Osibogun A
Dept of Community Medicine & Pry Care, College of Health Sciences, Ogun State University, Sagamu, Nigeria.
West Afr J Med. 1998 Jan-Mar;17(1):31-5.
The Ala-Idowa health centre was established in 1980 to serve the two contiguous communities of Ala and Idowa with population of 3960 and 6580 respectively. Situated reasonably between the two communities, there is adequate physical accessibility to the health centre from both sides. The population structure of the combined community was determined through a household survey involving 125 households selected systematically from the total of 2500 households. A comparison is presented between this structure and that of the population of attendees at the outpatient department of the Ala/Idowa health centre as recorded in the outpatient register with a view to discerning differentials in utilisation among different age groups. The data showed that those under the age of 15 years made more use of the health centre services than any other age group. Also, of the total of 958 patients for whom a diagnosis was recorded, 565 (56%) presented with an infection or infestation alone while another 4% presented with an infection together with another condition. Malaria accounted for 358 (63.4%) of all reported cases of infection/infestation. It is hoped that the findings of this study can be used to further target health centre services at the appropriate groups within the community as well as directed to those conditions, particularly communicable and preventable, that continue to exert great morbidity on the populations of developing communities.
阿拉-伊多瓦健康中心成立于1980年，为阿拉和伊多瓦这两个相邻社区提供服务，这两个社区的人口分别为3960人和6580人。该健康中心位于两个社区之间的合理位置，从两边都能方便地到达。通过对从2500户家庭中系统选取的125户家庭进行住户调查，确定了合并后社区的人口结构。将这种结构与阿拉/伊多瓦健康中心门诊部门诊登记册中记录的就诊者人口结构进行比较，以了解不同年龄组在利用医疗服务方面的差异。数据显示，15岁以下的人群比其他任何年龄组更多地利用了健康中心的服务。此外，在记录了诊断结果的958名患者中，565名（56%）仅患有感染或寄生虫病，另有4%的患者同时患有感染和其他疾病。疟疾占所有报告的感染/寄生虫病病例的358例（63.4%）。希望本研究的结果可用于进一步将健康中心的服务目标对准社区内的适当群体，并针对那些继续给发展中社区人口带来巨大发病率的疾病，特别是传染病和可预防疾病。
