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งานวิจัย : การศึกษารูปแบบปรับปรุงส่งเสริมในโภชนาการในหมู่บ้านแบบผสมผสาน
Nutrition Development Model in Rural Community
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โดย :
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บทคัดย่อ
ภาษาอังกฤษ
ABSTRACT
The objective of this operational research was studying an integrated model for the improvement for the improvement and promotion of nutritional status in rural communities. Nutrition was applied as the entry point, meanwhile health environmental sanitation, socio-economic and agriculture were promoted. Therefore, the researchers had to selected the two local villagers for training as nutrition Also these LVN were assigned to perform simultaneously the work for the development of health, environmental sanitation, socio-economic and agriculture. This model was piloted in four villages in Khon Kaen and Mahasarakam provinces. Among the foure villages two were located in Khon Kaen while the other two were in Mahasarakam. In addition another one village in each of the two provinces was selected to serve as the control and having no trained LVN. The research was commenced in July 1984 and ended in June 1987. It was funded by the USAID and the Research and Development Institue., Khon Kaen University.
The results of training LVN indicated that they had limitations in performing the assignment. Although they were unable to do all the development work, they could efficiently work as mediators of communication at village level, and also were able to conduct a survey for data on daily nutrition which concerned to the way of their living, weigh preschool children and evaluate PEM, demonstrate the preparation of supplementary food and trainsfer knowledge to a group of housewives through individual discussion. In conclusion, LVN could help to reduce substantially work load of Village Health Volunteer (VHV), particulary, in communication and nutrition promotion.
As a result of work on nutrition, in experimental villages, child birth weights showed on improving trend. The average child birth weight increased from 2.61 kilograms in 1983 to 2.71 kilograms in 1987. A concomitant improvment in growth of preschool children also was observed. A compared to the control villages, malnutrition (PEM) dropped statistically significantly, to 58.4 percent from 62.3 percent, An improvement in general health of the villagers were reflected by a zero infant mortality rate, a significant reduction in occurrence of pneumonia, diarrhea and parasitic infestation. Regarding development on environmental sanitation villagers showed understanding on the treatment of drinking water, possession and use of a sanitary toilet, refuse disposal and the cleanliness of houses and their surroundings. The work on promotion of second occupation after harvest season for housewives revealed that making of handicraft by wearing mats could be a supplementary source of income when the color and the designs of the mate were improved. Also the promotion, of cow pea planting was observed that production and consumption of cow pea became favorable to the villagers. However, promotion on production of straw muschroom was not successful in our experimental villages.
At last, the result of the 4 experimental villages development the researchers found that the village headman ( Poo Yai Ban ) was the most important factor.
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