"You need to take care of it like you take care of your soul": perceptions and behaviours related to mosquito net damage, care, and repair in Senegal
"You need to take care of it like you take care of your soul": perceptions and behaviours related to mosquito net damage, care, and repair in Senegal
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DOI：
10.1186/1475-2875-13-322
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发表时间：
2014-08-15
期刊：
影响因子：
3
通讯作者：
Weber, Rachel
中科院分区：
文献类型：
--
作者：
Loll, Dana K.;Berthe, Sara;Weber, Rachel
背景：蚊帐的护理和修复行为对于延长长效杀虫蚊帐的耐用性至关重要。蚊帐耐用性的提高对预防疟疾以及减少蚊帐分发的费用节约有影响。本研究以健康信念模式为框架，调查了塞内加尔网络护理和修复行为的行为和动机，目的是为社会和行为改变沟通(SBCC)计划提供信息。如果参与者至少年满18岁，并且他们的家庭至少拥有一张蚊帐，他们就有资格参加这项研究。这些受访者包括56名深度访谈受访者和8个焦点小组，58人参加。此外，定性数据还补充了总共556个睡眠空间的观察性问卷数据。在这些空间中，394个空间有关联的网络。结果：报告的网络护理和修复行为和动机在这个样本中有很大的不同。儿童和不当处理被视为净损害的主要来源，受访者经常试图通过在不使用时储存蚊帐来防止损害。洗涤被视为一种额外的护理方法，但洗涤的做法各不相同，在某些情况下可能会损坏蚊帐。参与者提到了一种拥有状况良好的蚊帐的自豪感，以及他们何时可以期待另一次净分发的不确定性，作为蚊帐护理的动机。网络修复似乎是一种不太常见的行为，并受到网络退化不可避免以及修复本身可能削弱网络的观点的限制。结论：这些发现可以用健康信念模型框架来理解，该框架包括感知严重性、感知易感性、感知障碍、感知利益、自我效能感和行动提示。这种模式可以引导SBCC关于网络护理和修复的信息，以促进与网络长寿相关的实践。这类信息应促进完好无损的蚊帐的好处，并为克服护理和维修障碍提供工具。
Background: Net care and repair behaviours are essential for prolonging the durability of long-lasting insecticidal nets. Increased net durability has implications for protection against malaria as well as cost savings from less frequent net distributions. This study investigated behaviours and motivations for net care and repair behaviours in Senegal with the aim of informing social and behaviour change communication (SBCC) programmes, using the Health Belief Model as a framework.Methods: Data were collected from 114 participants in eight regions of Senegal. Participants were eligible for the study if they were at least 18 years old and if their household owned at least one net. These respondents included 56 in-depth interview respondents and eight focus groups with 58 participants. In addition, the qualitative data were supplemented with observational questionnaire data from a total of 556 sleeping spaces. Of these spaces, 394 had an associated net.Results: Reported net care and repair behaviours and motivations varied substantially within this sample. Children and improper handling were seen as major sources of net damage and respondents often tried to prevent damage by storing nets when not in use. Washing was seen as an additional method of care, but practices for washing varied and may have been damaging to nets in some cases. Participants mentioned a sense of pride of having a net in good condition and the uncertainty around when they could expect another net distribution as motivations for net care. Net repair appeared to be a less common behaviour and was limited by the perspective that net degradation was inevitable and that repairs themselves could weaken nets.Conclusion: These findings can be understood using the Health Belief Model framework of perceived severity, perceived susceptibility, perceived barriers, perceived benefits, self-efficacy, and cues to action. This model can guide SBCC messages surrounding net care and repair to promote practices associated with net longevity. Such messages should promote the benefits of intact nets and provide tools for overcoming barriers to care and repair.