Context for Filipino CB Cleft Prevention Interventions

描述(由申请人提供)：本提案的目的是在菲律宾规划社区干预(CB)之前获得背景数据，旨在向人们提供关于病因和预防口腔裂伤的信息。在菲律宾，每500名活产儿童中就有1名患有唇裂伴或不伴腭裂。在这里，裂隙的发生率很高，治疗有限或无法获得。人类学报告将亚洲人对疾病原因的信仰描述为超自然的。如果菲律宾人持有这种信念，那么与他们对原因和预防的理解不一致的干预措施可能不会被接受。因此，有必要进行人种学研究，以描述关于唇裂的原因、预防和治疗的态度和信念。使用解释性模型框架，定性的方法将被用来描述目前关于口裂的原因、预防和治疗的信念，以及在菲律宾人和卫生保健工作者中参与口裂预防试验的意愿。将对患有唇裂者或患有唇裂者、非唇裂者或患有唇裂者以及菲律宾卫生工作者进行深入访谈。面试将针对广泛的类别进行编码。将为按大类分组的数据分配更具体的描述性子代码。将分析每一组内和三组之间的主题或概念方面的规律性数据。

DESCRIPTION (provided by applicant): The purpose of this proposal is to obtain contextual data prior to planning for community-based (CB) interventions in the Philippines aimed at informing people about causes and preventing orofacial clefting. In the Philippines, 1/500 live born children will have a cleft lip with or without a cleft palate. Here there is a high prevalence of clefting and treatment is limited or unavailable. Anthropological reports describe Asian beliefs about the cause of illness as supernatural. If Filipinos hold this belief then interventions inconsistent with their understanding of cause and prevention may not be accepted. Therefore, an ethnographic study is warranted to describe attitudes and beliefs regarding the cause, prevention and treatment of clefting. Using an explanatory models framework, qualitative methods will be used to describe current beliefs about the causes, prevention and treatment of orofacial clefting, and willingness to participate in prevention trials of orofacial clefts among Filipinos and health care workers. In-depth interviews will be conducted with people who have a cleft or child with cleft, people who neither have cleft or children with cleft, and Filipino health workers. Interviews will be coded for broad categories. More specific descriptive sub-codes will be assigned to the data grouped under the broad categories. Data will be analyzed for regularities in terms of themes or concepts within each group and across the three groups.