Danko R A, Selwyn B J, Zamora-Romero R, Chavez-Ordoñez X P
WHO Collaborating Centre for International Health, University of Texas Medical Branch, Galveston 77550.
Bull World Health Organ. 1990;68(2):223-30.
Reported is the use of a simplified methodology for carrying out a community-based epidemiological assessment that is compatible with the goals of primary health care research. For this purpose, a current-status life table analysis of data from 1131 women who were served by community health workers in the State of México was used to determine the distributions of the duration of postpartum breast-feeding, amenorrhoea, and contraceptive use. The field methods used incorporated quality assurance procedures. At 1 month postpartum, 78% of the infants were still being breast-fed, at 5 months 50%, and at 12 months 25%. The level of amenorrhoea at 1 month postpartum was 85%, at 3 months 50%, and at 5 months 25%. Use of contraceptives was initiated at an early stage, with 42% of all users beginning during the first month postpartum. The simplified method described permitted the area's primary health care administrators to carry out research projects for programme development rapidly and was compatible with the locally available resources.
本文报告了一种简化方法的应用，该方法用于开展与初级卫生保健研究目标相契合的基于社区的流行病学评估。为此，采用了对墨西哥州1131名接受社区卫生工作者服务的妇女的数据进行现状生命表分析，以确定产后母乳喂养持续时间、闭经和避孕措施使用情况的分布。所采用的现场方法纳入了质量保证程序。产后1个月时，78%的婴儿仍在接受母乳喂养；5个月时为50%；12个月时为25%。产后1个月时闭经水平为85%；3个月时为50%；5个月时为25%。避孕措施在早期就开始使用，所有使用者中有42%在产后第一个月开始使用。所描述的简化方法使该地区的初级卫生保健管理人员能够迅速开展用于项目开发的研究项目，并且与当地可用资源相契合。
