Kroeger A
Trop Doct. 1982 Jan;12(1):38-43. doi: 10.1177/004947558201200114.
A seminar with primary health care workers from four Indian groups in Ecuador serves as an example for the participatory evaluation of primary health care (PHC) programmes. Discussions in small groups, interpretation of visual aids, derived from research data on health care utilization, and practical evaluation exercises helped participants understand the opportunities and limitations which exist in the PHC schemes. The main topics of discussion were: health impacts of sociocultural change, community support of health workers, links with the hierarchy of the health care system, differential use of traditional and modern medicine and planning of future programmes. The final discussion with health officials was important for the mutual respect and understanding. The need for the involvement of communities and PHC workers in the evaluation of their own programmes is stressed.
一场与来自厄瓜多尔四个印第安群体的初级卫生保健工作者举办的研讨会，成为了对初级卫生保健（PHC）项目进行参与式评估的范例。小组讨论、对源自医疗保健利用研究数据的视觉辅助工具的解读，以及实际评估练习，帮助参与者了解了初级卫生保健计划中存在的机遇和局限。讨论的主要议题包括：社会文化变革对健康的影响、社区对卫生工作者的支持、与医疗保健系统层级的联系、传统医学与现代医学的差异使用以及未来项目的规划。与卫生官员的最终讨论对于相互尊重和理解而言很重要。强调了社区和初级卫生保健工作者参与评估自身项目的必要性。
