HEALTH CARE AND HEALTH STATUS IN RAJASTHAN, INDIA

该项目的基本目标是确定印度农村贫困地区成年人，特别是老年人健康的决定因素，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。具体来说，我们提出要实现三个目标。首先，我们将分析将于2002年8月之前收集的关于拉贾斯坦邦乌代普尔100个村庄的保健设施和人民健康状况的新数据集。数据来源包括一份综合的家庭社会经济和健康状况调查表，对村庄基础设施（道路、水、学校、环境资源）的调查，对村民可用的卫生设施的普查，对所有设施（公共和私人，包括传统治疗师）的详细调查，以及对为样本村庄服务的所有公共卫生设施进行的为期一年的连续缺勤调查。通过这四个来源，将提供一个全面的数据集

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.