A survey of Colorado's migrant farmworkers: access to health care.
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Recent refugees from Poland, Romania, Iraq, and Vietnam were extensively interviewed to assess their health, health care utilization, and health services use barriers. 277 recent arrivals from these countries and 63 previously arrived Laotians comprised the 1983-1985 sample from the Detroit metropolitan area. Results from a 195-item bilingual questionnaire indicated good overall health and little evidence of serious physical health symptoms. Dental health was the area of greatest reported need. Prenatal care and mental health services were additional areas of need noted by researchers. Barriers to health service utilization were primarily language related. There were major differences in both health problems and health service utilization among the 4 groups surveyed.
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The authors discuss the nature of an integrated approach to the treatment of population variables in the socioeconomic planning exercises of developing countries and describe the obstacles that must be overcome in order to achieve meaningful integration. The nature of the system linking demographic and socioeconomic processes is described, and a distinction is made between the roles of population-influencing and population-responsive policies. The types of studies needed to provide an effective analytical framework for integrated population and development planning are set forth and discussed in ascending order, from inventories of demographic and related socioeconomic data to demographic/economic planning models. The need for establishing some form of a population planning unit within the governmental structure is assessed, and the functions which might be undertaken by such a unit are described. Finally, a classification scheme is proposed which would divide countries into broad categories according to their major characteristics and problems, and a scheme for providing each type of country with technical assistance in population and development planning is proposed. In their concluding remarks, the authors note there is a need to promote a transition from simple awareness of the interrelationships and then to integrated planning. This transition, they maintain, will require a continuous and cumulative commitment of countries and an effective co-ordination and collaboration among the agencies which provide technical assistance in this field.
The Global Strategy for Health for All by the Year 2000 by the World Health Organization has revived interest in looking for objective measures of the health status of a given population. According to the WHO definition, health is a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity. This paper attempts to survey existing and proposed health indicators, including mortality and survival, growth and development, and morbidity and disability; and discusses problems associated with them. It concludes that mortality statistics are likely to retain their central place in the evaluation of health progress. With respect to health indicators, problems arise, among other things, from the awareness that health is the continuum between death and and complete health and also that health tends to become more and a matter of social perception and behavioral patterns. Caution and patience are advised in the search for internationally comparable health indicators that are feasible, objective and useful.
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The history and functions of rural family planning centers in China are reviewed, with a focus on a center in Liaoning Province. "To date, more than 8,500 such centers have been established in 92.2 percent of the rural resident's groups. What the centers do is to give rural residents education and services in family planning, and help them educate themselves.... According to statistics, 99.3 per cent of the babies born in Liaoning Province in 1986 were planned. More than half of the counties and districts and over 90 per cent of the villages reported no unplanned births. The Province now leads the nation in fulfillment of family-planning goals."
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