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Health improvement for disadvantaged people in Nepal – an evaluation

机译：尼泊尔弱势群体的健康改善–一项评估

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Background An evaluation of progress with participatory approaches for improvement of health knowledge and health experiences of disadvantaged people in eight Districts of Eastern Nepal has been undertaken. Methods A random selection of Village Development Committees and households, within the eight Districts where participation and a Rights-based Approach had been promoted specifically by local NGOs were compared with similar villages and households in eight Districts where this approach had not been promoted. Information was sought by structured interview and observation by experienced enumerators from both groups of householders. Health knowledge and experiences were compared between the two sets of households. Adjustments were made for demographic confounders. Results Complete data sets were available for 628 of the 640 households. Health knowledge and experiences were low for both sets of households. However, health knowledge and experiences were greater in the participatory households compared with the non-participatory households. These differences remained after adjustment for confounders. Conclusions The study was designed to evaluate progress with participatory processes delivered by non-governmental organisations over a five year period. Improvements in health knowledge and experiences of disadvantaged people were demonstrated in a consistent and robust manner where interventions had taken place.
机译：背景技术已经对采用参与式方法改善尼泊尔东部八个地区的弱势群体的健康知识和健康经验的进展进行了评估。方法将当地非政府组织专门提倡参与和基于权利的方法的八个地区中的乡村发展委员会和住户随机选择，与未提倡这种方法的八个地区中的类似村庄和住户进行比较。来自两组住户的经验丰富的调查员通过结构化的访谈和观察来寻求信息。比较了两组家庭的健康知识和经验。针对人口混杂因素进行了调整。结果640户中的628户可获得完整的数据集。两组家庭的健康知识和经验均较低。但是，与非参与型家庭相比，参与型家庭的健康知识和经验更多。调整混杂因素后，这些差异仍然存在。结论该研究旨在评估非政府组织在五年内通过参与过程所取得的进展。在采取干预措施的过程中，以一致和有力的方式证明了弱势群体的健康知识和经验得到了改善。

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