Frankel S J, Lehmann D
J Trop Med Hyg. 1984 Jun;87(3):137-42.
The impact of an oral rehydration therapy (ORT) programme for diarrhoeal disease was evaluated by means of continuing surveillance of this Papua New Guinea population. Mortality from diarrhoeal disease in the under-fives fell from 3.3/1000/annum before the ORT programme to 1.3/1000/annum after the programme had become established. However there is evidence that the attendance rate for diarrhoea treatment has begun to fall from its previously high level. These trends are explicable in terms of the target population's expectations of Western treatments. The implications of these findings for the design and evaluation of similar health programmes are discussed.
通过对巴布亚新几内亚人群的持续监测，评估了口服补液疗法（ORT）项目对腹泻病的影响。五岁以下儿童腹泻病死亡率从ORT项目实施前的每年3.3‰降至项目确立后的每年1.3‰。然而，有证据表明，腹泻治疗的就诊率已开始从先前的高水平下降。这些趋势可以从目标人群对西方治疗方法的期望方面得到解释。本文讨论了这些发现对类似健康项目设计和评估的启示。
