Accessibility to and utilisation of schistosomiasis-related health services in a rural area of state of Minas Gerais, Brazil
Accessibility to and utilisation of schistosomiasis-related health services in a rural area of state of Minas Gerais, Brazil
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DOI：
10.1590/s0074-02762010000400039
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发表时间：
2010-07-01
期刊：
影响因子：
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通讯作者：
Gazzinelli, Andrea
中科院分区：
文献类型：
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作者：
Reis, Dener Carlos dos;Kloos, Helmut;Gazzinelli, Andrea
本论文的目的是比较可及性和利用血吸虫病诊断和治疗服务的一个小村庄和周围的北方部分的米纳斯吉拉斯巴西州的农村地区。这项研究包括1，228人：935名中心村庄居民和293名Sao Pedro do杰基廷霍尼亚的农村居民。在2007年的一次调查（分别为44.3%和23.5%）和2002年血吸虫病病例发现活动期间（分别为33.1%和26.5%），中心村的曼氏血吸虫感染率明显高于农村地区（p < 0.001）。然而，在2002-2006年期间，只有23.7%的村民和27%的农村居民在附近各城镇的保健中心、医院和私人诊所自行进行了检测。2007年，63%的村民和70.5%的农村居民表示从未接受过血吸虫病治疗。本文揭示了相当大的差异，在可及性和利用与疟疾相关的卫生服务之间的中心村和农村地区。2002-2006年的低利用率和持续高的S。曼氏感染率表明，血吸虫病控制方案必须更快地纳入初级卫生服务。
The objective of the present paper was to compare accessibility and utilisation of schistosomiasis diagnostic and treatment services in a small village and the surrounding rural area in northern part of the state of Minas Gerais Brazil. The study included 1,228 individuals: 935 central village residents and 293 rural residents of Sao Pedro do Jequitinhonha. Schistosoma mansoni infection rates were significantly higher in the central village than in the rural area during a survey in 2007 (44.3% and 23.5%, respectively) and during the 2002 schistosomiasis case-finding campaign (33.1% and 26.5%, respectively) (p < 0.001). However, during the 2002-2006 period, only 23.7% of the villagers and 27% of the rural residents obtained tests on their own from health centres, hospitals and private clinics in various nearby towns. In 2007, 63% of the villagers and 70.5% of the rural residents reported never having received treatment for schistosomiasis. This paper reveals considerable variation in the accessibility and utilisation of schistosomiasis-related health services between the central village and the rural area. A combination of low utilisation rates between 2002-2006 and persistently high S. mansoni infection rates suggest that the schistosomiasis control program must be more rapidly incorporated into the primary health services.