Détails ressource biomédicale locale

Détails ressource biomédicale locale
Numéro 323
Titre Medical technology in developing countries: useful, useless, or harmful?
Rubrique Informations générales sur la coopération et le développement
Auteur Cohn McCord, M.D.
Editeur The American Journal of Clinical Nutrition
Résumé In 1972 McDermott et al. and othersreviewed their experience with a 5-year intensive effort to improve health through provision of health services in a small Navajo Indian community. They found a drop in the incidence of tuberculosis and otitis media, some benefit from use of hospital facilities, but no change in mortality rates, and particularly no change in the infant mortality rate that contributed 50% of total deaths. Most of the infant mortality was due to diarrhea and pneumonia and the incidence of these conditions did not change over a 5-year period. The reason for this, they felt, was that the available therapy (antibiotics) was ineffective against most of the organisms causing diarrhea and pneumonia and preventive rneasures could not be effectively implemented in the prevailing socioeconomic conditions. Their conclusion was that there was “a technobogical misfit of health care and the disease pattern” in the community served and that there was no reason to expect significant irnprovement in health without a change in the social and economic situation with resultant improved housing and sanitation.
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Lien site web http://www.ajcn.org/content/31/12/2301.full.pdf
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