Determinants of the Permethrin Impregnated Bednets (PIB) in the Republic of Benin:: the role of women in the acquisition and utilization of PIBs
Determinants of the Permethrin Impregnated Bednets (PIB) in the Republic of Benin:: the role of women in the acquisition and utilization of PIBs
复制标题
DOI：
10.1016/s0277-9536(99)00152-5
复制
发表时间：
1999-10-01
影响因子：
5.4
通讯作者：
Schaffer, C
中科院分区：
文献类型：
--
作者：
Rashed, S;Johnson, H;Schaffer, C
疟疾控制战略的一个重要方面是使用浸药蚊帐等预防措施;然而，这一战略的采用缓慢且不均衡。本研究考虑了决定使用氯菊酯浸渍蚊帐（PIB）的因素，在1992年至1995年期间在贝宁农村地区进行的PIE推广项目的背景下。定量数据，社会人口特征，疟疾知识，态度和做法，收集了191个家庭的PIE用户和非用户的比较使用问卷格式。定性资料收集自23个焦点小组讨论会和16个半结构化访谈。妇女的收入、男子的教育水平和妇女参加社区组织的情况是区分使用者家庭和非使用者家庭的主要变量。求助于非西药，特别是被认为是预防或治疗的药茶，与PIE的使用呈负相关。定性数据表明，被调查者认为，暴露在阳光下，特别是在从事农业工作时，是疟疾的主要原因，在财政资源准长期短缺和对非西方药物疗效充满信心的情况下，采用PIE被认为是不合理的。由于妇女对家庭健康负有主要责任，并且更了解儿童易受疟疾感染，因此妇女比男子更愿意购买PIB。然而，由于户主通常是男性，根据家庭收入确定家庭消费的优先次序，妇女往往不得不利用自己的收入购买个人保险，而她们的收入往往比男子低得多。支持针对妇女工作的社区倡议，同时大力提高男子对疟疾传播机制和主要危险群体的认识，被视为增加PIE获得和使用的一种手段。(C)1999爱思唯尔科技有限公司。保留所有权利。
An important aspect of malaria control strategies has been the use of prophylactic measures such as impregnated bednets; however, adoption of this strategy has been slow and uneven. This study considers the factors determining Permethrin Impregnated Bednets (PIB) use in the context of a PIE promotion project in a rural area of Benin undertaken between 1992 and 1995. Quantitative data, on socio-demographic characteristics, malaria knowledge, attitudes, and practices, were gathered from 191 households of PIE users and non-users for comparative purposes using a questionnaire format. Qualitative data were collected from 23 focus group discussion sessions and 16 semi structured interviews. Women's income, men's educational level, and women's participation in communal organizations were the principal variables distinguishing user households from non-user households. Recourse to non-western medicine and, in particular, to medicinal teas which are considered preventive or curative correlates negatively with PIE use. The qualitative data shows that informants consider exposure to the sun, especially while engaged in agriculture work, a principal cause of malaria, and that PIE adoption is not considered justified in a context where there is a quasi chronic shortage of financial resources and where confidence in the efficacy of non-western medicine prevails. Because they have primary responsibility for the health of their families and are more aware of children's vulnerability to malaria, women are more inclined than men to want to buy PIBs. However, because the household head, who is most often male, sets family consumption priorities using family income, women often have to resort to using their own income, which is often considerably lower than that of men, to buy PIBs. Support for community initiatives which are directed to women's work, linked with intensive effort to sensitize men to the mechanisms of malaria transmission and the principal groups at risk, is seen as a means to increase PIE acquisition and use. (C) 1999 Elsevier Science Ltd. All rights reserved.