Biritwum R B
Institute of Public Health, Makerere University, Medical School, Kampala, Uganda.
East Afr Med J. 1995 May;72(5):317-21.
A sample of 5018 inhabitants in three counties of Iganga district, Uganda was selected by means of a multi-stage cluster sampling procedure and interviewed in 1984. A sub sample was re-interviewed, the following year to study population dynamics. 50.2% of the population were under 15 years of age and 4.2% were aged one year or less. About 80% of both sexes aged 6-15 years were in school or had primary education. Male adult literacy rate was 62% and female adult literacy rate was 38%. The average number of people per sleeping room was 2.4. 82.9% of households used well or unprotected spring as main source of water and 30% of households did not have pit latrine. Infant mortality rate was estimated to be 126 per 1000 livebirths and measles was the major cause of mortality (38%) in the under fives. The crude birth rate estimate was 51 per 1000. The estimate of lameness due to polio was 6.6 per 1000 children aged 15 years or below. The mean weight and the mean height of the children were both below 50th percentile of the NCHS standards. In the re-survey, the crude birth rate and infant mortality rate estimates corresponded well to the initial values for the total sample obtained in the previous survey. 5% of the population had moved out of the village and 1.8% had moved to settle in the village. The growth rate in both weight and height of the under five children was satisfactory compared to the rate of the standard. From the result of the study, only six years after adoption of PHC in Uganda, the relatively high educational level of the younger population should be taken as a positive indicator of better health indices in the future.
1984年,通过多阶段整群抽样程序,在乌干达伊甘加区的三个县选取了5018名居民作为样本并进行访谈。次年对一个子样本进行了重新访谈,以研究人口动态。50.2%的人口年龄在15岁以下,4.2%的人口年龄在1岁及以下。6至15岁的男女中约80%在上学或接受过小学教育。男性成人识字率为62%,女性成人识字率为38%。每个卧室的平均居住人数为2.4人。82.9%的家庭以井水或未加保护的泉水作为主要水源,30%的家庭没有坑式厕所。婴儿死亡率估计为每1000例活产126例,麻疹是五岁以下儿童死亡的主要原因(38%)。粗出生率估计为每1000人51例。15岁及以下儿童中因小儿麻痹症导致跛足的估计发生率为每1000人6.6例。儿童的平均体重和平均身高均低于美国国家卫生统计中心(NCHS)标准的第50百分位数。在重新调查中,粗出生率和婴儿死亡率估计值与上次调查中总样本的初始值非常吻合。5%的人口已迁出村庄,1.8%的人口已迁入村庄定居。与标准增长率相比,五岁以下儿童的体重和身高增长率令人满意。从研究结果来看,在乌干达采用初级卫生保健仅六年之后,年轻人口相对较高的教育水平应被视为未来健康指标改善的积极指标。