People's perception of malaria in Mbarara, Uganda
People's perception of malaria in Mbarara, Uganda
复制标题
DOI：
10.1046/j.1365-3156.2002.00877.x
复制
发表时间：
2002-05-01
影响因子：
3.3
通讯作者：
Nuwaha, F
中科院分区：
文献类型：
--
作者：
Nuwaha, F
为了了解人们对疟疾的看法及其对控制方案的影响，我们举行了焦点小组讨论（FGD），并与乌干达姆巴拉拉的社区成员进行了半结构化访谈（SSI）。蚊子被认为是疟疾的病因或传播者，但人的病因/传播模式与生物医学事实不同。惊厥是疟疾的常见并发症，被认为是一种超自然的疾病，最好用传统医学治疗，脾肿大也是如此。70%以上的疟疾患者接受了非公共卫生来源的治疗。这包括自我治疗（13%）、使用传统治疗师（12%）和使用私人医生/药剂师（69%）。虽然有26%（887/3309）的人使用蚊帐预防疟疾，但只有7%的蚊帐浸有杀虫剂。不使用蚊帐的人说，由于高温/潮湿和费用高，他们感到不舒服。为了改善这一地区的疟疾控制，需要教育人们了解蚊子和疟疾之间的联系，以及如何寻求痉挛的生物医学治疗。疟疾防治方案可与传统和私营保健提供者合作，进一步推广驱虫蚊帐。
To understand people's perceptions of malaria and their implications for control programmes, we held focus group discussions (FGDs) and conducted semi-structured interviews (SSIs) with community members in Mbarara, Uganda. Mosquitoes were perceived as the cause or transmitters of malaria but the causation/transmission model of people differed from biomedical facts. Convulsions, a common complication of malaria, were perceived as a supernatural ailment, best treated by traditional medicine, as was splenomegaly. More than 70% of the patients with malaria had treatment from non-public health sources. This included self-treatment (13%), use of traditional healers (12%) and use of private medical practitioners/pharmacists (69%). Although 26% (887/3309) used bednets to prevent malaria, only 7% of the nets were impregnated with insecticide. People who did not use bednets cited discomfort because of heat/humidity and their high cost as reasons. To improve malaria control in this area, people need to be educated on the connection between mosquitoes and malaria and on seeking biomedical treatment for convulsions. The malaria control programme could collaborate with traditional and private health care providers to increase promotion of insecticide-impregnated mosquito nets.