Antia N H
Foundation for Research in Community Health, Bombay, India.
Int J Health Serv. 1988;18(1):153-64. doi: 10.2190/VNAY-UK5L-KCW1-QL56.
The project at Mandwa was designed to study the problems of health in rural India and the delivery of health care by the existing public and private health systems. The results demonstrate the important role of socioeconomic and political factors not only in vital areas such as nutrition, water supply, sanitation, and housing, but also in the delivery of health services. The private sector showed a predominantly curative and monetary orientation, while the public sector demonstrated a lack of accountability to the people it was designed to serve. Under these conditions, an attempt was made to test the possibility of training local women in self-help with a minimal supportive service. The results reveal that adequate knowledge and technology exist for most of the prevalent problems of health and illness in developing countries, and that semiliterate villagers have the capacity to use these effectively if they are provided in a simple manner. This experiment also demonstrates the opposition from local vested interests to any change of the status quo, even in the relatively noncontroversial field of health.
曼德瓦的项目旨在研究印度农村地区的健康问题以及现有公共和私营卫生系统提供医疗保健的情况。结果表明，社会经济和政治因素不仅在营养、供水、卫生和住房等关键领域发挥着重要作用，而且在提供卫生服务方面也起着重要作用。私营部门主要以治疗和金钱为导向，而公共部门则表现出对其旨在服务的民众缺乏问责制。在这种情况下，人们试图测试在提供最少支持服务的情况下培训当地妇女进行自助的可能性。结果显示，对于发展中国家大多数普遍存在的健康和疾病问题，已有足够的知识和技术，并且如果以简单的方式提供，半文盲村民有能力有效利用这些知识和技术。该实验还表明，即使在相对无争议的卫生领域，当地既得利益者也反对改变现状。
