HEALTH CARE AND HEALTH STATUS IN RAJASTHAN, INDIA

该项目的基本目标是确定印度贫困农村地区成年人，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。具体而言，我们建议实现三个目标。首先，我们将分析一个新的数据集的卫生保健设施和人民的健康状况在100个村庄在乌代布尔，拉贾斯坦邦，将收集到2002年8月。数据来源包括综合社会经济和健康状况住户调查表、村庄基础设施调查（道路、水、学校、环境资源）、对村民可利用的保健设施进行普查以及对所有设施进行详细调查（公共和私人，包括传统治疗师），以及在一年的时间里，在为抽样村庄服务的所有公共卫生设施中进行连续的缺勤调查。通过这四个来源，数据集将提供一个全面的 印度北部农村的健康状况和保健服务情况。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，以及它们的相互作用，在确定健康状况。第二，我们将对寡妇的身心健康进行一项新的调查，寡妇是印度的一个特别脆弱的群体。第三，根据对现有数据的分析和对寡妇的新调查，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。可能的替代办法包括对医生的奖励、对成年人和老年人的营养补充以及帮助获得老年或寡妇养恤金。然后，我们将使用类似工具进行新一轮数据收集，以及最有可能受到以下因素影响的中间结果数据，评估这些干预措施对健康和心理健康的影响。 干预。干预本身将由其他方面供资;我们的目标是收集和分析数据，并确定、规划和评价适当的干预。

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.