Msiska R, Nangawe E, Mulenga D, Sichone M, Kamanga J, Kwapa P
Country Support, UNAIDS, Geneva.
Health Policy Plan. 1997 Sep;12(3):248-52. doi: 10.1093/heapol/12.3.248.
Understanding lay persons' perceptions of STD care is critical in the design and implementation of appropriate health services. Using 20 unstructured group interviews, 10 focus group discussions and 4 STD case simulations in selected sub-populations in Lusaka, we investigated lay person perspectives of STD services. The study revealed a large diversity of care options for STD in the communities, including self-care, traditional healers, medicine sold in the markets and streets, injections administered in the compounds, private clinics, health centres and hospital. The factors identified as influencing care seeking behaviour are: lay referral mechanisms, social cost, availability of care options, economics, beliefs, stigma and quality of care as perceived by the users.
了解非专业人士对性传播疾病（STD）护理的看法对于设计和实施适当的卫生服务至关重要。我们在卢萨卡选定的亚人群体中进行了20次非结构化小组访谈、10次焦点小组讨论和4次性传播疾病病例模拟，以调查非专业人士对性传播疾病服务的看法。研究表明，社区中性传播疾病的护理选择多种多样，包括自我护理、传统治疗师、在市场和街道上出售的药品、在大院里进行的注射、私人诊所、保健中心和医院。被确定为影响就医行为的因素有：非专业转诊机制、社会成本、护理选择的可及性、经济状况、信仰、耻辱感以及使用者所感知的护理质量。
