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Community-based health reporting.

W Scott1

  • 1United Nations Research Institute for Social Development, Palais des Nations, Geneva.

World Health Statistics Quarterly. Rapport Trimestriel De Statistiques Sanitaires Mondiales
|January 1, 1988
PubMed
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A local health monitoring service in Kerala, India, showed modest service improvements. Child malnutrition decreased in one area, but infant mortality and morbidity rates fluctuated, indicating data limitations.

Area of Science:

  • Community health monitoring
  • Socioeconomic determinants of health
  • Child health and nutrition

Background:

  • Established in 1978/79, a local development monitoring service in Kerala, India, collected socioeconomic and health data.
  • Data were gathered from community members and household surveys using local interviewers.
  • The study focused on three distinct areas: a fishing village, a highland community, and an agricultural area.

Purpose of the Study:

  • To present selected results from a five-year period of local health and socioeconomic data collection.
  • To analyze trends in health service infrastructure, infant mortality, morbidity, and child anthropometry.
  • To assess the impact of development interventions on community health indicators.

Main Methods:

  • Longitudinal data collection over five years in three geographically distinct communities.
Keywords:
AsiaCommunity SurveysData AnalysisData CollectionDemographic FactorsDeveloping CountriesDiseasesHealthHealth SurveysIndiaInfant Mortality--changesMorbidityMortalityPopulationPopulation CharacteristicsPopulation DynamicsResearch MethodologyResearch ReportRural PopulationSampling StudiesSouthern AsiaStudiesSurveys

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  • Household surveys and key informant interviews were employed for data gathering.
  • Analysis focused on health service delivery, infant mortality rates, morbidity patterns, and child weight/height-for-age.

    • Main Results:

    • Modest improvements in health and other services were observed over the five-year period.
    • Infant mortality and morbidity rates fluctuated significantly, with sample sizes deemed inadequate for reliable rate calculation.
    • A marked decrease in low weight- and height-for-age children was noted in one area, while another area showed higher rates despite greater income.

    Conclusions:

    • Development interventions showed some positive impact on child anthropometry, but not consistently across all indicators or areas.
    • Fluctuations in infant mortality and morbidity highlight the need for larger sample sizes and refined data collection methods.
    • Socioeconomic factors alone do not fully explain improvements in child nutritional status, suggesting multifaceted influences.