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性别、蚊子与疟疾:对缅甸拉普塔社区发展项目的影响

Gender, mosquitos and malaria: implications for community development programs in Laputta, Myanmar.

作者信息

Parks W, Bryan J

机构信息

Tropical Health Program, Australian Center for International and Tropical Health and Nutrition, University of Queensland, Brisbane.

出版信息

Southeast Asian J Trop Med Public Health. 2001 Sep;32(3):588-94.

Abstract

This paper examines the gender roles linked to division of labor and potential exposure to mosquitos and malaria prevention activities. A "Human Development Initiative" (HDI) Project has been launched in Laputta, a mangrove delta region of Myanmar assisted by United Nations Development Program since 1994. The project aims to improve rural community access to primary health care and provide micro-credit programs, income generation schemes, and educational opportunities as a basis for community empowerment. Women and children of low-income households are the target beneficiaries. Prior to self-care training program and distribution of self-care manuals, altogether 20 focus group discussions (separately assigned to men and women) were conducted in eight study villages between January to February 2000. The primary vector for malaria in study area is Anopheles sundaicus. Rural women were prone to malaria due to exposure to mosquitos within the peak biting period at night because of their gender assigned roles. Both men and women perceived that mosquitos commonly bite before midnight, more at dusk. Lack of awareness of correlation between mosquitos and malaria together with lack of affordability enhance either non-use or shared use of bed-nets at home. Rural women did not consider destruction of breeding places of mosquitos as their major concern. Thus, it is essential for program planners to motivate local women for more active participation in vector control measures within and beyond their households in the context of community development programs.

摘要

本文探讨了与劳动分工以及接触蚊子和疟疾预防活动相关的性别角色。自1994年以来,在联合国开发计划署的协助下,缅甸红树林三角洲地区拉普塔启动了一个“人类发展倡议”(HDI)项目。该项目旨在改善农村社区获得初级卫生保健的机会,并提供小额信贷项目、创收计划和教育机会,作为社区赋权的基础。低收入家庭的妇女和儿童是目标受益者。在开展自我保健培训项目和分发自我保健手册之前,2000年1月至2月期间,在八个研究村庄共进行了20次焦点小组讨论(分别针对男性和女性)。研究区域内疟疾的主要传播媒介是苏门答腊按蚊。农村妇女由于其性别角色,在夜间蚊虫叮咬高峰期容易接触蚊子,因而容易感染疟疾。男性和女性都认为蚊子通常在午夜前叮咬,黄昏时叮咬得更多。对蚊子与疟疾之间的关联缺乏认识以及支付能力不足,导致家中要么不使用蚊帐,要么共用蚊帐。农村妇女并不认为破坏蚊子滋生地是她们主要关心的问题。因此,对于项目规划者来说,在社区发展项目的背景下,激励当地妇女更积极地参与家庭内外的病媒控制措施至关重要。

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