How local community knowledge about malaria affects insecticide-treated net use in northern Ghana
How local community knowledge about malaria affects insecticide-treated net use in northern Ghana
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DOI：
10.1111/j.1365-3156.2005.01361.x
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发表时间：
2005-04-01
影响因子：
3.3
通讯作者：
Kendall, C
中科院分区：
文献类型：
--
作者：
Adongo, PB;Kirkwood, B;Kendall, C
在整个撒哈拉以南非洲进行的大规模驱虫蚊帐试验表明，驱虫蚊帐降低了疟疾流行社区的儿童死亡率。这些令人鼓舞的结果使人们对驱虫蚊帐产生了兴趣，认为这是许多疟疾流行国家的一项可行的疟疾控制战略。然而，在常规或非项目条件下定期使用驱虫蚊帐遇到了一些问题。本文探讨了当地社区对疟疾的了解如何在三种情况下成为使用驱虫蚊帐的障碍。我们采用了结构化的正式观察和一系列的采访技术，其中包括非正式访谈，焦点小组讨论，半结构化的深入访谈，结构化的调查访谈。人们认识“疟疾”这个术语，但对这种疾病的生物医学知识有限，包括其病因，媒介的作用和宿主反应。惊厥和贫血很少与疟疾有关。人们承认驱虫蚊帐在减少滋扰方面的作用，但不承认它在预防疟疾方面的作用。
Large-scale trials of insecticide-treated nets (ITNs) throughout Sub-Saharan Africa demonstrated that they reduce child mortality in malaria endemic communities. These encouraging results have generated interest in ITNs as a viable malaria control strategy in many malaria endemic countries. However, regular use of ITNs under routine or non-project conditions has been beset with several problems. This paper explores how local community knowledge about malaria acts as a barrier to the use of ITNs in three settings. We employed structured formal observation and a range of interviewing techniques which included informal interviews, focus group discussions, semi-structured in-depth interviews, and structured survey interviewing. People recognize the term 'malaria' but have limited biomedical knowledge of the disease, including its aetiology, the role of the vector, and host response. Convulsions and anaemia are rarely linked to malaria. The people acknowledged a role for ITNs in nuisance reduction, but not for malaria prevention.