Community knowledge and practices regarding malaria and long-lasting insecticidal nets during malaria elimination programme in an endemic area in Iran.

Community knowledge and practices regarding malaria and long-lasting insecticidal nets during malaria elimination programme in an endemic area in Iran.
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DOI:
10.1186/1475-2875-13-511
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发表时间:
2014-12-24
期刊:
影响因子:
3
通讯作者:
Salehi M
Salehi M
中科院分区:
医学3区
文献类型:
--
作者:
Soleimani-Ahmadi M;Vatandoost H;Zare M;Alizadeh A;Salehi M

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由于疟疾是伊朗最重要的公共卫生问题之一,伊朗已启动消除疟疾阶段,使用长效驱虫蚊帐是一项重要的控制战略。这一以社区为基础的战略的成功和有效性在很大程度上取决于长效驱虫蚊帐的适当使用。在这方面,为了确定社区对疟疾和长效驱虫蚊帐的认识和做法,在伊朗东南部重要的疟疾流行区之一鲁丹县进行了一项研究。本研究采用整群随机抽样的方法,选取四个自然村的400户居民作为研究对象。使用预先测试的结构化问卷调查了社区关于疟疾和长效驱虫蚊帐的知识和做法,包括疟疾的症状和传播以及蚊帐的洗涤、干燥和使用。采用SPSS.16统计软件对数据进行统计分析。在这项研究中,近89%的受访者至少知道疟疾的一种症状,86.8%的人认为疟疾是一种重要的疾病。大多数受访者(77.8%)认为疟疾是通过蚊子叮咬传播的,72.5%的受访者提到死水是蚊子的潜在滋生地。约46%的受访者提到社区卫生工作者是他们有关疟疾信息的主要来源。大约44.8%的研究人群在六个月内清洗一次蚊帐,其中92%的人提到他们在阳光直射下晾干蚊帐。虽然94%的家庭报告说他们收到了政府提供的一种或多种长效驱虫蚊帐,60.8%的答复者提到长效驱虫蚊帐是预防疟疾的主要保护措施,但只有18.5%的家庭在调查前一天晚上睡在蚊帐下,这一使用率低于世界卫生组织建议的目标覆盖率(80%)。虽然大多数被调查的人都知道疟疾的症状和原因,但大多数人对长效驱虫蚊帐有误解。因此,应当由受过训练的保健工作者进行适当的教育干预,以改变人们的行为,鼓励人们使用长效驱虫蚊帐,从而改进消灭疟疾方案。本文的在线版本(doi:10.1186/1475-2875-13-511)包含补充材料,可供授权用户使用。
Since malaria is one of the foremost public health problems in Iran, a malaria elimination phase has been initiated and application of long-lasting insecticidal nets (LLINs) is an important strategy for control. Success and effectiveness of this community based strategy largely dependent on proper use of LLINs. In this context, to determine the community’s knowledge and practices about malaria and LLINs, a study was conducted in Rudan County, one of the important malaria endemic areas in southeast of Iran. In this cross-sectional study, 400 households in four villages were selected by cluster randomly sampling method. Community knowledge and practices about malaria and LLINs including symptoms and transmission of malaria and washing, drying and using of bed nets were investigated using pre-tested structured questionnaires. The data were analysed using SPSS.16 software. In this study nearly 89% of the respondents knew at least one symptom of malaria and 86.8% considered malaria as an important disease. The majority of respondents (77.8%) believed that malaria transmits through mosquito bite and 72.5% mentioned stagnated water as a potential mosquito breeding place. About 46% of respondents mentioned the community health worker as the main source of their information about malaria. Approximately 44.8% of studied population washed the LLINs once in six months and 92% of them mentioned that they dry the bed nets in direct sunlight. While 94% of households reported they received one or more LLINs by government and 60.8% of respondents mentioned that LLINs were the main protective measure against malaria, only 18.5% of households slept under bed nets the night before the survey, this use rate is lower than the targeted coverage (80%) which is recommended by World Health Organization. Although, majority of studied population were aware of the symptoms and cause of malaria, a majority had misconceptions about LLINs. Therefore, appropriate educational intervention by trained health workers should be developed for a behaviour change and motivating people to use LLINs which would improve malaria elimination programme. The online version of this article (doi:10.1186/1475-2875-13-511) contains supplementary material, which is available to authorized users.
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