Reduction in malaria prevalence and increase in malaria awareness in endemic districts of Bangladesh.
Reduction in malaria prevalence and increase in malaria awareness in endemic districts of Bangladesh.
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DOI：
10.1186/s12936-016-1603-0
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发表时间：
2016-11-11
期刊：
影响因子：
3
通讯作者：
Haque R
中科院分区：
文献类型：
--
作者：
Alam MS;Kabir MM;Hossain MS;Naher S;Ferdous NE;Khan WA;Mondal D;Karim J;Shamsuzzaman AK;Ahmed BN;Islam A;Haque R
疟疾在孟加拉国的13个地区流行。2007年在孟加拉国疟疾流行地区进行了一次基线疟疾流行率调查，据报告，当时的流行率约为每1 000人39.7人。在全球防治艾滋病、结核病和疟疾基金资助的国家疟疾防治方案和孟加拉国农村发展委员会领导的一个非政府组织联合会进行了两轮干预之后，在孟加拉国疟疾流行区进行了一次后续调查，以衡量疟疾流行率和人们对疟疾的了解的变化。该调查于2013年8月至11月在孟加拉国13个疟疾流行区的70个乡（分区）进行，采用与2007年基线流行率调查相同的多阶段整群抽样设计和相同数量的家庭，随机采集了9 750份血液样本。在疟疾的现场诊断方面，使用了快速诊断测试。使用预先编码的结构化问卷对户主或家中最年长的人进行了访谈，以收集有关家庭对疟疾的知识和认识的数据。根据加权计算，疟疾总流行率为每1 000人1.41人。恶性疟原虫单一感染占77.78%，间日疟原虫单一感染和混合感染占11.11%。班达尔班的患病率最高（每1 000人中有6.67人）。对疟疾体征、症状和传播方式的知晓率在随访调查中（97.26%）高于基线调查。调查对象使用蚊帐预防疟疾的比例很高（90.15%）。与2007年进行的基线调查相比，在后续调查期间，人们对选定参数的了解显著增加。在孟加拉国进行的本次疟疾流行率调查中发现，疟疾流行率有所下降，知识水平有所提高。
Malaria is endemic in 13 districts of Bangladesh. A baseline malaria prevalence survey across the endemic districts of Bangladesh was conducted in 2007, when the prevalence was reported around 39.7 per 1000 population. After two rounds of Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM)-funded intervention by the National Malaria Control Programme (NMCP) and a BRAC-led NGO consortium, a follow-up survey was conducted across the malaria-endemic districts of Bangladesh to measure the change in prevalence rate and in people’s knowledge of malaria. The survey was carried out from August to November 2013 in 70 upazilas (sub-districts) of 13 malaria-endemic districts of Bangladesh, following the same multi-stage cluster sampling design and the same number of households enrolled during the baseline prevalence survey in 2007, to collect 9750 randomly selected blood samples. For on-the-spot diagnosis of malaria, a rapid diagnostic test was used. The household head or eldest person available was interviewed using a pre-coded structured questionnaire to collect data on the knowledge and awareness of malaria in the household. Based on a weighted calculation, the overall malaria prevalence was found to be 1.41 per 1000 population. The proportion of Plasmodium falciparum mono-infection was 77.78% while both Plasmodium vivax mono-infection and mixed infection of the two species were found to be 11.11%. Bandarban had the highest prevalence (6.67 per 1000 population). Knowledge of malaria signs, symptoms and mode of transmission were higher in the follow-up survey (97.26%) than the baseline survey. Use of bed nets for prevention of malaria was found to be high (90.15%) at respondent level. People’s knowledge of selected parameters increased significantly during the follow-up survey compared to the baseline survey conducted in 2007. A reduced prevalence rate of malaria and increased level of knowledge were observed in the present malaria prevalence survey in Bangladesh.
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影响因子：
8.4
作者：
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通讯作者：
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