The development of a treatment guideline for childhood malaria in rural Southwest Nigeria using participatory approach
The development of a treatment guideline for childhood malaria in rural Southwest Nigeria using participatory approach
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DOI：
10.1016/j.pec.2008.10.013
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发表时间：
2009-05-01
影响因子：
3.5
通讯作者：
Kale, Oladele
中科院分区：
文献类型：
--
作者：
Ajayi, Ikeoluwapo O.;Oladepo, Oladimeji;Kale, Oladele
目的 描述制定家庭有效儿童疟疾病例管理的治疗指南。 方法 从农村卫生区 I1 社区中选出的 33 名母亲、社区成员和研究小组制定了照顾者采用参与式方法在家中治疗疟疾的指南。这是通过修改后的焦点小组讨论会议分阶段完成的。一位图形艺术家在插图中描绘了建议的想法。 结果 制定了一份指南，其中说明了疟疾的临床类型、每种类型采取的适当步骤以及用于治疗无并发症的疟疾的氯喹的正确剂量表（基于儿童的年龄）。该指南采用卡通格式，脚本采用当地语言。 结论 在指南的制定过程中，参与式方法的使用被认为是可接受且有效的。因此，无论目标人群或要制定的干预措施如何，都建议采用这种方法。 实践意义 利用最终用户的贡献编写教育材料不仅可以建设地方层面的能力，还可以提高此类材料的可接受性和所有权。 (C) 2008 年，爱思唯尔爱尔兰有限公司出版。
Objective To describe the development of a treatment guideline for the effective case management of malaria in children at the home level.Methods Thirty-three mothers selected from I I communities in a rural health district, Community members and the research team developed a guideline for treatment of malaria at home by caregivers using a participatory approach. This was done in phases using modified focus group discussion sessions. Suggested ideas were depicted in illustrations by a graphic artist.Results A guideline which illustrated the presentation of clinical types of malaria, the appropriate steps to take for each type and the correct dosage schedule of chloroquine (based on the age of the child) for treatment of uncomplicated malaria was developed. The guideline was in cartoon format and the script in the local language.Conclusion Use of a participatory approach Was found acceptable and effective in the development of the guideline. This approach is therefore recommended irrespective of the target population or the intervention to be developed.Practice implications Preparation of educational materials with contributions from end users does not only build capacity at the local level but also increases the acceptability and ownership of such materials. (C) 2008 Published by Elsevier Ireland Ltd.