Measuring the Impact of Fatal Adult Illness in Sub-Saharan Africa; An Annotated Household Questionnaire

Measuring the Impact of Fatal Adult Illness in Sub-Saharan Africa; An Annotated Household Questionnaire
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衡量撒哈拉以南非洲成人致命疾病的影响;

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发表时间:
1992
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通讯作者:
I. Semali
I. Semali
中科院分区:
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文献类型:
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作者:
M. Ainsworth;G. Koda;G. Lwihula;Phare Mujinja;A. Over;I. Semali

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本文介绍了一个家庭调查表的发展和内容,旨在衡量非洲国家成人发病率和死亡率的经济影响。调查表是世界银行和达累斯萨拉姆大学的一个研究小组进行的“撒哈拉以南非洲地区艾滋病和其他原因造成的致命成人疾病的经济影响”研究项目的主要数据收集工具。该项目的主要目标是:(1)衡量成人致命疾病对个人、家庭和社区的影响;(2)估计援助幸存者的替代政策的成本和效果。家庭调查表改编自世界银行生活水平衡量调查的调查表,以衡量个人和家庭应对成人致命疾病的福祉和应对行为。住户调查表的主要创新包括:采用纵向研究设计,包括“波间”一致性检查;关于急性和慢性疾病及其费用的一套扩大的问题;关于住户成员和亲属死亡率的模块;考虑到季节性的消费模块;在个人一级收集更多数据,以便利分析住户内部资源分配情况。本报告是世界银行和达累斯萨拉姆大学研究人员编写的关于“撒哈拉以南非洲艾滋病和其他原因造成的致命成人疾病的经济影响”研究项目的方法和成果的若干文件中的第一份。研究小组谨此感谢以下机构及人士在开展研究及编制问卷时提供意见及协助:卫生部前首席医疗官Hiza;国家艾滋病控制方案主任Nyamuryekung 'e和成员; A. Rwegarulira,社会福利部; S. Ngallaba,统计局高级统计员; Mkai先生,统计局; Muhimbili大学卫生科学学院公共卫生研究所Muhondwa教授; Kimiti先生,前卡盖拉区域专员; Mtera博士,前卡盖拉区域医务干事; A. Biashara,区域艾滋病控制干事; G. Mugyabuso,卡盖拉地区社会福利官员; Kahatano,卡盖拉地区教育干事; P. Ngeze先生,查马查马平杜齐(CCM)地区主席。我们还要感谢Bilele区(Bukoba镇)和Ilogero、Lukindo和Gera的那些村庄的人民,感谢他们在家庭问卷实地测试期间的耐心、合作和有益的见解。研究小组也感谢D博士的贡献。邓洛普、J. Kutzin先生和T. Wayman先生在修订住户调查表方面提供了不可或缺的协助,Andrew Nyamete先生在管理斯瓦希里住户调查表的编制方面提供了不可或缺的协助。最后,研究小组要感谢世界银行研究委员会和丹麦国际开发援助署(丹开发署)提供的财政支助,没有这些支助,该项目是不可能进行的。
This paper describes the development and content of a household questionnaire designed to measure the economic impact of adult morbidity and mortality in an African country. The questionnaire is the main data collection instrument of the research project on "The Economic Impact of Fatal Adult Illness due to AIDS and Other Causes in Sub-Saharan Africa", conducted by a research team from the World Bank and the University of Dar es Salaam. The main objectives of the project are: (1) to measure the impact of fatal adult illness on individuals, households and communities; and (2) to estimate the costs and effects of alternative policies to assist the survivors. The household questionnaire was adapted from the questionnaire of the World Bank's Living Standards Measurement Survey (LSMS) to measure the well-being and coping behaviors of individuals and households in response to fatal illness among adults. Key innovations in the household questionnaire include: adaptation for a longitudinal research design, including "inter-wave" consistency checks; an expanded set of questions on acute and chronic illness and their costs; a module on the mortality of household members and relatives; a consumption module that allows for seasonality; and collection of more data at the individual level, to facilitate analysis of intra-household distribution of resources. vi ACKNOWLEDGEMENTS This report is the first of several papers documenting the methodology and results of the research project on "The Economic Impact of Fatal Adult Illness due to AIDS and Other Causes in SubSaharan Africa", conducted by researchers from the World Bank and the University of Dar es Salaam. The research team would like to extend its gratitude to the following organizations and individuals for their advice and assistance in launching the project and developing the questionnaire: Prof. K. Hiza, former Chief Medical Officer of the Ministry of Health; Dr. K. Nyamuryekung'e, Director, and members of the National AIDS Control Programme; Mr. A. A. Rwegarulira, Department of Social Welfare; Dr. S. Ngallaba, Senior Statistician, Bureau of Statistics; Mr. Mkai, Bureau of Statistics; Prof. Muhondwa of Institute of Public Health, Muhimbili University College of Health Sciences; Mr. Kimiti, former Kagera Regional Commissioner; Dr. Mtera, former Kagera Regional Medical Officer; Mr. A. Biashara, Regional AIDS Control Officer; Mr. G. Mugyabuso, Kagera Regional Social Welfare Officer; Mrs. R. Kahatano, Kagera Regional Education Officer; Mr. P. Ngeze, Regional Chairman of the Chama Cha Mapinduzi (CCM). We would also like to express our gratitude to the people of Bilele ward (Bukoba town) and the villages of Ilogero, Lukindo, and Gera for their patience, cooperation and helpful insights during the field test of the household questionnaire. The research team also gratefully acknowledges the contributions of Dr. D. Dunlop, Mr. J. Kutzin and Mr. T. Wayman in revising the household questionnaire, and the indispensable assistance of Mr. Andrew Nyamete in managing the production of the Swahili household questionnaire. Finally, the research team would like to thank the World Bank Research Committee and the Danish International Development Assistance (DANIDA) for financial support, without which the project would not have been feasible.