Résumé :
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[BDSP. Notice produite par INIST-CNRS ok5yR0xh. Diffusion soumise à autorisation]. The social and demographic characteristics of ~ 65,000 Tibetan refugees in India were determined from data collected 1994-1996. Approximately 55.000 refugees were living in 37 settlements widely distributed around India. The remaining 10,000 refugees were monks living in monasteries associated with some of the settlements, mostly in the south of India. In the settlements, a community-based surveillance system was established and data were collected by trained community health workers in house to house visits. In the monasteries, data were collected by the community health workers in monthly interviews with a designated liaison monk at each monastery. These data indicated little immigration of new civilian refugees in the past 10 years into the settlements hut a steady influx of new monks into the monasteries. The age distribution in the settlements showed a prominent mode in the 15-25 year age range, a declining birth rate, and an increasing proportion of elderly. In general, refugees born in India were educated through secondary school, while refugees born in Tibet were often illiterate. The principle occupations were education involving 27% (including students), farming, 16%, and sweater selling, 6.5% : another 6.5% were too young or too old for employment, and only 2.4% were unemployed. The overall crude birth rate was determined to he relatively low at 16.8/1000, although this may underestimate the true figure. Infant mortality varied from 20 to 35/1000 live births in the different regions. Child vaccination programs cover less than 50% of the population. The burden of illness in this society was mainly characterized by diarrhoea, skin infections, respiratory infections, fevers, and, among the elderly, joint pains and cardiovascular problems. (...)
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