HEALTH-CARE-DELIVERY AND THE STATUS OF THE POPULATIONS HEALTH IN THE CURRENT CRISES IN FORMER YUGOSLAVIA USING EPI-DESIGN METHODOLOGY

Background. The aim of this study was to assess accessibility to healt h care services and the needs of the population and demands on the hea lth service in the areas most affected by the current crisis in the fo rmer Yugoslavia. The delivery of health care services and problems in its realization and the status of the population's health in the crisi s period (from the second half of 1993 to the end of the first half of 1994) were also investigated together with the results of Government measures concerning health care priorities during the period of UN San ctions in Yugoslavia. Method. By the end of the 1980s, as an alternati ve to traditional data collection, a new method called 'Rapid Health A ssessment' appeared. The EPI design (Expanded Programme on Immunizatio n), the most frequently applied method, was used in this study. It is a cluster sample selection, where a household is the basic unit. Resul ts. This study showed that the first effects of the crisis appeared in the field of health care delivery and then in the population's health status. The difficulties were not the same for all categories of the population, and children and urgent cases had less problems than other s. The expected difficulties in vaccination coverage were not shown in this survey. The morbidity structure for children and adults changed in comparison with routine statistical data but the size of the chosen sample, as well as the short period of the crisis investigated, mean that definite conclusions cannot be drawn on this issue. This study pr ovides recent data on health care delivery, morbidity structure, and v accination coverage, as well as giving a more complex and precise esti mate of the real situation.