Dixon R A, Thompson J S
Department of Public Health Medicine, Sheffield, U.K.
Afr J Med Med Sci. 1993 Jun;22(2):75-80.
In order to document the health profile of rural farming communities not yet reached by the EYN Rural Health Programme, based at Garkida, Nigeria, four villages were surveyed by a Sheffield medical student who lived for several weeks in each village, working alongside local women. Villagers helped in separate surveys of village environment and water sources, of compound (household) hygiene, of male heads of compounds, of women of childbearing age, and of children. Stagnant rain-water ponds and widespread animal faeces litter were the main village environmental hazards and hardly any satisfactory pit latrines were seen. One person in nearly 2000 surveyed treated the drinking water. Infant mortality was estimated at 200 per 1000. Commonly reported health problems included abdominal pain, coughs and colds, filariasis, diarrhoea, scabies, worms, blood in stool, fever, back pain and eye infections. In each village fewer than 20% of the men and fewer than 10% of the women had received any education. Average completed family size was 6 or 7 children per woman with 3 other non-surviving children. The causes of malaria and of diarrhoea were each known by fewer than 10% of mothers in each village. About a quarter of the under fives had suffered from diarrhoea in the past fortnight, a quarter had received any immunisation and one fifth were at least mildly malnourished. One quarter of children aged 6-12 years attended school.
为了记录尼日利亚加尔基达的伊努瓦·扬农村健康项目尚未覆盖的农村农业社区的健康状况,一名来自谢菲尔德的医科学生对四个村庄进行了调查。该学生在每个村庄生活了几周,与当地妇女一起工作。村民们协助分别对村庄环境和水源、院落(家庭)卫生、院落男性户主、育龄妇女以及儿童进行了调查。雨水蓄积的池塘和四处散落的动物粪便垃圾是村庄主要的环境危害,几乎看不到任何令人满意的坑式厕所。在近2000名接受调查的人中,只有一人对饮用水进行处理。婴儿死亡率估计为每1000人中有200人。常见的健康问题包括腹痛、咳嗽和感冒、丝虫病、腹泻、疥疮、蠕虫、便血、发烧、背痛和眼部感染。在每个村庄,接受过任何教育的男性不到20%,女性不到10%。平均每户家庭育有6或7个孩子,另有3个孩子夭折。每个村庄中,了解疟疾和腹泻病因的母亲均不到10%。在过去两周里,约四分之一的五岁以下儿童患过腹泻,四分之一的儿童接受过任何免疫接种,五分之一的儿童至少有轻度营养不良。6至12岁的儿童中有四分之一上学。