te Water Naude J, London L, Pitt B, Mahomed C
Health Department, Cape Metropolitan Council, Cape Town.
S Afr Med J. 1998 Sep;88(9):1102-5.
To document the number of farms operating a 'dop' system (payment of workers with alcohol instead of wages), to estimate the number of farm workers affected, to describe how the system operated and to characterise adverse social conditions on the farms.
Farms served by the mobile clinics of the Cape Metropolitan Council's Health Department in the Stellenbosch area.
Cross-sectional prevalence survey. Nurses collected data from patients attending mobile clinics.
A prevalence of 9.5% was detected in respect of farms operating the dop system, with an estimated 780 workers affected. The most common practice was a daily provision of 750 ml wine to male workers. Social conditions on the farms in question were poor and wages were low. Child malnutrition was the most common health problem identified.
The dop system, although illegal, has been documented to occur in the Stellenbosch area. Programmes to address the dop system and alcohol abuse, based on a primary health care approach, are a priority in the rural areas of the Western Cape.
记录采用“酒酬”制度（用酒而非工资支付工人报酬）的农场数量，估算受影响的农场工人数量，描述该制度的运作方式，并刻画这些农场恶劣的社会状况。
斯泰伦博斯地区由开普敦都会区议会卫生部门的流动诊所服务的农场。
横断面患病率调查。护士从前往流动诊所就诊的患者处收集数据。
发现采用“酒酬”制度的农场患病率为9.5%，估计有780名工人受影响。最常见的做法是每天给男性工人提供750毫升葡萄酒。相关农场的社会状况很差，工资很低。儿童营养不良是最常见的健康问题。
“酒酬”制度虽属非法，但已证实在斯泰伦博斯地区存在。基于初级卫生保健方法应对“酒酬”制度和酒精滥用问题的项目，是西开普农村地区的优先事项。
