促进少数民族疟疾病人就医行为干预试验  

Intervention Trial on Promoting Treatment-seeking Behavior of Malaria Patients among Ethnical Minorities

作　　者：许建卫[1] 吴显华[2] 魏春[1] Pricha Petlueng 陶红[2] 

机构地区：[1]云南省寄生虫病防治所,云南思茅665000 [2]西盟县疾病预防控制中心,云南西盟665700 [3]世界卫生组织驻老挝代表处

出　　处：《世界感染杂志》2008年第5期351-353,共3页World Journal of Infection

基　　金：基金项目：WHO/ADB加强少数民族中的疟疾防治试点研究（No.WPMVP/2005/ICP/MAL/1.2/001）

摘　　要：目的探讨促进少数民族疟疾病人就医行为的策略。方法通过精细健康教育提高目标人群识别疟疾早期症状的知识和求医意识；通过社区动员，在社区中营造发热及时求医的社会氛围；提供免费的疟疾诊断和治疗，改进经济方面的可及性。结果知道疟疾早期症状和发热要到公共卫生机构就医户主比例较基线调查显著提高（P〈0．01）；使用公共卫生机构的发热病人比例从基线的56．94％（95％CI：52．55％-61．25％）增长到91．30％（74．13％～98．51％）（P〈0．05）；发热开始24h求医的病人比例从基线的23．03％（18．81％-27．71％）增长到86．96％（68．47％～96．57％）（P〈0．01）。结论行为改变的交流策略成功地促进了疟疾病人的就医行为，与其它措施一起有效地降低了疟疾发病和流行程度。Objectives To explore strategies of promoting treatment-seeking behavior of malaria patients among ethnic minority residents. Methods Intensive health education promoted target population＇s knowledge of early malaria symptoms and treatment-seeking awareness. Social mobilization created supporting environment for febrile patients seeking effective treatment in time. Free malaria diagnosis and treatment improved accessibility in economic. Results Proportion of household heads who knew early malaria symptoms and febrile patients treatment seeking for public health facilities was significant higher than the baseline （P〈0.01）. Proportion of febrile patients who used public health facilities increased from the baseline 56.94% （95%CI： 52.55%-61.25%） to 91.30% （74.13-98.51%） （P〈0.05） . Percentage of people seeking diagnosis and effective treatment within 24 hours of fever onset increased from the baseline 23.03% （18.81%-27.71%） to 86.96% （68.47-96.57%） （P〈0.01）. Conclusions Strategies of behavior change communication successfully promoted treatment-seeking behavior, and declined malaria incidence and prevalence with other measures together.

关 键 词：疟疾 行为改变的交流 就医行为 少数民族 

分 类 号：R531.3[医药卫生—内科学]