Levasseur G, Lampérin J M, Le Néel H, Chambaud L
Sante. 1994 Nov-Dec;4(6):433-8.
This survey is a preliminary step in a cooperative health-care programme, run by the association Le Pélican. It was conducted in July 1993 among the sampan dwellers in the district of Vi Da (Hué), Vietnam. The People's Committee of the town of Hué hopes to improve the living conditions of the inhabitants of the district. The work of the association is part of a wider project of integrated cooperation (Cités unies développement) for the community of sampan dwellers. The survey describes the demography, the state of children's health, the attitudes and behaviour of women and heads of the household towards maternity, contraception, disease and the health-care system. The Vi Da community is young: 40.5% of the inhabitants are under 15 years of age. The main health problems involve mothers and children: 56% of children aged between 5 and 59 months suffer from malnutrition; 71% of those between 0 and 15 years of age have never been vaccinated. The use of contraceptives is inadequate. Health-care services, however, are numerous and are mainly in the private sector. Any health-care project undertaken in this district to improve the state of children's health will have to reinforce the immunisation coverage and set up health education programmes dealing with nutrition and family planning. This will require a better knowledge of the mentality of the sampan dwellers, of their socio-cultural environment and their attitudes to illness and health-care.
这项调查是由鹈鹕协会开展的合作医疗保健项目的初步阶段。该调查于1993年7月在越南顺化维达区的舢板居民中进行。顺化市人民委员会希望改善该地区居民的生活条件。该协会的工作是舢板居民社区更广泛的综合合作项目(城市联合发展)的一部分。该调查描述了人口统计学情况、儿童健康状况、妇女和户主对生育、避孕、疾病及医疗保健系统的态度和行为。维达社区很年轻:40.5%的居民年龄在15岁以下。主要的健康问题涉及母亲和儿童:56%年龄在5至59个月的儿童营养不良;0至15岁的儿童中有71%从未接种过疫苗。避孕措施的使用不足。然而,医疗保健服务机构众多,且主要是私营部门的。在该地区开展的任何改善儿童健康状况的医疗保健项目都必须加强免疫接种覆盖率,并开展有关营养和计划生育的健康教育项目。这将需要更好地了解舢板居民的心态、他们的社会文化环境以及他们对疾病和医疗保健的态度。