Onwujekwe Obinna, Malik El-Fatih, Mustafa Sara Hassan, Mnzavaa Abraham
Gates Malaria Partnership, London School of Hygiene and Tropical Medicine, UK.
Health Policy Plan. 2006 Jan;21(1):10-6. doi: 10.1093/heapol/czj004. Epub 2005 Nov 21.
To determine levels of socioeconomic inequities in the prevention of malaria, and to examine the implications of the findings for improving the equitable control of malaria in the Sudan.
A cross-sectional survey using a pre-tested interviewer-administered questionnaire was administered to 720 randomly selected householders from six localities in Gezira and Khartoum States. A socioeconomic status (SES) index, which was developed using principal components analysis, was used to examine socioeconomic inequity in the prevention of malaria.
Socioeconomic status was positively related to expenditures and use of vector control tools. The poorest households spent the least amounts of money to prevent malaria and were the least likely to own mosquito nets.
The inequity in the prevention of malaria in the study areas has to be redressed before malaria can be effectively controlled in Sudan. Malaria control managers should continually determine the extent to which malaria preventive tools reach the poorest socioeconomic groups, and fashion strategies that will ensure that equity is always maintained.
确定疟疾预防方面的社会经济不平等程度，并探讨研究结果对改善苏丹疟疾公平控制的意义。
采用预先测试的由访谈员实施的问卷对来自杰济拉州和喀土穆州六个地区的720名随机选择的住户进行横断面调查。使用主成分分析开发的社会经济地位（SES）指数来研究疟疾预防方面的社会经济不平等。
社会经济地位与病媒控制工具的支出和使用呈正相关。最贫困家庭用于预防疟疾的支出最少，拥有蚊帐的可能性也最小。
在苏丹有效控制疟疾之前，必须纠正研究地区疟疾预防方面的不平等现象。疟疾控制管理人员应不断确定疟疾预防工具惠及最贫困社会经济群体的程度，并制定确保始终维持公平的策略。
