An exploratory study of community factors relevant for participatory malaria control on Rusinga Island, western Kenya.
An exploratory study of community factors relevant for participatory malaria control on Rusinga Island, western Kenya.
复制标题
DOI：
10.1186/1475-2875-6-48
复制
发表时间：
2007-04-24
期刊：
影响因子：
3
通讯作者：
Fillinger, Ulrike
中科院分区：
文献类型：
--
作者：
Opiyo, Pamela;Mukabana, W. Richard;Kiche, Ibrahim;Mathenge, Evan;Killeen, Gerry F.;Fillinger, Ulrike
需要加强农村社区和支持农村社区的各种行为者的能力，使他们能够领导自己的疟疾控制方案。在这里，对肯尼亚西部一个农村社区的现有能力进行了评估，为更大规模的干预做准备。在1，451个家庭中进行了焦点小组讨论和半结构化的个人访谈，以确定（1）受访者和家庭的人口统计数据;（2）家庭的社会经济地位;（3）对疟疾的知识和信念（症状、预防方法、蚊子生命周期）;（4）预防疟疾的典型做法;（5）寻求治疗的行为和家庭治疗疟疾的支出;（6）准备和实施以社区为基础的病媒控制的意愿。疟疾被认为是对生命的重大威胁，但相关知识是科学知识和传统信仰的嵌合体，再加上社会经济环境，导致疟疾预防工作无效。社区成员的实际疟疾预防行为与受访者所知的方法有很大差异。除了使用蚊帐外，主要的干预措施是清除灌木和采取各种卫生措施，尽管这些措施对预防疟疾无效。令人鼓舞的是，大多数受访者认为疟疾是可以控制的，并愿意为以社区为基础的疟疾控制计划做出贡献，但认为他们需要外部援助。迫切需要采取对文化敏感但基于证据的教育干预措施，利用参与性工具，考虑到传统信仰，使人们能够了解蚊子生态、寄生虫传播与疾病诊断、治疗和预防之间的因果关系。社区组织和学校需要通过与国家和国际研究机构和高等教育机构的伙伴关系获得知识，以便在基层应用循证研究。
Capacity strengthening of rural communities, and the various actors that support them, is needed to enable them to lead their own malaria control programmes. Here the existing capacity of a rural community in western Kenya was evaluated in preparation for a larger intervention. Focus group discussions and semi-structured individual interviews were carried out in 1,451 households to determine (1) demographics of respondent and household; (2) socio-economic status of the household; (3) knowledge and beliefs about malaria (symptoms, prevention methods, mosquito life cycle); (4) typical practices used for malaria prevention; (5) the treatment-seeking behaviour and household expenditure for malaria treatment; and (6) the willingness to prepare and implement community-based vector control. Malaria was considered a major threat to life but relevant knowledge was a chimera of scientific knowledge and traditional beliefs, which combined with socio-economic circumstances, leads to ineffective malaria prevention. The actual malaria prevention behaviour practiced by community members differed significantly from methods known to the respondents. Beside bednet use, the major interventions implemented were bush clearing and various hygienic measures, even though these are ineffective for malaria prevention. Encouragingly, most respondents believed malaria could be controlled and were willing to contribute to a community-based malaria control program but felt they needed outside assistance. Culturally sensitive but evidence-based education interventions, utilizing participatory tools, are urgently required which consider traditional beliefs and enable understanding of causal connections between mosquito ecology, parasite transmission and the diagnosis, treatment and prevention of disease. Community-based organizations and schools need to be equipped with knowledge through partnerships with national and international research and tertiary education institutions so that evidence-based research can be applied at the grassroots level.
登录
查看更多内容
影响因子：
3.3
作者：
Fillinger, U;Sonye, G;Becker, N
通讯作者：
Becker, N
影响因子：
3
作者：
Chuma JM;Thiede M;Molyneux CS
通讯作者：
Molyneux CS
影响因子：
3
作者：
De La Cruz, Natalie;Crookston, Benjamin;Davis, Robb
通讯作者：
Davis, Robb
影响因子：
2.7
作者：
Ghebreyesus, TA;Alemayehu, T;Teklehaimanot, A
通讯作者：
Teklehaimanot, A
影响因子：
2.7
作者：
Brieger, WR
通讯作者：
Brieger, WR