Perception of causes of malaria and treatment-seeking behaviour of nursing mothers in a rural community.

Perception of causes of malaria and treatment-seeking behaviour of nursing mothers in a rural community.
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DOI:
10.1111/j.1440-1584.2005.00704.x
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发表时间:
2005-08-01
期刊:
The Australian journal of rural health
影响因子:
--
通讯作者:
Ibidapo, Comfort A
Ibidapo, Comfort A
中科院分区:
其他
文献类型:
--
作者:
Ibidapo, Comfort A

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目的:了解孕产妇保健人员对疟疾、疟疾传播和社区儿童发热治疗的认识。设计:随机抽样0-5岁儿童家庭。集合:林区农村社区。目的:在尼日利亚奥贡州Ijegemo村抽取55户家庭,向200名0-5岁儿童的母亲/护理人员发放问卷。主要观察指标:在调查过程中与妇女的互动使她们对疟疾的认识、传播和社区儿童发热的处理有了准确的了解。结果:40%的受访者不知道疟疾的确切原因,20%的人认为疟疾的确切原因是阳光,16.5%的人认为是蚊子,12.5%的人是因为卫生条件差,4%的人是因为摄入棕榈油,4%的人是因为血液短缺,6%的人是因为身体太热。85.5%的受访者认为积水是蚊子的滋生地,但不能将其与疟疾热的发生联系起来。中草药配伍是第一个治疗作用。课文中列出了这些草药中的一些。在所有的血液涂片中仅检出恶性疟原虫。2-3岁的儿童寄生虫阳性病例的比例最高(67.5%),平均值为1237.04+/-2113.19。结论:这项研究强调了针对受教育程度较低的妇女的健康信息的迫切需要,以便赋予她们认识和管理子女健康问题的知识和资源。
OBJECTIVE: Maternal health care workers' recognition of malaria, its transmission and treatment of children's fever at community level.DESIGN: Randomised sampling of households with children of 0-5 years.SETTING: Rural community in a forest zone.SUBJECTS: Fifty-five households at Ijegemo village, Ogun state, Nigeria were sampled and questionnaires administered to 200 mothers/care workers of children within the age group 0-5 years. Blood smears were obtained from finger pricks and level of parasitemia with malaria parasites determined for each child.MAIN OUTCOME MEASURES: Interactions with the women during the survey empowered them with accurate knowledge of malaria recognition, transmission and management of children's fever at the community level.RESULTS: Forty per cent of the respondents did not know the exact cause of malaria, 20% attributed the cause to sunlight, 16.5% to mosquitoes, 12.5% to poor hygiene, 4% to palm oil intake, 4% to blood shortage and 6% to a hot body. Of respondents 85.5% identified stagnant water as breeding site of mosquitoes but could not correlate it with the occurrence of malaria fever. Herbal concoction was the first treatment action. Some of these herbs are listed in the text. Plasmodium falciparum alone was identified in all blood smears. Children at two to three years of age were recorded with the highest percentage (67.5%) of parasite-positive cases with a mean value of 1237.04 +/- 2113.19.CONCLUSION: This study highlights a critical need for targeting health messages towards poorly educated women in order to empower them with the knowledge and resources to recognise and manage their children's health problems.