den Besten L, Bac M, Glatthaar I I, Walker A R
Gelukspan Community Hospital, Western Transvaal, South Africa.
J Trop Med Hyg. 1995 Dec;98(6):361-6.
Protein energy malnutrition (PEM) is a major cause of hospital admissions and death in most impoverished Third World countries. In the Gelukspan Health Ward, in rural Western Transvaal, a primary health care (PHC) programme, based on the GOBI-FFF strategy, commenced in 1980. Community health surveys on African under-five children were regularly undertaken. In 1990, to assess improvements achieved, anthropometric and other data were obtained on a representative series of 926 children. Harvard standards were used prior to 1984, and American NCHS reference standards thereafter. Low weight-for-age fell from 28 to 19%, low height for age from 33 to 17%, and low weight-for-height from 5 to 1%. The percentage with low arm circumference was unaffected, 3 and 4%, respectively. The improvements described are believed to be due in part to the PHC programme. Greater definition of the causes and extent of improvements are needed to optimize the State's present desire to intensify PHC, especially in rural areas.
蛋白质能量营养不良（PEM）是大多数贫困的第三世界国家住院和死亡的主要原因。在特兰斯瓦尔省西部农村的格卢克斯潘健康区，一项基于GOBI-FFF战略的初级卫生保健（PHC）计划于1980年启动。定期对非洲五岁以下儿童进行社区健康调查。1990年，为评估所取得的改善，对926名具有代表性的儿童收集了人体测量数据和其他数据。1984年之前使用哈佛标准，之后使用美国国家卫生统计中心（NCHS）的参考标准。年龄别低体重率从28%降至19%，年龄别低身高率从33%降至17%，身高别低体重率从5%降至1%。低臂围百分比未受影响，分别为3%和4%。据信所描述的改善部分归因于初级卫生保健计划。需要更明确地界定改善的原因和程度，以优化国家目前加强初级卫生保健的愿望，特别是在农村地区。
