Tanner M, de Savigny D
Swiss Tropical Institute, Basel, Switzerland.
Acta Trop. 1987 Jun;44(2):261-70.
The experience from the first four years of a longitudinal study on interrelations between nutrition, parasitic infections, immunity and environmental factors in a rural community, Kikwawila village (southeastern Tanzania) is reviewed. Two elements supported the implementation of the project. Firstly, the multidisciplinary approach with surveys across a range of biomedical and agricultural science disciplines has enabled the elucidation of part of the complexity of the mutually reinforcing, changing interrelations which can affect child health. Secondly, the primary health care component based on village health workers which paralleled the research project has facilitated the longitudinal character of the study and has triggered some community participation. The studies also indicated that the indigenous perceptions of disease, signs and symptoms may be used as an integrative tool to monitor health care programmes. Already during an initial stage of a project, the indigenous health perspectives could become indicators for community participation and could help to determine the strategy of applied research and control measures within primary health care.
本文回顾了在坦桑尼亚东南部基夸维拉村开展的一项关于农村社区营养、寄生虫感染、免疫与环境因素之间相互关系的纵向研究头四年的经验。有两个因素支持了该项目的实施。首先，采用多学科方法，涵盖一系列生物医学和农业科学学科进行调查，得以阐明了部分相互强化、不断变化的复杂相互关系，这些关系可能影响儿童健康。其次，基于乡村卫生工作者的初级卫生保健部分与研究项目并行，促进了研究的纵向特性，并引发了一些社区参与。研究还表明，当地人对疾病、体征和症状的认知可用作监测卫生保健项目的综合工具。在项目的初始阶段，当地人的健康观念就可成为社区参与的指标，并有助于确定初级卫生保健中的应用研究和控制措施策略。
