"Before we used to get sick all the time": perceptions of malaria and use of long-lasting insecticide-treated bed nets (LLINs) in a rural Kenyan community
"Before we used to get sick all the time": perceptions of malaria and use of long-lasting insecticide-treated bed nets (LLINs) in a rural Kenyan community
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DOI：
10.1186/1475-2875-9-345
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发表时间：
2010-11-30
期刊：
影响因子：
3
通讯作者：
Othoro, Caroline
中科院分区：
文献类型：
--
作者：
Dye, Timothy D. V.;Apondi, Rose;Othoro, Caroline
背景资料：尽管最近在治疗和预防技术方面取得了进展，但疟疾是全球可预防的发病率和死亡率的主要原因，特别是在撒哈拉以南非洲。扩大和广泛分发长效驱虫蚊帐，如果使用得当并持续下去，可以迅速减少疟疾流行地区的疟疾发病率。研究表明，长效驱虫蚊帐的有效使用在一定程度上取决于对与疟疾有关的因果因素的了解。本研究探讨了疟疾的信念，态度和做法，对LLINs评估在一个大规模的综合预防运动（IPC）在农村Keny.Methods：定性访谈进行了34 IPC参与者谁收到LLINs作为一个全面的预防包的商品和服务的一部分。分发后一个月，采访者询问这些人对疟疾的态度和信念，以及他们使用的LLINs.Results：几乎所有的参与者都指出，蚊子参与引起疟疾，虽然相当大比例的参与者（47%）也提到了一个不正确的原因，除了蚊子。例如，与会者普遍指出，天气（下雨、寒冷）或食用劣质食物和水会导致疟疾。无论如何，大多数参与者使用的LLIN，他们给予和最提到的积极利益，从他们的使用，即减少疟疾疾病和相关的诊断和treatment.Conclusions成本：对LLIN的态度是积极的，在肯尼亚西部的农村社区，受访者注意到LLIN使用的好处。随着对直接（蚊子）和间接（例如，例如，在一个实施例中，由于疟疾的主要原因是积水（即死水），长效驱虫蚊帐的使用很可能可以持续下去，从而提供有效的家庭一级预防疟疾保护。
Background: Malaria is a leading global cause of preventable morbidity and mortality, especially in sub-Saharan Africa, despite recent advances in treatment and prevention technologies. Scale-up and wide distribution of long-lasting insecticide-treated nets (LLINs) could rapidly decrease malarial disease in endemic areas, if used properly and continuously. Studies have shown that effective use of LLINs depends, in part, upon understanding causal factors associated with malaria. This study examined malaria beliefs, attitudes, and practices toward LLINs assessed during a large-scale integrated prevention campaign (IPC) in rural Kenya.Methods: Qualitative interviews were conducted with 34 IPC participants who received LLINs as part of a comprehensive prevention package of goods and services. One month after distribution, interviewers asked these individuals about their attitudes and beliefs regarding malaria, and about their use of LLINs.Results: Virtually all participants noted that mosquitoes were involved in causing malaria, though a substantial proportion of participants (47 percent) also mentioned an incorrect cause in addition to mosquitoes. For example, participants commonly noted that the weather (rain, cold) or consumption of bad food and water caused malaria. Regardless, most participants used the LLINs they were given and most mentioned positive benefits from their use, namely reductions in malarial illness and in the costs associated with its diagnosis and treatment.Conclusions: Attitudes toward LLINs were positive in this rural community in Western Kenya, and respondents noted benefits with LLIN use. With improved understanding and clarification of the direct (mosquitoes) and indirect (e. g., standing water) causes of malaria, it is likely that LLIN use can be sustained, offering effective household-level protection against malaria.