RESUMO
Haemoglobin levels were used to estimate the prevalence of anaemia in children 2-12 years old in the Islamic Republic of Iran. The study was part of the National Health and Disease Survey in 1999 that used a cluster sample of 1 in 1000 of the Iranian population. Of 4170 children aged 2-6 years, 7.3% were diagnosed with mild anaemia, 2.5% moderate anaemia and 1.0% severe anaemia (WHO definitions). Of 8461 children aged 7-12 years, 10.9% were diagnosed with mild anaemia, 3.0% moderate anaemia and 1.1% severe anaemia. The prevalence of anaemia was significantly higher in rural than urban areas.
Assuntos
Anemia/epidemiologia , Proteção da Criança/estatística & dados numéricos , Distribuição por Idade , Anemia/sangue , Anemia/etiologia , Anemia/prevenção & controle , Criança , Transtornos da Nutrição Infantil/complicações , Pré-Escolar , Análise por Conglomerados , Doenças Transmissíveis/complicações , Alimentos Fortificados , Necessidades e Demandas de Serviços de Saúde , Inquéritos Epidemiológicos , Hemoglobinas/metabolismo , Humanos , Irã (Geográfico)/epidemiologia , Compostos de Ferro/uso terapêutico , Vigilância da População , Prevalência , Fatores de Risco , Saúde da População Rural/estatística & dados numéricos , Índice de Gravidade de Doença , Saúde da População Urbana/estatística & dados numéricosRESUMO
Haemoglobin levels were used to estimate the prevalence of anaemia in children 2- 12 years old in the Islamic Republic of Iran. The study was part of the National Health and Disease Survey in 1999 that used a cluster sample of 1 in 1000 of the Iranian population. Of 4170 children aged 2- 6 years, 7.3% were diagnosed with mild anaemia, 2.5% moderate anaemia and 1.0% severe anaemia [WHO definitions]. Of 8461 children aged 7- 12 years, 10.9% were diagnosed with mild anaemia, 3.0% moderate anaemia and 1.1% severe anaemia. The prevalence of anaemia was significantly higher in rural than urban areas
Assuntos
Hemoglobinas , Prevalência , Criança , AnemiaRESUMO
A national survey of the prevalence of intestinal parasitic infections in the Islamic Republic of Iran was made on a random sample of families covered by local health centres affiliated to the medical universities. Out of 53,995 people aged 2+ years, from 12,495 families (0.1% of all families in 1999), 45,128 stool samples were analysed by formalin-ether precipitation. Intestinal parasitic infections were found in 19.3% of the study population (19.7% male, 19.1% female). Giardia lamblia (10.9%), Ascaris lumbricoides (1.5%), Entamoeba histolytica (1.0%) and Enterobius vermicularis (0.5%) were the most common infections. The infection rate was highest in the 2-14 years age group (25.5%) and in rural residents (23.7%).
Assuntos
Enteropatias Parasitárias/epidemiologia , Adolescente , Adulto , Distribuição por Idade , Idoso , Animais , Ascaríase/epidemiologia , Ascaris lumbricoides , Criança , Pré-Escolar , Disenteria Amebiana/epidemiologia , Enterobíase/epidemiologia , Fezes/parasitologia , Feminino , Giardia lamblia , Giardíase/epidemiologia , Inquéritos Epidemiológicos , Humanos , Enteropatias Parasitárias/parasitologia , Enteropatias Parasitárias/prevenção & controle , Irã (Geográfico)/epidemiologia , Masculino , Pessoa de Meia-Idade , Vigilância da População , Prevalência , Características de Residência , Inquéritos e QuestionáriosRESUMO
A national survey of the prevalence of intestinal parasitic infections in the Islamic Republic of Iran was made on a r and om sample of families covered by local health centres affiliated to the medical universities. Out of 53,995 people aged 2+ years, from 12,495 families [0.1% of all families in 1999], 45,128 stool samples were analysed by formalin-ether precipitation. Intestinal parasitic infections were found in 19.3% of the study population [19.7% male, 19.1% female]. Giardia lamblia [10.9%], Ascaris lumbricoides [1.5%], Entamoeba histolytica [1.0%] and Enterobius vermicularis [0.5%] were the most common infections. The infection rate was highest in the 2-14 years age group [25.5%] and in rural residents [23.7%]
Assuntos
Ascaríase , Ascaris lumbricoides , Disenteria Amebiana , Enterobíase , Giardíase , Inquéritos Epidemiológicos , Enteropatias ParasitáriasRESUMO
INTRODUCTION: Health services are historically based on providers's and policy makers's understanding of population health status. This does not necessarily reflect the real needs of a population. Health needs assessment (HNA) should improve individual or population health and optimize the way that limited resources are utilized. OBJECTIVES: To review health needs literature and to describe Iranian primary healthcare (PHC) achievements in developing a needs-driven health system. FINDINGS: The Iranian PHC system was established to meet healthcare needs identified through population health status surveys. Since 1984, the PHC system has become highly organized and efficient, resulting in a dramatic decrease in infant, maternal and neonatal mortality rates, population growth, increasing life span and a marked shift towards non-communicable diseases. Through an organized partnership of the general population, volunteers, health workers and health professionals, a needs-oriented healthcare system became central to health policy in Iran. Several information sources were utilized to establish need. Improving death certification was an immediate and important part of this process. COMMENT: Improved knowledge about personal rights, community and environmental health policies, and involvement of the media led to an increased range and depth of needs. Moving towards quality improvement and a needs-driven healthcare system requires continuous needs assessment. Novel methods of HNA, such as postal and telephone surveys, group discussions, surrogates for need such as quality-of-life measurement (commonly used in developed countries) or other locally designed methods such as the basic development needs approach, may be relevant to the Iranian PHC network.
