Table 2 Proximate factors related to priority problems identified at Participatory Workshop 1, Iquitos, Peru, April 1, 2005.
Priority Problem | Health Factors | Nutrition Factors | Education Factors | Environmental Factors | Social Factors | |
|---|---|---|---|---|---|---|
1. Infant malnutrition | CAUSES | No vaccination; poor growth/development; low birth weight | Non-exclusive breastfeeding, poor food habits/quality | Infant abandonment | ||
EFFECTS | Morbidity; mortality; delayed psychomotor development | Poor school performance | High social cost | |||
2. Adolescent pregnancy | CAUSES | Drug/alcohol abuse | Low education level | Sexual abuse; peer pressure; lack of family support | ||
EFFECTS | Abortion | Infant malnutrition | Dropping out | Low self-esteem; infant abandonment | ||
3. Acute Diarrhoeal Illness | CAUSES | Intestinal parasites; poor hygiene habits | Non-exclusive breastfeeding | Environmental contamination; lack of basic sanitation | ||
EFFECTS | Dehydration; death | Malnutrition | ||||
4. Lack basic sanitation | CAUSES | Low education level | Open drainage; presence of waste; lack of sewer system | Rapid development/urbanization | ||
EFFECTS | Source of infection/contamination | Contamination of water supply; vector presence (rodents, insects) | ||||
5. Low level of education | CAUSES | Malnutrition | Dropping out; repetition of grade | Gender inequality; economic inaccessibility | ||
EFFECTS | Drug abuse | Violence; low quality of life; poverty; low SE development; | ||||
6. Sexually Transmitted Diseases | CAUSES | Insufficient sexual education | Promiscuity; prostitution; risk taking; drug/alcohol abuse | |||
EFFECTS | Morbidity; mortality | Low quality of life |