An exploratory study of treated-bed nets in Timor-Leste: patterns of intended and alternative usage.
An exploratory study of treated-bed nets in Timor-Leste: patterns of intended and alternative usage.
复制标题
对东帝汶经过处理的蚊帐的探索性研究：预期使用和替代使用模式。
DOI：
10.1186/1475-2875-10-199
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发表时间：
2011-07-21
期刊：
影响因子：
3
通讯作者：
Wilder-Smith A
中科院分区：
文献类型：
--
作者：
Lover AA;Sutton BA;Asy AJ;Wilder-Smith A
东帝汶卫生部最近完成了2010-2020年国家疟疾控制战略。该路线图的一个关键组成部分是在全国普及长效驱虫蚊帐，以支持实现在头三年将疟疾发病率和死亡率降低30%，然后在2020年规划周期结束时进一步降低20%的主要目标。战略计划要求这一指标得到全面的信息、教育和宣传方案的支持；然而，对家庭和个人使用模式的先前研究有限，无法协助编写有针对性、有效和特定社会文化的行为改变材料。2010年7月，在东帝汶民主共和国的帝力、马纳图托和科瓦利马区进行了9次单独的焦点小组讨论。这些焦点小组主要探讨了以下主题：认识到的疟疾风险、疟疾的原因、家庭内蚊帐的使用模式、正确和持续使用蚊帐的障碍，以及至少有一个蚊帐的家庭中用户（男性和女性）的日常体验。全面定性分析采用开源分析软件。使用蚊帐的主要决定因素是人们普遍认为蚊帐只能或应该只供孕妇和幼儿使用，以及家庭内有限数量的蚊帐下是否有足够的睡眠空间。讨厌的叮咬和疾病预防通常被认为是使用的主要动机，而季节性不是重要因素。网的长期耐用性和易悬挂性被视为网设计偏好的关键属性。非常频繁的洗涤周期很常见，这可能会降低净效率。最后，据报告和观察到大量重新利用渔网（捕鱼、保护作物），如果分发的渔网不在家庭中保留，可能会大大减少所有家庭成员夜间睡眠空间的可用性。强调蚊帐的使用是可接受的，对所有家庭成员都很重要，无论年龄或性别，并处理替代蚊帐使用的复杂行为经济学问题，可能对东帝汶的疟疾控制工作产生重大影响，因为该国的规划在实现普及蚊帐覆盖方面取得了进展。
The Timor-Leste Ministry of Health has recently finalized the National Malaria Control Strategy for 2010-2020. A key component of this roadmap is to provide universal national coverage with long-lasting insecticide-treated nets (LLINs) in support of achieving the primary goal of reducing both morbidity and mortality from malaria by 30% in the first three years, followed by a further reduction of 20% by end of the programme cycle in 2020. The strategic plan calls for this target to be supported by a comprehensive information, education and communication (IEC) programme; however, there is limited prior research into household and personal usage patterns to assist in the creation of targeted, effective, and socio-culturally specific behaviour change materials. Nine separate focus group discussions (FGDs) were carried out in Dili, Manatuto, and Covalima districts, Democratic Republic of Timor-Leste, in July 2010. These focus groups primarily explored themes of perceived malaria risk, causes of malaria, net usage patterns within families, barriers to correct and consistent usage, and the daily experience of users (both male and female) in households with at least one net. Comprehensive qualitative analysis utilized open source analysis software. The primary determinants of net usage were a widespread perception that nets could or should only be used by pregnant women and young children, and the availability of sufficient sleeping space under a limited number of nets within households. Both nuisance biting and disease prevention were commonly cited as primary motivations for usage, while seasonality was not a significant factor. Long-term net durability and ease of hanging were seen as key attributes in net design preference. Very frequent washing cycles were common, potentially degrading net effectiveness. Finally, extensive re-purposing of nets (fishing, protecting crops) was both reported and observed, and may significantly decrease availability of nighttime sleeping space for all family members if distributed nets do not remain within the household. Emphasizing that net usage is acceptable and important for all family members regardless of age or gender, and addressing the complex behavioural economics of alternative net usages could have significant impacts on malaria control efforts in Timor-Leste, as the country's programmes make progress towards universal net coverage.