HEALTH CARE AND HEALTH STATUS IN RAJASTHAN, INDIA

印度拉贾斯坦邦的医疗保健和健康状况

• 批准号: 6740570
• 负责人: ESTHER DUFLO
• 金额: $ 21.13万
• 依托单位: NATIONAL BUREAU OF ECONOMIC RESEARCH
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-01-01 至 2009-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6740570
• 关键词: India; adult human (21+); behavioral /social science research tag; data collection methodology /evaluation; female; health care; health care facility; health care service availability; health services research tag; health surveys; human old age (65+); human subject; income; low socioeconomic status; mental health; public health; quality of life; questionnaires; rural health; socioenvironment; widowhood; women' s health

The basic aim of the project is to identify the determinants of health, including mental health, among the adult, and in particular the elderly, population of a poor, rural district in India, and to generate tools and methods to select and evaluate interventions that could improve their health. Specifically, we propose to accomplish three goals. First, we will analyze a new data set on health care facilities and the health status of people in 100 villages in Udaipur, Rajasthan that will be collected by August 2002. The data sources include an integrated socio-economic and health status household questionnaire, a survey of village infrastructure (roads, water, schools, environmental resources), a census of health facilities available to villagers and a detailed survey of all facilities (public and private, including traditional healers), and a continuous absenteeism survey conducted over the period of a year in all public health facilities serving the sample villages. Through these four sources, the data set will provide a comprehensive picture of the health status and health care services in rural North India. In particular, we will evaluate the relative importance of income, the health care system, and other public good, as well as their interactions, in determining health status. Second, we will conduct a new survey on the physical and mental health of widows, a particularly vulnerable group in India. Third, on the basis of the analysis of the existing data and the new survey on widows, we will help an NGO choose one or more interventions to improve the health status of adults and the elderly. The possible alternatives include incentives for doctors, nutrition supplements for adults and elderly, and help towards obtaining an old age or widow's pension. We will then evaluate the effect of these interventions on health and mental health, using a new round of data collection with a similar instrument, as well as data on intermediate outcomes most likely to be affected by the intervention. The intervention itself will be funded elsewhere; our aim here is collection and analysis of data and the identification, planning and evaluation of a suitable intervention.

该项目的基本目的是确定印度农村贫困地区成年人，特别是老年人的健康决定因素，包括心理健康，并制定工具和方法，以选择和评估可改善其健康的干预措施。具体地说，我们提出要实现三个目标。首先，我们将分析拉贾斯坦邦乌代布尔100个村庄的卫生保健设施和人民健康状况的新数据集，这些数据将于2002年8月收集。数据来源包括一份综合的社会经济和健康状况家庭调查问卷、对村庄基础设施(道路、水、学校、环境资源)的调查、对村民可用卫生设施的普查和对所有设施(公共和私营，包括传统治疗师)的详细调查，以及一年来在为样本村庄提供服务的所有公共卫生设施中进行的持续缺勤调查。通过这四个来源，数据集将提供全面的 印度北部农村地区的健康状况和医疗保健服务情况。特别是，我们将评估收入、医疗保健系统和其他公共产品的相对重要性，以及它们之间的相互作用，以确定健康状况。第二，我们将对寡妇的身心健康进行一项新的调查，寡妇在印度是一个特别脆弱的群体。第三，在分析现有数据和新的寡妇调查的基础上，我们将帮助非政府组织选择一种或多种干预措施，以改善成年人和老年人的健康状况。可能的替代方案包括激励医生、为成年人和老年人提供营养补充剂，以及帮助获得老年或寡妇养老金。然后，我们将评估这些干预措施对健康和精神健康的影响，使用类似工具的新一轮数据收集，以及关于最可能受到以下因素影响的中间结果的数据 干预行动。干预措施本身将由其他地方提供资金；我们在这里的目的是收集和分析数据，并确定、规划和评估适当的干预措施。