Community factors associated with malaria prevention by mosquito nets:: an exploratory study in rural Burkina Faso

Community factors associated with malaria prevention by mosquito nets:: an exploratory study in rural Burkina Faso
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DOI:
10.1046/j.1365-3156.2002.00856.x
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发表时间:
2002-03-01
影响因子:
3.3
通讯作者:
Müller, O
Müller, O
中科院分区:
医学4区
文献类型:
--
作者:
Okrah, J;Traoré, C;Müller, O

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在布基纳法索西北部Kossi省的农村和部分城市多民族人口中,在建立当地经杀虫剂处理的蚊帐(ITN)方案之前,对与疟疾有关的知识、态度和做法(KAP)进行了研究。进行了各种个人和团体访谈,并向选定村庄和努纳省首府随机抽样的210名户主发放了结构化问卷。Soumaya是最接近生物医学术语疟疾的地方疾病概念,涵盖了广泛的公认体征和症状。从病原学上讲,soumaya与蚊子叮咬有关,但也与许多其他已知的原因有关。该疾病实体被视为社区的主要负担,通常采用传统和西方方法治疗。疟疾预防措施仅限于对孕妇进行有限的氯喹预防。然而,通过使用蚊帐、蚊香、杀虫剂喷雾剂和传统驱虫剂,预防蚊子的措施很普遍。蚊帐主要在下雨时使用。在这个季节,大多数现有的蚊帐是由成年人,特别是户主使用的。人们通过各种信息渠道了解驱虫蚊帐。人们愿意处理现有的蚊帐和购买驱虫蚊帐,但前提是这些服务必须以较低的价格提供,而且离住户较近。这些研究结果对撒哈拉以南非洲农村地区驱虫蚊帐方案的设计具有实际意义。
Malaria-related knowledge, attitudes and practices (KAP) were examined in a rural and partly urban multiethnic population of Kossi province in north-western Burkina Faso prior to the establishment of a local insecticide-treated bednet (ITN) programme. Various individual and group interviews were conducted, and a structured questionnaire was administered to a random sample of 210 heads of households in selected villages and the provincial capital of Nouna. Soumaya, the local illness concept closest to the biomedical term malaria, covers a broad range of recognized signs and symptoms. Aetiologically, soumaya is associated with mosquito bites but also with a number of other perceived causes. The disease entity is perceived as a major burden to the community and is usually treated by both traditional and western methods. Malaria preventive practices are restricted to limited chloroquine prophylaxis in pregnant women. Protective Measures against mosquitoes are, however, widespread through the use of mosquito nets, mosquito coils, insecticide sprays and traditional repellents. Mosquito nets are mainly used during the rain. season and most of the existing nets are used by adults, particularly heads of households. Mosquito nets treated with insecticide (ITN) are known to the population through various information channels. People are willing to treat existing nets and to buy ITNs, but only if such services would he offered at reduced prices and in closer proximity to the households. These findings have practical implications for the design of ITN programmes in rural areas of sub-Saharan Africa (SSA).