Lay perceptions of kala-azar, mosquitoes and bed nets in Bihar, India
Lay perceptions of kala-azar, mosquitoes and bed nets in Bihar, India
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DOI：
10.1111/j.1365-3156.2010.02544.x
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发表时间：
2010-07-01
影响因子：
3.3
通讯作者：
Lefevre, Pierre
中科院分区：
文献类型：
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作者：
Mishra, Rabindra N.;Singh, S. P.;Lefevre, Pierre
P> ObjectiveDescription奠定了认识黑热病（KA）在流行区的Muzaffarpur区，比哈尔邦，印度：当地名称，症状，受影响的人，感知的严重程度和传播方式，以及感知蚊子滋扰，保护和使用bednets.MethodsWe模式举行了16个焦点小组讨论（FGD）在8个偏远的村庄，共有157名参与者在2008年3月。根据性别，社会经济地位（SES），并与关键informants.ResultsKala-azar是最常见的名为pilahi单独举行FGD。据说穷人受影响最大。对症状的了解令人满意。发热和持续发热是最常见的症状。KA被认为是一种威胁生命的疾病，具有沉重的经济负担。蚊虫叮咬被认为是主要的传播方式，但在社会经济地位较低的群体中，也有与病媒无关的解释。所提到的主要防蚊方式是使用烟雾和蚊帐。季节是影响使用蚊帐和非负担能力不拥有them.ConclusionsAlthough白蛉是不承认的载体，疾病传播的蚊子和他们的高密度造成的滋扰相对较好的认识可能是一个切入点，采取预防措施，以防止蚊虫叮咬，从而间接防止KA。需要针对社会较贫穷阶层开展教育运动，以提高对KA、其传播方式、感染风险的认识，并增加蚊帐的使用。
P>ObjectiveTo describe the lay perception of kala-azar (KA) in an endemic area of Muzaffarpur District, Bihar, India: local names, symptoms, affected persons, perceived severity and modes of transmission, as well as perceived mosquito nuisance, modes of protection and use of bed nets.MethodsWe held 16 focus group discussions (FGD) in eight remote villages with altogether 157 participants in March 2008. Separate FGDs were held according to gender, socio-economic status (SES) and with key informants.ResultsKala-azar is most commonly named pilahi. Poor people were said to be the most affected. Knowledge about symptoms was satisfactory. Fever and prolonged fever were the most stated symptoms. KA was perceived as a life-threatening disease with a heavy economic burden. Mosquito bites were perceived as the main mode of transmission but in lower socio-economic groups, non-vector-related explanations were also provided. The main modes of protection from mosquitoes mentioned were the use of fumes and bed nets. Season was the strongest factor influencing the use of bed nets and non-affordability for not owning them.ConclusionsAlthough the sand fly is not recognised as the vector, the relatively good awareness of disease transmission by mosquitoes and the nuisance caused by their high density might be an entry point for adopting preventive measures to protect from mosquito bite and thereby indirectly preventing from KA. Educational campaigns targeted to the poorer segments of society are needed to enhance knowledge about KA, its mode of transmission, risks of getting infected and to increase bed net use.