Waghela Kishu, Shah Nagma Nigar, Saha Somen
Indian Institute of Public Health, Gandhinagar, Gujarat, India.
Indian J Community Med. 2018 Jul-Sep;43(3):229-232. doi: 10.4103/ijcm.IJCM_53_18.
In 2002, the Government of Chhattisgarh initiated a Community Health Worker program called the Mitanin Program, to strengthen the health system of Chhattisgarh. The current study was conducted with the twin objectives to assess morbidity pattern and health-seeking behavior in urban slums of Durg and Bhilai to understand the role of Mitanins in health seeking of their slum population.
Ten urban slums, five each from Durg and Bhilai were selected through simple random sampling for the study. Household survey was done using prestructured questionnaire. A total of 1025 households representing 4997 family members were surveyed.
The study found that diseases which were most prevalent in the urban slums of Durg and Bhilai are blood pressure and diabetes mellitus. Diseases such as diarrhea, typhoid, hepatitis, tuberculosis, leprosy, and filariasis which have strong association with safe drinking water and sanitation are prevalent. For chronic communicable disease and reproductive and child health (RCH), people from both cities prefer going to public health-care facilities. About a fourth of the population came in contact with the Mitanins to seek health care mostly in relation to chronic communicable diseases and RCH.
The study shows an increase in the prevalence of chronic lifestyle diseases among the slum population. There is a case for inclusion of chronic conditions, as specified under Comprehensive Primary Health Care. There is a need to reprioritize Mitanin's role in early diagnosis through point-of-care diagnostics and ensuring prompt referrals and follow-up.
2002年，恰蒂斯加尔邦政府启动了一项名为“米塔宁计划”的社区卫生工作者项目，以加强恰蒂斯加尔邦的卫生系统。本研究旨在评估杜尔格和比莱城市贫民窟的发病模式和就医行为，以了解米塔宁在其贫民窟居民就医过程中的作用。
通过简单随机抽样从杜尔格和比莱各选取五个城市贫民窟进行研究。使用预先设计好的问卷进行家庭调查。共调查了代表4997名家庭成员的1025户家庭。
研究发现，杜尔格和比莱城市贫民窟中最常见的疾病是高血压和糖尿病。腹泻、伤寒、肝炎、结核病、麻风病和丝虫病等与安全饮用水和卫生设施密切相关的疾病也很普遍。对于慢性传染病和生殖与儿童健康（RCH），两个城市的居民都更倾向于前往公共卫生保健机构。约四分之一的人口与米塔宁接触以寻求医疗保健，主要是关于慢性传染病和RCH方面。
研究表明贫民窟居民中慢性生活方式疾病的患病率有所上升。有必要将综合初级卫生保健规定的慢性病纳入其中。有必要重新确定米塔宁在通过即时诊断进行早期诊断以及确保及时转诊和随访方面的作用优先级。
