[Evaluation of regional indicators in Africa].
In view of the new demands created by primary health care, a group of experts met for the first time in 1980 to try to elaborate indicators appropriate to the African context which would help Member States measure progress in primary health care. The new indicators were to be used in addition to the 12 global indicators proposed at Alma-Ata. In September 1985 at Lusaka, the Regional Director defined a three-phase health development frame-work that would allow Member States to set up primary health care methodically and progressively in three stages: at district and intermediate levels, and then centrally. In September 1988, a large-scale survey was conducted in the 44 Member States of the Region to test the validity of the indicators and to verify the feasibility of the method proposed for gathering and processing data. The surveys were conducted in house-holds and were to involve local personnel and community participation. The indicators were to meet criteria such as simplicity, reproducibility and validity, and were to approach health problems in a positive way, rather than in terms of failure quantified by mortality, morbidity, etc. Although the results of these surveys conducted in villages and urban areas cannot be extrapolated to the district or the country, they do give a faithful picture of the health situation in the districts where they were conducted. The study shows that the 27 indicators, suitably modified and adapted, are easily used at the community level, even by non-medical personnel.(ABSTRACT TRUNCATED AT 250 WORDS)
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D000293:Adolescent; D000349:Africa; D000368:Aged; D002675:Child, Preschool; D003153:Community Health Services; D003710:Demography; D005192:Family Health; D006305:Health Status Indicators; D006803:Human Development; D006801:Humans; D007223:Infant; D011320:Primary Health Care / Q000458:organization & administration*; D015397:Program Evaluation; D015203:Reproducibility of Results
Evaluation des indicateurs régionaux en Afrique.