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2005
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METHODOLOGY
Frerichs RR: Rapid microcomputer surveys. Journal of Tropical Pediatrics
34, 147-149, 1988.
In much of the developing world, if one wishes to know about the health
status of people one needs to go to their homes and watch, interview, or examine
them. Of course, persons who have come to hospitals or health centres are
routinely described in the many data forms completed by the attending
physicians, midwives, and other health workers. Unfortunately, for several
reasons this information is of limited use in determining the health status of a
defined population. First, sick persons may not seek the assistance of a trained
health worker. Thus, using only provider data, the impact of illness in a given
region would be underestimated. Secondly, the population being served by either
local or regional medical care providers may not be easily identified. Thus,
with too large or too small a denominator, the local disease rate would be
either under- or over-estimated. Thirdly, the providers of care may be too busy
to complete and submit the many forms required by most government
administrators. Their omissions would result in fewer reported cases so that the
local disease rates would be underestimated. Administrators and planners are
well aware of these problems. As a result, they often question the value of the
presented data for comparing one region with another so that the information has
little effect on the decisionmaking process. Yet if 'health for all' is to
become a reality, objective information on the needs of the community must be
quickly gathered and evaluated so that resources can be allocated in the most
efficient manner.
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