Community knowledge, attitudes and practices (KAP) on malaria in Swaziland: a country earmarked for malaria elimination.
Community knowledge, attitudes and practices (KAP) on malaria in Swaziland: a country earmarked for malaria elimination.
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DOI：
10.1186/1475-2875-8-29
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发表时间：
2009-02-19
期刊：
影响因子：
3
通讯作者：
Maharaj R
中科院分区：
文献类型：
--
作者：
Hlongwana KW;Mabaso ML;Kunene S;Govender D;Maharaj R
知识、态度和实践（KAP）研究对疟疾研究和控制的潜在贡献在大多数南部非洲国家并未受到太多关注。这项研究调查了当地社区对疟疾传播的了解、对体征和症状的认识、对原因的认识、寻求治疗的模式、预防措施和做法，以便为该国拟议的斯威士兰消除疟疾计划提供信息。在斯威士兰的四个卢邦博空间发展倡议 (LSDI) 哨点进行了描述性横断面调查。这些哨点与莫桑比克接壤。对 320 个随机选择的家庭进行了结构化调查问卷。每户仅采访一名成年人。受访者是户主，如果户主缺席，则对 18 岁以上的负责成年人进行访谈。大量研究参与者表现出对疟疾的合理了解，包括疟疾与蚊虫叮咬之间的正确关联、其潜在的致命后果以及正确的治疗方法。近 90% (n = 320) 的受访者表示，他们会在出现疟疾症状后 24 小时内寻求治疗，并将医疗机构作为首选治疗选择。大多数人（78%）认为诊所和病媒控制措施是治疗和预防疟疾疾病的核心。室内滞留喷洒（IRS）覆盖率和蚊帐拥有率分别为87.2%和38.8%。 IRS 的覆盖率符合世界卫生组织 (WHO) 的建议，目标社区覆盖率超过 80%。尽管斯威士兰对疟疾有相当的了解，但仍需要通过首选社区渠道（例如区）以及专业卫生路线来改善信息的可用性。这一建议与有据可查的证据一起出现，表明随着传播和疾病水平的降低，人们对疟疾控制活动重要性的认识也随之降低。最后，鉴于蚊帐的拥有量相对较少，未来有必要进行研究来评估与 IRS 相比驱虫蚊帐 (ITN) 的分布情况。
The potential contribution of knowledge, attitudes and practices (KAP) studies to malaria research and control has not received much attention in most southern African countries. This study investigated the local communities' understanding of malaria transmission, recognition of signs and symptoms, perceptions of cause, treatment-seeking patterns, preventive measures and practices in order to inform the country's proposed malaria elimination programme in Swaziland. A descriptive cross-sectional survey was undertaken in four Lubombo Spatial Development Initiative (LSDI) sentinel sites in Swaziland. These sentinel sites share borders with Mozambique. A structured questionnaire was administered to 320 randomly selected households. Only one adult person was interviewed per household. The interviewees were the heads of households and in the absence of the heads of households responsible adults above 18 years were interviewed. A substantial number of research participants showed reasonable knowledge of malaria, including correct association between malaria and mosquito bites, its potential fatal consequences and correct treatment practices. Almost 90% (n = 320) of the respondents stated that they would seek treatment within 24 hours of onset of malaria symptoms, with health facilities as their first treatment option. Most people (78%) perceived clinics and vector control practices as central to treating and preventing malaria disease. Indoor residual spraying (IRS) coverage and bed net ownership were 87.2% and 38.8%, respectively. IRS coverage was in agreement with the World Health Organization's (WHO) recommendation of more than 80% within the targeted communities. Despite fair knowledge of malaria in Swaziland, there is a need for improving the availability of information through the preferred community channels, such as tinkhundlas (districts), as well as professional health routes. This recommendation emerges along with the documented evidence suggesting that as the level transmission and disease decreases so does the perception about the importance of malaria control activities. Finally, given the relatively moderate ownership of bed net there is a need for future studies to evaluate the distribution of insecticide-treated nets (ITNs) compared with IRS.
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DOI：
10.4269/ajtmh.2007.76.42
发表时间：
2007-01-01
影响因子：
3.3
作者：
Sharp, Brian L.;Kleinschmidt, Immo;Barreto, Averting
通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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DOI：
10.1016/s0035-9203(00)90324-9
发表时间：
2000-05-01
影响因子：
2.2
作者：
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通讯作者：
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影响因子：
5.2
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