Perceptions, awareness on snakebite envenoming among the tribal community and health care providers of Dahanu block, Palghar District in Maharashtra, India.
Perceptions, awareness on snakebite envenoming among the tribal community and health care providers of Dahanu block, Palghar District in Maharashtra, India.
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DOI：
10.1371/journal.pone.0255657
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Gajbhiye RK
中科院分区：
文献类型：
--
作者：
Chaaithanya IK;Abnave D;Bawaskar H;Pachalkar U;Tarukar S;Salvi N;Bhoye P;Yadav A;Mahale SD;Gajbhiye RK
值得注意的是，印度是蛇咬死亡人数最多的国家，占全球蛇咬死亡人数的近50%。尽管如此，关于印度人口中蛇咬伤的管理实践，人们的知识和意识有限。这项研究旨在探索印度马哈拉施特拉邦Dahanu部落社区和一线卫生工作者对蛇和蛇咬伤、急救和治疗的知识、意识和感知。2016年6月至2018年10月在马哈拉施特拉邦达哈努区块进行了一项横断面研究。通过焦点小组讨论(FGD)研究了社区对蛇咬伤的认知、知识、意识和急救实践。采用半结构式问卷对传统信仰治疗师、蛇救援人员、一线医务人员对蛇咬伤及其处理的知识、意识和经验进行测评。使用预测问卷对不同级别的政府医疗保健机构进行了设施抽查调查。部落社区的大多数人都知道常见的蛇及其藏身之处。然而，对毒蛇的识别和分类知识不足。对蛇神的信仰、认为蛇在雷雨期间不会出来的看法、味觉的变化、罗望子籽或磁铁降低毒液效果的能力是部落社区报告的一些迷信。部落社区采用一种有害的方法(止血带)作为蛇咬伤的急救手段。在将患者转移到政府医疗机构之前，他们更喜欢草药和拜访传统信仰治疗师。护士和经认可的社会卫生活动家(ASHA)对毒蛇咬伤和抗蛇毒的识别能力的了解显著高于辅助助产士(ANMS)和多功能工作者(MPW)(P<；0.05)。没有传统的信仰治疗师；但近60%的蛇救援人员知道抗毒液。Dahanu区50%的医务人员对Krait咬伤症状和拉塞尔毒蛇咬伤引起的肾脏并发症没有正确的认识。不恰当的认知、不充分的认识以及关于蛇和蛇咬伤的知识可能会使部落社区容易受到毒蛇咬伤的风险增加。社区和传统信仰治疗师采用未经证实和有害的蛇咬伤治疗方法可能是危险的，会导致高死亡率。因此，采用多部门方法提高社区认识、绘制弱势人群地图、建设卫生保健设施的能力、增强卫生保健工作者的能力，可能有助于降低印度因蛇咬伤而造成的死亡率和发病率。
India has remarkably the highest number of snakebite cases contributing to nearly 50% of the global snakebite deaths. Despite this fact, there is limited knowledge and awareness regarding the management practices for snakebite in the Indian population. The study aimed to explore the knowledge, awareness, and perception of snakes and snakebites, first aid, and treatment amongst the community and the frontline health workers in a tribal block of Dahanu, Maharashtra, India. A cross-sectional study was carried out from June 2016 to October 2018 in the Dahanu Block, Maharashtra. Perceptions, knowledge, awareness, and first-aid practices on the snakebites among the community were studied through focus group discussions (FGDs). Semi-structured questionnaires were used to assess the knowledge, awareness, and experience of the traditional faith healers, snake rescuers, frontline health workers on the snakebites and their management. A facility check survey was conducted using pre-tested questionnaires for different levels of the government health care facilities. Most of the tribal community was aware of the commonly found snakes and their hiding places. However, there was inadequate knowledge on the identification and classification of venomous snakes. Belief in a snake god, the perception that snakes will not come out during thunderstorms, change in taste sensation, the ability of tamarind seeds or magnet to reduce the venom effect were some of the superstitions reported by the tribal community. The application of a harmful method (Tourniquet) as the first aid for snakebite was practiced by the tribal community. They preferred herbal medicines and visiting the traditional faith healers before shifting the patient to the government health facility. The knowledge on the ability to identify venomous snakebites and anti-venom was significantly higher amongst nurses and accredited social health activists (ASHAs) than auxiliary nurse midwives (ANMs) and multi-purpose workers (MPWs) (p < 0.05). None of the traditional faith healers; but nearly 60% of snake rescuers were aware of anti-venom. Fifty percent of the medical officers in Dahanu block did not have correct knowledge about the Krait bite symptoms, and renal complications due to the Russell viper bite. Inappropriate perception, inadequate awareness, and knowledge about snakes and snakebites may predispose the tribal community to increased risks of venomous snakebites. Unproven and harmful methods for snakebite treatment practiced by the community and traditional faith healers could be dangerous leading to high mortality. Therefore, a multi-sectoral approach of community awareness, mapping of vulnerable populations, capacity building of health care facility, empowerment of health care workers (HCWs) could be useful for reducing the mortality and morbidity due to snakebite envenoming in India.
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DOI：
10.1016/s0035-9203(02)90250-6
发表时间：
2002-01-01
影响因子：
2.2
作者：
Bawaskar, HS;Bawaskar, PH
通讯作者：
Bawaskar, PH
影响因子：
3.3
作者：
Jayawardana, Subashini;Arambepola, Carukshi;Gnanathasan, Ariaranee
通讯作者：
Gnanathasan, Ariaranee
影响因子：
15.8
作者：
Kasturiratne A;Wickremasinghe AR;de Silva N;Gunawardena NK;Pathmeswaran A;Premaratna R;Savioli L;Lalloo DG;de Silva HJ
通讯作者：
de Silva HJ
DOI：
10.1684/san.2007.0076
发表时间：
2007-07-01
期刊：
Sante (Montrouge, France)
影响因子：
--
作者：
Chippaux, Jean-Philippe;Diedhiou, Ismaila;Stock, Roberto
通讯作者：
Stock, Roberto
影响因子：
2.8
作者：
Pearn, J;McGuire, B;Richardson, P
通讯作者：
Richardson, P