The potential role of peripheral health workers and community key informants in the rapid assessment of community burden of disease: the example of lymphatic filariasis.
Data for planning disease control programs in most developing countries is often not available because they are usually expensive to gather. This study explored the potential use of peripheral health staff and community key informants in gathering community-level data about lymphatic filariasis. Agreement between findings of health workers and those of physicians was very high (kappa 0.66-0.87) for the clinical conditions examined. The prevalence of hydrocele was found to be a good predictor of communities at risk of filariasis. Community key informants provided very useful qualitative and quantitative data on the prevalence of clinical filariasis. The need to use nontraditional health professionals in gathering data for planing control programs is discussed.
Health Research Unit, Ministry of Health, Accra, Ghana. gyapong@ighmail.com
J O
JO
Gyapong
R H
RH
Webber
S
S
Bennett
D003150:Community Health Workers / Q000706:statistics & numerical data; D003256:Community Participation / Q000706:statistics & numerical data; D004605:Elephantiasis, Filarial / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D005869:Ghana / Q000453:epidemiology; D006801:Humans; D008297:Male; D010820:Physicians / Q000706:statistics & numerical data; D015995:Prevalence; D011897:Random Allocation; D012424:Rural Population / Q000706:statistics & numerical data; D006848:Testicular Hydrocele / Q000175:diagnosis / Q000453:epidemiology