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Impact of - IDL-BNC @ IDRC - International Development Research ...

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also require specialized knowledge and technical skills in first aid and in the<br />

registration and referral <strong>of</strong> pesticide-intoxicated patients.<br />

At a higher level, state institutions and private doctors involved in the control<br />

and treatment <strong>of</strong> pesticide intoxication must receive training and be sensitized<br />

to the purpose and goals <strong>of</strong> a monitoring program. Technicians and pr<strong>of</strong>essionals<br />

in the agricultural sciences must also participate to promote the safe<br />

and rational use <strong>of</strong> toxic pesticides.<br />

Methodological difficulties and the<br />

multidisciplinary approach<br />

The research process<br />

A multidisciplinary approach was one <strong>of</strong> the principal characteristics <strong>of</strong> the<br />

project. However, this can define several different ways <strong>of</strong> working. For<br />

example, combining research results from two overlapping research designs<br />

can correctly be called multidisciplinary. Alternatively, a single research<br />

design can use a multidisciplinary approach in the process <strong>of</strong> obtaining data.<br />

This second strategy is perhaps more properly called interdisciplinary and it<br />

is the approach employed by this study.<br />

Of the seven localities on the left side <strong>of</strong> the Mala valley, three were selected<br />

to constitute the study area. This selection ensured the manageability <strong>of</strong> the<br />

study without compromising its statistical rigour. The selection took into<br />

account differences in climate and the history <strong>of</strong> land tenure. The unit <strong>of</strong><br />

analysis was defined as agricultural workers who apply pesticides (about 750<br />

workers). A random sample <strong>of</strong> 150 agricultural workers from the three localities<br />

was chosen, representing 20% <strong>of</strong> the study population.<br />

Surveys were conducted to gather information about the level <strong>of</strong> intoxication<br />

and risk factors; the preferred practices <strong>of</strong> the workers with regard to protective<br />

and application equipment were observed directly. A subsample <strong>of</strong> those<br />

who had applied DNOC were subsequently questioned about the level <strong>of</strong><br />

intoxication experienced.<br />

From a social sciences perspective, two variables <strong>of</strong> special relevance for<br />

determining the risk level <strong>of</strong> intoxication by pesticides were the size <strong>of</strong> plots<br />

and the status <strong>of</strong> workers (owners, labourers, and mixed cases). Other variables,<br />

such as length <strong>of</strong> exposure, dosage, etc., depended on these two factors.<br />

To study the conditional factors <strong>of</strong> risk, the project's social scientists wished<br />

to stratify the study population before sampling, taking into account these two<br />

variables.<br />

The medical scientists and physicians, on the other hand, were interested in<br />

guaranteeing statistical results by determining the level <strong>of</strong> intoxication based<br />

98

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