Household responses to malaria and their costs: A study from rural Sri Lanka
Household responses to malaria and their costs: A study from rural Sri Lanka
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DOI：
10.1016/s0035-9203(97)90194-2
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发表时间：
1997-03-01
影响因子：
2.2
通讯作者：
Fonseka, KT
中科院分区：
文献类型：
--
作者：
Konradsen, F;vanderHoek, W;Fonseka, KT
在斯里兰卡干旱地区的5个村庄进行了一项关于家庭一级疟疾费用、社区观念、预防措施和与疟疾有关的疾病行为的研究。接受调查的社区对疟疾有很高的认识，尽管抗疟药物的副作用往往与疾病的症状相混淆。市民希望在“西式”医疗设施得到迅速诊断和治疗，84%的市民首选政府医疗设施，16%的市民选择私营医疗设施。所采取的预防措施是焚烧线圈（54%的家庭）和特殊树叶（69%的家庭），93%的家庭在房屋内喷洒杀虫剂。单次疟疾发作的平均直接支出为3美元，有些家庭每次发作的支出超过家庭年净收入的10%。最高的支出是为病人提供特殊饮食，以抵消疾病及其治疗的热效应。
A study of the cost of malaria at the household level, community perceptions, preventive measures and illness behaviour linked to the disease was undertaken in 5 villages in the dry zone of Sri Lanka. The surveyed community had a high knowledge of malaria, although side effects of antimalarial drugs were often confused with symptoms of the disease. The community sought prompt diagnosis and treatment at 'western-type' facilities, with 84% making use of government facilities as their first choice and 16% preferring private facilities. The preventive measures used were burning coils (54% of families) and special leaves (69% of families), and 93% of the families had their houses sprayed with insecticides. Average direct expenditure on a single malaria episode was US$3, with some families spending more than 10% of the annual household net income per episode. The highest expenditure was on special diets for the sick person, to neutralize the perceived heating effect of the disease and its treatment.