A survey of knowledge, attitudes and practices regarding malaria and bed nets on Bubaque Island, Guinea-Bissau.
A survey of knowledge, attitudes and practices regarding malaria and bed nets on Bubaque Island, Guinea-Bissau.
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DOI：
10.1186/s12936-020-03469-1
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发表时间：
2020-11-17
期刊：
影响因子：
3
通讯作者：
Last A
中科院分区：
文献类型：
--
作者：
Hutchins H;Power G;Ant T;Teixeira da Silva E;Goncalves A;Rodrigues A;Logan J;Mabey D;Last A
疟疾仍然是西非几内亚比绍的一个重大公共卫生问题。政府的控制措施包括分发蚊帐运动，然而，在偏远的比亚戈斯群岛，当地对蚊帐和疟疾的知识、态度和做法缺乏特点。通过对户主进行知识、态度、行为问卷调查，了解居民对疟疾的了解情况及影响蚊帐摄取和使用的因素。现场观察净网情况，评价净网质量和行为。布巴克岛上的所有14个村庄和一个半城市居民区都包括在内。每5个有学龄儿童的家庭中就有一个是随机抽取的。在100名参与者中，94人知道疟疾，其中66人认为这是一个重大或严重的问题，主要是因为它对健康和收入的影响。传播、症状和危险因素是众所周知的，然而，28.0%的参与者感到信息不足。约80.0%的人报告接触过分发运动，村庄间存在差异。竞选接触与感觉消息灵通(OR3.44；P = 0.024)相关，与感知疟疾是一个家庭(OR0.18；P = 0.002)或地区问题(OR0.25；P = 0.018)相反。每个家庭都有蚊帐；每个可识别的例子都是长效驱虫蚊帐(LLIN)，然而，23.0%的家庭至少有一个过期的蚊帐。89.0%的家庭反映所有居民都使用了蚊帐，平均每张蚊帐入住率为2.07人；65.2%的家庭表示蚊帐的重新用途很常见。根据年龄、完整性和示范情况，正确使用蚊帐的比例为35.0%，与完成孕期间歇性预防治疗密切相关(RR3.63；P = 0.014)。有关疟疾的知识在这些社区很好。蚊帐被广泛使用，并因其在预防疟疾方面的作用而受到重视。然而，它们的使用往往是次优的，并通过调整流行的分发运动来提供更多的教育和新鲜的LLIN，从而提供了一个改善疟疾控制的目标。这可能会产生重大影响，因为在几内亚比绍，LLIN是预防疟疾的中流砥柱；然而，尽管在本研究中看到LLINs的高吸收率，疟疾仍持续存在，这表明还必须考虑新的补充办法。
Malaria remains a significant public health problem in Guinea-Bissau, West Africa. Government control measures include bed net distribution campaigns, however, local knowledge, attitudes and practices towards bed nets and malaria are uncharacterized on the remote Bijagos Archipelago. Knowledge, attitude and practice questionnaires were conducted with household heads, aiming to explore the understanding of malaria and factors influencing bed net uptake and usage. Nets were observed in situ to appraise net quality and behaviour. All 14 villages and one semi-urban neighbourhood on Bubaque Island were included. One in 5 households containing school-aged children were randomly selected. Of 100 participants, 94 were aware of malaria and 66 of those considered it a significant or severe problem, primarily because of its impact on health and income. Transmission, symptoms and risk factors were well known, however, 28.0% of participants felt under-informed. Some 80.0% reported contact with distribution campaigns, with inter-village variability. Campaign contact was associated with feeling well informed (OR 3.44; P = 0.024) and inversely with perceiving malaria a household (OR 0.18; P = 0.002) or regional problem (OR 0.25; P = 0.018). Every household contained nets; every identifiable example was a long-lasting insecticide-treated net (LLIN), however, 23.0% of households contained at least one expired net. Replacements were in demand; 89.0% of households reported that all residents used nets, and average occupancy was 2.07 people per net; 65.2% stated that the repurposing of bed nets was common. Correctly using bed nets, defined by age, integrity and demonstration, was 35.0% and strongly associated with completing intermittent preventative treatment in pregnancy (RR 3.63; P = 0.014). Knowledge of malaria is good in these communities. Bed nets are used widely and are valued for their role in preventing malaria. However, their use is frequently sub-optimal and offers a target for improving malaria control by adapting popular distribution campaigns to provide more education alongside fresh LLINs. The impact of this could be significant as LLINs represent the mainstay of malaria prevention in Guinea-Bissau; however, the persistence of malaria despite the high uptake of LLINs seen in this study suggests that novel supplementary approaches must also be considered.
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影响因子：
3.4
作者：
Amoran OE;Ariba AA;Iyaniwura CA
通讯作者：
Iyaniwura CA
影响因子：
4.5
作者：
Fronteira I;Sidat M;Fresta M;Sambo Mdo R;Belo C;Kahuli C;Rodrigues MA;Ferrinho P
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影响因子：
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通讯作者：
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3
作者：
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通讯作者：
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影响因子：
1.9
作者：
Okabayashi, H;Thongthien, P;Tateno, S
通讯作者：
Tateno, S