Jinabhai C C, Mametja D, Coovadia H M, Gouws E
Department of Paediatrics, University of Natal, Durban.
S Afr Med J. 1997 Jun;87(6):741-6.
The demographic, socio-economic and environmental status of the peri-urban informal settlement of Besters and its inhabitants' health, welfare and disability profiles were investigated for the development of a community-based health intervention programme.
A cross-sectional study using a structured household questionnaire assessed community health status in July 1991 in order to identify specific health and development needs through focus group discussions and community consultations. A health and development programme was established during 1992. Community participation in this programme was then assessed by measurement of the components of the health and development programme, categorised as inputs (resources), processes (activities), outputs (effects) and outcomes.
Besters, an informal peri-urban settlement north of Durban, KwaZulu-Natal.
Residents of Besters.
The demographic, environmental and morbidity profiles of Besters were consistent with both South African and international studies of informal communities. Patterns of health service utilisation reflected inappropriate use of the tertiary hospital in the city centre, grossly fragmented patterns of utilisation--both for preventive and curative care and for antenatal and maternity services--and, finally, a discordance between community health needs and ability to pay for services. The interaction between input, process and output measures of community participation are discussed.
Integration of health service provision with other infrastructural development, based on community perceptions, enhances health development and community participation. Important lessons emerged about the strengths and limitations of community participation and its relevance for other communities.
对贝斯特斯城郊非正规住区的人口、社会经济和环境状况及其居民的健康、福利和残疾情况进行调查，以制定一项基于社区的健康干预计划。
1991年7月采用结构化家庭问卷进行横断面研究，以评估社区健康状况，通过焦点小组讨论和社区协商确定具体的健康和发展需求。1992年制定了一项健康与发展计划。然后通过衡量健康与发展计划的组成部分来评估社区对该计划的参与情况，这些组成部分分为投入（资源）、过程（活动）、产出（效果）和成果。
夸祖鲁 - 纳塔尔省德班以北的城郊非正规住区贝斯特斯。
贝斯特斯的居民。
贝斯特斯的人口、环境和发病率情况与南非及国际上对非正规社区的研究一致。卫生服务利用模式反映出对市中心三级医院的不当利用；利用模式严重分散，无论是预防和治疗护理，还是产前和产妇服务都是如此；最后，社区健康需求与支付服务费用的能力之间存在不一致。讨论了社区参与的投入、过程和产出指标之间的相互作用。
根据社区认知，将卫生服务提供与其他基础设施发展相结合，可促进健康发展和社区参与。关于社区参与的优势和局限性及其与其他社区的相关性，得出了重要经验教训。
