Prevention and treatment practices and implications for malaria control in Mukono District Uganda
Prevention and treatment practices and implications for malaria control in Mukono District Uganda
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DOI：
10.1017/s0021932007002398
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发表时间：
2008-03-01
影响因子：
1.5
通讯作者：
Magnussen, P.
中科院分区：
文献类型：
--
作者：
Mbonye, A. K.;Bygbjerg, I. C.;Magnussen, P.
乌干达现有数据表明，全国范围内疟疾发病率和死亡率再次上升。这项研究评估了疟疾的负担、治疗和预防做法，以便就扩大目前的干预措施展开政策辩论。采用横断面调查和关键信息者访谈的三角测量方法，对乌干达Mukono区家庭一级自我报告的疟疾进行了评估。总共调查了5583户家庭，在调查前两周报告有疟疾患者的比例很高（2897户，51.9%）。只有546个家庭（9.8%）拥有并使用驱虫蚊帐预防疟疾。同样，只有少数家庭（86,1.5%）使用室内残留喷洒。使用家庭储备药物进行自我治疗的比例很高，但人们对过期药物治疗疟疾的有效性认识较低。自我报告的疟疾与社会经济、行为和环境因素有关，但更主要的是与家庭是否拥有驱虫蚊帐有关。这些结果将有助于目前关于确定扩大预防干预措施和有效病例管理的新方法以及选择乌干达疟疾控制的优先干预措施的辩论。
Available data in Uganda indicate a resurgence of malaria morbidity and mortality countrywide. This study assessed the burden of malaria, treatment and prevention practices in order initiate a policy debate on the scaling-up of current interventions. A triangulation of methods using a cross-sectional survey and key informant interviews was used to assess self-reported malaria at a household level in Mukono District, Uganda. A total of 5583 households were surveyed, and a high proportion (2897, 51.9%) reported a person with malaria two weeks prior to the survey. Only 546 households (9.8%) owned and used insecticide-treated nets (ITNs) for malaria prevention. Similarly, only a few households (86, 1.5%) used indoor residual spraying. Self-treatment with home-stocked drugs was high, yet there was low awareness of the effectiveness of expired drugs on malaria treatment. Self-reported malaria was associated with socioeconomic, behavioural and environmental factors, but more especially with household ownership of ITNs. These results will contribute to the current debate on identifying new approaches for scaling-up prevention interventions and effective case management, as well as selection of priority interventions for malaria control in Uganda.