Progress and challenges to control malaria in a remote area of Chittagong hill tracts, Bangladesh.
Progress and challenges to control malaria in a remote area of Chittagong hill tracts, Bangladesh.
复制标题
DOI：
10.1186/1475-2875-9-156
复制
发表时间：
2010-06-10
期刊：
影响因子：
3
通讯作者：
Glass GE
中科院分区：
文献类型：
--
作者：
Haque U;Hashizume M;Sunahara T;Hossain S;Ahmed SM;Haque R;Yamamoto T;Glass GE
疟疾在东部13个区流行，总感染率为3.97%。2006年，孟加拉国从全球抗击艾滋病、结核病和疟疾基金（全球抗击艾滋病、结核病和疟疾基金）获得3 690万美元，用于支持孟加拉国的国家疟疾控制方案。这项研究的目的是：（一）澄清与疟疾求医行为有关的因素;（二）长效驱虫蚊帐的分发;（三）在孟加拉国吉大港山区偏远地区实施国家控制方案两年后，对驱虫蚊帐进行再治疗。绘制了Rangamati区Rajasthali分区的所有家庭（家庭约5 322户，人口约24 097人）、所有BRAC卫生工作者（n = 15）、卫生设施和药品供应商的位置。计算了从家庭到卫生设施、BRAC卫生工作者和药品供应商的距离。进行逻辑回归分析，以评估治疗的选择和距离各种治疗来源，教育，职业和种族之间的关联。SaTScan用于检测寻求治疗方法的聚类。长效驱虫蚊帐的分发和驱虫蚊帐的再处理超过了预定目标。疟疾相关发热最常见的治疗机构是由BRAC和政府领导的疟疾控制计划（66.6%），其次是药品供应商（48.8%）。与疟疾控制方案和药品供应商经营的保健设施的接近程度与治疗的选择密切相关。很大一部分人在没有适当诊断的情况下更喜欢药品供应商。药品供应商的光顾率很高，因此有必要改善他们的服务，以促进公共卫生。否则，它可能导致治疗不彻底，滥用抗疟疾药物，从而增加抗药性的风险，并危及孟加拉国目前的疟疾控制工作。
Malaria is endemic in 13 eastern districts where the overall infection prevalence is 3.97%. In 2006, Bangladesh received US$ 36.9 million from the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) to support the national malaria control programme of Bangladesh. The objective of this study was to i) clarify factors associated with treatment seeking behaviours of malaria ii) distribution of LLIN, and iii) re-treatment of ITN in remote area of a CHT district of Bangladesh two years after implementation of national control programme. All households of Rajasthali sub-district of Rangamati district (households about 5,322, population about 24,097), all BRAC health workers (n = 15), health facilities and drug vendors' locations were mapped. Distances from households to health facilities, BRAC health workers and drug vendors were calculated. Logistic regression analysis was performed to assess the associations between the choice of the treatment and the distance to various treatment sources, education, occupation and ethnicity. SaTScan was used to detect clustering of treatment-seeking approaches. LLIN distribution and the re-treatment of ITN exceeded target goals. The most common treatment facility for malaria-associated fever was malaria control programme led by BRAC and government (66.6%) followed by the drug vendor (48.8%). Closeness to health facilities run by the malaria control programme and drug vendors were significantly associated with the choice of treatment. A high proportion of people preferred drug vendors without having a proper diagnosis. Drug vendors are highly patronized and thus there is a need to improve their services for public health good. Otherwise it may cause incomplete treatment, misuse of anti-malarial drugs that will contribute to the risk of drug resistance and jeopardize the present malaria control efforts in Bangladesh.
登录
查看更多内容
影响因子：
168.9
作者：
Noor, Abdisalan M.;Mutheu, Juliette J.;Tatem, Andrew J.;Hay, Simon I.;Snow, Robert W.
通讯作者：
Snow, Robert W.
影响因子：
3
作者：
Haque U;Huda M;Hossain A;Ahmed SM;Moniruzzaman M;Haque R
通讯作者：
Haque R
影响因子：
3.7
作者：
Haque, Ubydul;Ahmed, Syed Masud;Haque, Rashidul
通讯作者：
Haque, Rashidul
DOI：
10.4269/ajtmh.2003.68.177
发表时间：
2003-02-01
影响因子：
3.3
作者：
Konradsen, F;Amerasinghe, P;Piyaratne, M
通讯作者：
Piyaratne, M
影响因子：
3
作者：
Rutebemberwa, Elizeus;Pariyo, George;Kallander, Karin
通讯作者：
Kallander, Karin