobre
Fonte: Universidade Federal de Goiás; BR; UFG; Mestrado em Odontologia; Ciência da Saúde Publicador: Universidade Federal de Goiás; BR; UFG; Mestrado em Odontologia; Ciência da Saúde
Tipo: Dissertação Formato: application/pdf
POR
Relevância na Pesquisa
56.04%
The monitoring of oral health status of populations through epidemiological studies is necessary both to assess the situation and treatment needs and to evaluate the results of actions by public services. The aim of this study was to investigate the oral health status of 12-year-old schoolchildren in the city of Goiânia, Goiás, Brazil in 2010. We sought to check the tendency of the conditions surveyed in relation to previous surveys in the municipality and compare the results among the seven Health Districts (HD). We conducted a cross-sectional study using the methodologies of the Brazilian National Oral Health Surveys of 2003 and 2010 in 39 schools (24 public and 15 private) in the municipality. Sample size was calculated using an equation for proportions based on caries prevalence, and was randomly selected in two stages. Data on the following oral conditions were collected through clinical examination: dental caries (Decayed, Missing, or Filled teeth Index - DMFT), periodontal condition (Community Periodontal Index - CPI), dentofacial anomaly (Dental Aesthetics Index - DAI), dental fluorosis (Dean Index) and dental trauma. The study was approved by the Basic Research Institute of the Federal University of Goiás (Report 226/2010). Of the 2...

Health Outcomes in Poor Countries and Policy Options : Empirical Findings from Demographic and Health Surveys

Wang, Limin
Fonte: World Bank, Washington, D.C. Publicador: World Bank, Washington, D.C.
EN_US
Relevância na Pesquisa
56.16%
Empirical studies on health at a disaggregate level-by socioeconomic group or geographic location-can provide useful information for designing poverty-focused interventions. Using Demographic and Health Survey (DHS) data, the author investigates the determinants of health outcomes in low-income countries both at the national level, and for rural and urban areas separately. DHS data from more than 60 low-income countries between 1990 and 1999 reveal two interesting observations. First is the negative association between the level and inequality in child mortality. Second is the significant gap in child mortality between urban and rural areas, with the rural population having a much slower reduction in mortality compared with the urban population. Given that the poor are mainly concentrated in rural areas, the evidence suggests that health interventions implemented in the past decade may not have been as effective as intended in reaching the poor. The empirical findings in this study consolidate results from earlier studies and add new evidence. the author finds that at the national level access to electricity...

Progress Toward the Health MDGs : Are the Poor Being Left Behind?

Wagstaff, Adam; Bredenkamp, Caryn; Buisman, Leander R.
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
56.16%
This paper looks at differential progress on the health Millennium Development Goals between the poor and better-off within countries. The findings are based on original analysis of 235 Demographic and Health Surveys and Multiple Indicator Cluster Surveys, spanning 64 developing countries over the period 1990-2011. Five health status indicators and seven intervention indicators are tracked for all the health Millennium Development Goals. In most countries, the poorest 40 percent have made faster progress than the richest 60 percent. On average, relative inequality in the Millennium Development Goal indicators has been falling. However, the opposite is true in a sizable minority of countries, especially on child health status indicators (40-50 percent in the cases of child malnutrition and mortality), and on some intervention indicators (almost 40 percent in the case of immunizations). Absolute inequality has been rising in a larger fraction of countries and in around one-quarter of countries, the poorest 40 percent have been slipping backward in absolute terms. Despite reductions in most countries...

Is there a difference in health estimates between people with listed and unlisted telephone numbers?

DalGrande, E.; Taylor, A.; Wilson, D.
Fonte: Public Health Assoc Australia Inc Publicador: Public Health Assoc Australia Inc
Tipo: Artigo de Revista Científica
Publicado em //2005 EN
Relevância na Pesquisa
56.07%
OBJECTIVE: To examine the characteristics of people with a silent telephone by demographic and health-related issues and to assess the potential bias in telephone surveys that use the White Pages as the sampling frame. METHOD: A representative annual population health survey of South Australians aged 15 years and over conducted in 1994, 1998, 1999 and 2002. Self-reported information on telephone connection and listings in the White Pages was provided by participants. Questions were included in the 1998 survey on reasons why telephone number was not listed. RESULTS: The rate of unlisted telephone numbers significantly increased (17.3% to 20.2%) in South Australia between 1994 and 2002. People with an unlisted number are more likely to be living in the metropolitan area, single adult households, current smokers, and in the younger age groups. In the multivariate analyses the only health and risk factor variable that was consistently significant over the years was smoking status. The main reason for having an unlisted number was to avoid market research or telemarketing calls (33%). CONCLUSION: Telephone surveys using White Pages samples are suitable to collect information for prevalence on most commonly collected self-reported health conditions and health-related issues. The exception is smoking status. IMPLICATIONS: The use of Whites Pages telephone samples is a suitable method for obtaining population health information because it is efficient when there is limited time and funds.

Representative population health surveys : improving public health through rigour, diversity of methods and collaboration

Taylor, Anne Winifred
Fonte: Universidade de Adelaide Publicador: Universidade de Adelaide
Tipo: Tese de Doutorado Formato: 1347583 bytes; 3138831 bytes; 1261451 bytes; 1264134 bytes; 1043687 bytes; 49573 bytes; application/pdf; application/pdf; application/pdf; application/pdf; application/pdf; application/pdf
Publicado em //2006 EN
Relevância na Pesquisa
66.2%
Prevention and slowing the progression, of chronic diseases ( such as cancer, heart disease, arthritis, diabetes, asthma, osteoporosis, dementia and incontinence ), and influencing risk factors and health behaviours of a population, relies on the best available data - driven evidence. The quality of measurement techniques to collect representative population health survey and surveillance data is, as a consequence, brought under scrutiny. The presentation of this thesis is the culmination of 17 years work that has been focused on contributing to improving public health in South Australia. It is premised on the understanding that continual epidemiological assessment using representative population health surveys can deliver evidence - based information needed by health policy makers, health planners and health promoters to make appropriate, timely and efficient evidence - based decisions. The objective of the portfolio of published papers was to demonstrate the contribution to producing quality data - driven evidence using population surveys through rigour in collecting self - reported data, diversifying surveillance data collection methods and facilitating collaboration. This portfolio presents papers that have addressed a range of methodological and chronic disease and risk factor epidemiological issues. In terms of demonstrating rigour the publications have addressed the bias associated with non - response...

Sampling and coverage issues of telephone surveys used for collecting health information in Australia: results from a face-to-face survey from 1999 to 2008

DalGrande, E.; Taylor, A.
Fonte: BioMed Central Ltd. Publicador: BioMed Central Ltd.
Tipo: Artigo de Revista Científica
Publicado em //2010 EN
Relevância na Pesquisa
56.17%
Background: To examine the trend of “mobile only” households, and households that have a mobile phone or landline telephone listed in the telephone directory, and to describe these groups by various socio-demographic and health indicators. Method: Representative face-to-face population health surveys of South Australians, aged 15 years and over, were conducted in 1999, 2004, 2006, 2007 and 2008 (n = 14285, response rates = 51.9% to 70.6%). Self-reported information on mobile phone ownership and usage (1999 to 2008) and listings in White Pages telephone directory (2006 to 2008), and landline telephone connection and listings in the White Pages (1999 to 2008), was provided by participants. Additional information was collected on self-reported health conditions and health-related risk behaviours. Results: Mobile only households have been steadily increasing from 1.4% in 1999 to 8.7% in 2008. In terms of sampling frame for telephone surveys, 68.7% of South Australian households in 2008 had at least a mobile phone or landline telephone listed in the White Pages (73.8% in 2006; 71.5% in 2007). The proportion of mobile only households was highest among young people, unemployed, people who were separated, divorced or never married, low income households...

Using Population Health Surveys to Measure the Use of Services and the Prevalence of Psychiatric and/or Behavioural Conditions in Individuals with an Intellectual Disability

Bielska, Iwona
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado Formato: 1117725 bytes; application/pdf
EN; EN
Relevância na Pesquisa
56.2%
Background: Compared to the general population, individuals with intellectual disabilities have a higher prevalence of health problems, including psychiatric and/or behavioural conditions (dual diagnosis). Research suggests that the proportion of persons with intellectual disabilities who have a dual diagnosis ranges from 14% to 64% depending on the population studied and the diagnostic criteria used. However, there is little population-based information in Canada about people with such a dual diagnosis. Objectives: The aims of this study were to estimate the prevalence of psychiatric or behavioural conditions among adults with an intellectual disability in Canada, and to estimate the use of mental health services among these individuals. Methods: This study was a secondary analysis of two cross-sectional, population-based surveys (2005 Canadian Community Health Survey: CCHS and 2006 Participation and Activity Limitation Survey: PALS), and the 2008/09 Survey of Adults with Intellectual Disabilities in South Eastern Ontario: SAID-SEO. Relevant variables were identified in the surveys to answer the study objectives. Confidence intervals were provided for all estimates and the results were compared within subgroups for each survey...

O processo de trabalho da Pesquisa Nacional de Saúde Bucal (SBBrasil 2010): percepção dos coordenadores; The work process of the Brazilian National Oral Health Survey (SBBrasil 2010): perception of coordinators

Soares, Fabíola Fernandes
Fonte: Universidade Federal de Goiás; Brasil; UFG; Programa de Pós-graduação em Saúde Coletiva (PRPG); Pró-Reitoria de Pós-graduação (PRPG) Publicador: Universidade Federal de Goiás; Brasil; UFG; Programa de Pós-graduação em Saúde Coletiva (PRPG); Pró-Reitoria de Pós-graduação (PRPG)
Tipo: Dissertação Formato: application/pdf
POR
Relevância na Pesquisa
56.24%
The work process involved in population health surveys may interfere with the quality of generated information, which might be useful for population health surveillance analysis and decision making. Despite surveys being considered important to evaluation, there is only an incipient literature concerning the assessment of epidemiological surveys´ work process. This cross-sectional study, employing quantitative and qualitative approaches, aimed to assess the perception of the 2010 Brazilian Oral Health Survey (SBBrasil 2010) coordinators of the survey´s work process. An electronic semi-structured questionnaire was sent to all SBBrasil 2010 coordinators (N=213). The investigated variables were grouped into the following topics: respondents´ characteristics, role during the survey, qualification, operational aspects, interpersonal relationship, financial aid, advertisement, work experience, usefulness of the survey, self-assessment, future oral health surveys´ participation, and suggestions for future surveys. Response rate was of 75.6% (N=161). Most respondents were dentists (90%), aged between 30 and 49 years, females (68%), in management position (75.8%), permanent workers at the public health system (59.2%) and acted as municipal coordinators of the survey (77.6%). Reported positive aspects of the survey were: planning...

Acesso e uso de medicamentos : inquéritos de saúde como estratégia de avaliação; Access and use of drug : investigations as a strategy for health evaluation

Karen Sarmento Costa
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 20/02/2014 PT
Relevância na Pesquisa
56.1%
Os medicamentos têm sido considerados como componente relevante da integralidade da saúde, uma vez que se constituem em recurso decisivo para reduzir o sofrimento humano e a morbimortalidade. Podem produzir curas, reduzir a dor, prolongar a vida e retardar o surgimento de complicações associadas a doenças. São utilizados como tecnologia custo-efetiva e, por outro lado, podem aumentar os custos na atenção à saúde, quando utilizados de maneira irracional, e levar a reações adversas. O objetivo da presente tese consistiu em analisar, por meio de inquéritos de saúde realizados nas capitais do Brasil e no município de Campinas (estado de São Paulo), o acesso aos medicamentos e seu uso pela população brasileira, entendendo-os como dimensões das políticas públicas de assistência farmacêutica no país. Em um primeiro estudo, utilizando dados de inquérito nacional telefônico (VIGITEL) de indivíduos com 20 anos ou mais de idade, buscou-se analisar o percentual de hipertensos e diabéticos que faziam uso de medicamentos e as fontes que haviam utilizado para a obtenção desses medicamentos, considerando as alternativas: Unidades de Saúde da rede pública, farmácias credenciadas ao Programa Farmácia Popular do Brasil e farmácias/drogarias do setor privado e outros locais. Dos 15.027 hipertensos e 4083 diabéticos entrevistados...

Estimativas da cobertura de mamografia segundo inquéritos de saúde no Brasil; Estimaciones de la cobertura de mamografía según encuestas de salud en Brasil; Estimates of mammography coverage according to health surveys in Brazil

Viacava, Francisco; Souza-Junior, Paulo Roberto Borges de; Moreira, Rodrigo da Silva
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/11/2009 POR; ENG
Relevância na Pesquisa
56.06%
OBJETIVO: Inquéritos populacionais constituem ferramenta fundamental para monitorar a cobertura de mamografia e os fatores associados à sua realização. Em inquéritos baseados na população residente em domicílios com telefone as estimativas tendem a ser superestimadas. O estudo teve por objetivo estimar a cobertura de mamografia com base em pesquisas de base populacional. MÉTODOS: A partir das coberturas por mamografia em mulheres de 50 a 69 anos, com e sem telefone fixo, observadas na Pesquisa Nacional por Amostra de Domicílios (PNAD) 2003, calcularam-se as razões entre elas e o respectivo coeficiente de variação. A razão de cobertura foi multiplicada pela cobertura estimada pelo sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (VIGITEL), permitindo estimar a cobertura entre mulheres sem telefone em 2007. Essas estimativas foram aplicadas à população de mulheres, com e sem telefone, obtidas a partir da PNAD 2006, obtendo-se assim as estimativas finais para as capitais. RESULTADOS: Em 2007, para o conjunto das capitais, estimou-se a cobertura de mamografia em aproximadamente 70%, variando de 41,2% em Porto Velho (RO) a 82,2% em Florianópolis (SC). Em 17 municípios a cobertura foi maior que 60%; em oito...

A saúde das crianças dos Estados do Ceará, Rio Grande do Norte e Sergipe, Brasil: descrição de uma metodologia para diagnósticos comunitários; Child health in the States of Ceará, Rio Grande do Norte and Sergipe, Brazil: description of a methodology for the diagnosis of communities

Victora, Cesar G.; Barros, Fernando C.; Tomasi, Elaine; Ferreira, Francisca Selma; MacAuliffe, Jay; Silva, Anamaria Cavalcante; Andrade, Francisca Maria; Wilhelm, Lidia; Barca, Danila Varela; Santana, Stella; Gonzales-Richmond, Alejandro; Shrimpton, Roger
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf
Publicado em 01/06/1991 POR
Relevância na Pesquisa
56.06%
Para a maior parte dos estados brasileiros, inexistem indicadores confiáveis sobre a saúde das crianças - tais como estado nutricional, aleitamento, cobertura vacinal, freqüência e manejo de doenças infecciosas e cobertura de serviço de atenção pré e perinatal. Para obter tais informações, desenvolveu-se uma metodologia para diagnósticos a nível estadual, aplicada recentemente em amostras representativas nos Estados do Ceará, Sergipe e Rio Grande do Norte. O presente artigo descreve os principais aspectos desta metodologia e alguns de seus achados mais relevantes. Os resultados obtidos apontam para a necessidade de incentivar o aleitamento materno, aumentar a cobertura vacinal, incrementar o uso da terapia de reidratação oral durante a diarréia, melhorar a atenção pré e perinatal e a monitorização do crescimento. Mostra-se ainda que, paradoxalmente, as ações de sobrevivência infantil concentram-se primariamente em crianças de alta renda e portanto de baixo risco. Além de propiciar o planejamento e avaliação das ações de saúde, os diagnósticos fornecem dados basais com os quais os resultados de futuros inquéritos poderão ser comparados.; No reliable data are available from most Brazilian states for a number of child health indicators...

National health surveys and health policy: impact of the Jamaica health and lifestyle surveys and the reproductive health surveys

Ferguson,TS; Tulloch-Reid,MK; Gordon-Strachan,G; Hamilton,P; Wilks,RJ
Fonte: West Indian Medical Journal Publicador: West Indian Medical Journal
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/07/2012 EN
Relevância na Pesquisa
66.27%
Over the last six decades, comprehensive national health surveys have become important data-gathering mechanisms to inform countries on their health status and provide information for health policy and programme planning. Developing countries have only recently begun such surveys and Jamaica has been at the forefront of this effort. Jamaica's Reproductive Health Surveys and programme response to their findings have resulted in an almost 50% reduction in fertility rates over three decades as well as a 40% reduction in unmet contraceptive needs and a 40% reduction in unplanned preg-nancies over the last two decades. The Jamaica Health and Lifestyle Surveys have served to reinforce the major burden that non-communicable diseases place on the society and the extent to which these are driven by unhealthy lifestyles. These surveys have shown that obesity, hypertension, diabetes and dyslipidaemia affect approximately 50%, 25%, 10% and 10% of the adult population, respectively. These surveys have documented low rates of treatment and control for these chronic non-communicable diseases despite two major policy initiatives, the National Programme for the Promotion of Healthy Lifestyles and the creation of the National Health Fund which subsidizes healthcare provision for chronic diseases. In order to maximize the uptake of the findings of future surveys into effective health policy...

Possible illnesses: assessing the health impacts of the Chad Pipeline Project

Leonard,Lori
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2003 EN
Relevância na Pesquisa
56.08%
Health impact assessments associated with large-scale infrastructure projects, such as the Chad-Cameroon Petroleum Development and Pipeline Project, monitor pre-existing conditions and new diseases associated with particular industries or changes in social organization. This paper suggests that illness self-reports constitute a complementary set of benchmarks to measure the health impacts of these projects, and presents data gathered in ongoing household and health service surveys in Ngalaba, a village near a major oilfield in Chad. In an initial 16-week period of weekly data collection, 363 people reported few of the clinically chronic or asymptomatic conditions expected according to health transition theory, and the overall level of illness reporting was low. Illnesses often were described by symptoms or lay diagnoses. Health care practitioners were consulted rarely; when they were, resources for diagnosis and treatment were limited. Clinically acute, short-duration illnesses (e.g. parasitic infections, toothaches, or hernias) were experienced as chronic conditions and were reported week after week. The low levels of illness reporting and lack of clinically chronic conditions are not taken to mean that rural Chadians are healthy. Rather...

Measuring reproductive health: review of community-based approaches to assessing morbidity

Sadana,Ritu
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2000 EN
Relevância na Pesquisa
56.04%
This article begins by reviewing selected past approaches to estimating the prevalence of a range of morbidities through the use of household or community-based interview surveys in developed and developing countries. Subsequently, it reviews epidemiological studies that have used a range of methods to estimate the prevalence of reproductive morbidities. A detailed review of recent community or hospital based health interview validation studies that compare self-reported, clinical and laboratory measures is presented. Studies from Bangladesh, Bolivia, China, Egypt, India, Indonesia, Nigeria, Philippines and Turkey provide empirical evidence that self-reported morbidity and observed morbidity measure different phenomena and therefore different aspects of reproductive health and illness. Rather than estimating the prevalence of morbidity, interview-based surveys may provide useful information about the disability or burden associated with reproductive health and illness.

HIV testing in national population-based surveys: experience from the Demographic and Health Surveys

Mishra,Vinod; Vaessen,Martin; Boerma,J Ties; Arnold,Fred; Way,Ann; Barrere,Bernard; Cross,Anne; Hong,Rathavuth; Sangha,Jasbir
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/07/2006 EN
Relevância na Pesquisa
56.06%
OBJECTIVES: To describe the methods used in the Demographic and Health Surveys (DHS) to collect nationally representative data on the prevalence of human immunodeficiency virus (HIV) and assess the value of such data to country HIV surveillance systems. METHODS: During 2001-04, national samples of adult women and men in Burkina Faso, Cameroon, Dominican Republic, Ghana, Mali, Kenya, United Republic of Tanzania and Zambia were tested for HIV. Dried blood spot samples were collected for HIV testing, following internationally accepted ethical standards. The results for each country are presented by age, sex, and urban versus rural residence. To estimate the effects of non-response, HIV prevalence among non-responding males and females was predicted using multivariate statistical models for those who were tested, with a common set of predictor variables. RESULTS: Rates of HIV testing varied from 70% among Kenyan men to 92% among women in Burkina Faso and Cameroon. Despite large differences in HIV prevalence between the surveys (1-16%), fairly consistent patterns of HIV infection were observed by age, sex and urban versus rural residence, with considerably higher rates in urban areas and in women, especially at younger ages. Analysis of non-response bias indicates that although predicted HIV prevalence tended to be higher in non-tested males and females than in those tested...