Assessing Iodized Salt Use in Rural Northern Ghana: A Mixed Method Approach
Assessing Iodized Salt Use in Rural Northern Ghana: A Mixed Method Approach
复制标题
评估加纳北部农村地区的碘盐使用情况：混合方法
DOI：
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
J. Addah
中科院分区：
文献类型：
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作者：
D. Chirawurah;S. Apanga;J. Addah
缺碘症是一个重大的公共卫生问题，影响到全世界约20亿人。作为实现全民食盐加碘目标的努力的一部分，加纳政府启动了全民食盐加碘方案，并得到议会法案的支持，以监督这一目标的实现。尽管做出了这些努力，但北方地区，特别是Gushegu区的家庭和个人碘消费量普遍较低。因此，我们评估了目前的碘覆盖率和家庭的利用，并确定了该地区低碘使用的原因。采用定量和定性设计相结合的方法。首次采用定量描述性横断面调查评估了目前家庭碘盐覆盖率、使用率和低碘盐使用率的原因。第二个设计是一个定性的焦点小组讨论和关键知情人访谈，深入了解低碘盐使用的原因。对所有家庭进行了快速食盐检测，以确定碘含量。共访问了100名家庭厨师，同时进行了4次焦点小组讨论和7次关键知情人访谈。家庭碘盐使用率和覆盖率约为20%。大约54%的人接受了碘盐教育，而97%的人不知道食盐加碘法。加碘盐使用率低的原因包括：加碘盐价格高，无法获得，没有接受过关于加碘盐重要性的教育，以及不了解关于加碘盐的法律。该地区居民户碘盐覆盖率和使用率以及居民户对碘盐重要性的认识水平较低。加碘盐的高成本和不可用，加上对法律的无知，是造成该地区加碘盐使用率低的原因。
Iodine deficiency disorders are a major public health concern affecting an estimated 2 billion people worldwide. As part of efforts to achieve the Universal Salt Iodization goal, the Government of Ghana launched the Universal Salt Iodization program backed by an act of parliament to oversee the attainment of this goal. Notwithstanding these efforts, iodine consumption amongst households and individuals is generally low in the Northern region especially in the Gushegu district. We therefore assessed the current iodine coverage and utilization in households and also determined the causes of low iodine use in this district. A mixed method approach of both quantitative and qualitative designs was employed. A quantitative descriptive cross sectional survey was first used to assess current iodized salt coverage, utilization and causes of low iodized salt use in households. The second design was a qualitative Focus Group Discussions and Key Informant Interviews conducted to give an in-depth inside of the causes of low iodized salt use. Rapid salt testing to determine iodine levels was conducted in all the households. In total, 100 household cooks were interviewed whiles 4 focus group discussions and 7 key informant interviews were conducted. Household iodized salt utilization and coverage was around 20%. Approximately 54% received education on iodized salt whiles 97% were unaware of the law on salt iodization. Reasons for the low use of iodized salt included; high cost and non-availability of the iodized salt, not received any education on the importance of iodized salt and ignorance of the law on iodization of salt. Iodized salt coverage and use in households and knowledge levels of the importance iodized salt is low in this district. High cost and unavailability of iodized salt coupled with ignorance of the law amongst others are responsible for the low use of iodized salt in this district.
DOI：
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发表时间：
2013
期刊：
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影响因子：
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作者：
AG Dean;K. Sullivan;M. Soe
通讯作者：
AG Dean;K. Sullivan;M. Soe