Published by admin on 04 Nov 2009 at 09:25 am
About
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CHN-RL |
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COMMUNITY HEALTH AND NUTRITION RESEARCH LABORATORIES |
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Community Health and Nutrition Research Laboratory (CHN-RL) is a field laboratory for a longitudinal surveillance on health and nutrition. In earlier The World Bank funded project is a collaboration research studies between the ministry of Health and Department of Education and Culture, Indonesia. The Faculty of Medicine – Gadjah Mada University has been assigned as the main host of the management operational of this project.
Provincial health planner and program managers need a variety of sources of information to determine the major disease in their communities and effectiveness and cost of alternative intervention strategies. Valid data are essential for the health problems and selection of the efficient interventions. The information sources currently available for formulating provincial health policy include; census data, inter-census household health and nutrition data, specific health survey data and routine MOH surveillance data. Although these sources of information may assist in identifying the major disease and nutritional problem in province, they provide only limited information about change in demographic and health status, change in health risk factors and the effectiveness of alternative of alternative intervention strategies. In this setting an appropriately designed longitudinal community health research laboratory can provide vital information needed for provincial health and nutritional status, health services and the community response to these service. In general CHN-RL aims to increase community health and nutrition status at the district level, particularly children and women for the main concerns on child survival and save motherhood. Data gained from this longitudinal surveillance provide information on the baseline and the changes of the demographic, morbidity, nutrition, and health services in the area as main contribution of the CHN-RL for the health policy makers. In addition to the surveillance, the CHN-RL comprises two other components; those are training and applied research components. The basic element of a community of health research laboratory include a defined population, an systematic collection of data in the population through surveys or a surveillance system, routine descriptive report of the rates for the major health events monitored and the implementation of cohort studies to identify health risk factors or to evaluate health interventions. In addition to the component of surveillance, there are two other main component, there are training and applied research. |
A major challenge for health system in Indonesia on the 1990 is to respond to the increasing demographic and epidemiological diversity that is an outcome of the differential speed of economic development and fertility declines in different provinces. This diversity demand a more flexible approach to formulation of health policy with individual provinces needing to develop or encountered in their communities.
