ラオス国カムワン県のパイロット村における保健衛生に関する疫学的研究
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概要
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A primary health care (PHC) project was carried out since October 1992 in Laos under the joint sponsorship of Lao-MOH, JICA (Japan International Cooperation Agency) and WHO, in which with Khammouane province was designated as a model area for implementation of the PHC activities. The province is located in the middle of Laos, with a population of 272,463 that accounts for 6.0% of the country's population census in 1995. In this province, three districts were designated as pilot areas for this project, which covered 74 villages including 4,430 families and 22,487 persons that accounted for 24.2% of the three districts. In 1996, four years after the start of the project, the author was dispatched to Khammouane province as an expert of JICA for a period from September to December. The purpose of the author's dispatch was to conduct a survey on health situation in villages in the model province, and thereby to find what is necessary for the further promotion of PHC activities in the remaining project period. The survey was conducted together with 10 staff members of Khammouane provincial health office (PHO), who were appointed by the PHO director (Dr. Choum Chomjalearn) and organized into a research team. The survey covered a total of 20 pilot-designated villages including 200 families. The survey was carried out for 8 days in mid-November by means of questionnaire in an interview at home. It was found that the villages surveyed low points with respect to such items as drinking boiled water, and using toilet. However it would be unpractical to evaluate the effect of the PHC activities simply from the findings of the above survey. The reason is that there are currently no data available for assessing the real situations in the villages before the time preceding the implementation of project. It should be noted, however, that the above-mentioned survey enabled us to identify several low-level items on the list of PHC even in the implementing PHC activities. In conclusion, we hope that these findings will prove useful to us in giving each item due to the priorities so that their levels can be elevated gradually though our effective technical cooperation and proper PHC activities in future.
- 琉球医学会,Ryukyu Medical Associationの論文
琉球医学会,Ryukyu Medical Association | 論文
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