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Title: The Athoor experience. Field perspectives for implementing child survival programmes in the 90s. Author: Rajan RV. Journal: Hygie; 1992; 11(2):19-23. PubMed ID: 1618501. Abstract: The Athoor Health Project began as an action research pilot project and was integrated with various rural organizations in Gandhigram in southern India. India needed this project since health and fertility data showed considerable morbidity and population growth, yet few rural people used the family planning and maternal and child health (FP/MCH) services. The project served to develop a pattern of rural health services to improve community health programs in India. Researchers 1st conducted a baseline survey to determine the health conditions and project managers would then use the results to draft action programs. The next step was to develop methodologies to communicate the rural population and incorporate them into implementing changes in individual and community health. Program designers combined 3 perspectives as its approach to development of the Athoor Project: research on the relationship between MCH and FP patters, improvement in health service delivery at the local level, and designing appropriate training for field workers. Health workers with the Athoor Project provided FP counseling and services to each woman who attended a primary health center for other health needs. Conversely health workers addressed other health issues when women attended such a center for FP needs. Project leaders identified and trained village leaders (traditional midwives, healers, and teachers). These trained leaders then formed a village health committee and assisted health workers in educating village members. MCH/FP workers underwent field training with project health workers. Auxiliary midwives and basic health workers received birth and death data in the field and passed these statistics to the village registrar. A computer technician at the health centers compiled annual birth and death registration. The project also initiated a nutrition program that emphasized a nutritious and low cost local diet.[Abstract] [Full Text] [Related] [New Search]