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撒哈拉以南非洲地区疟疾治疗的测量与改善问题。

Issues of measuring and improving the treatment of malaria in sub-Saharan Africa.

作者信息

Onwujekwe Obinna, Dike Nkem, Uzochukwu Benjamin

机构信息

Health Policy Research Unit, Department of Pharmacology and Therapeutics, College of Medicine, University of Nigeria Enugu-Campus, Enugu, Nigeria.

出版信息

Trop Doct. 2005 Oct;35(4):224-5. doi: 10.1258/004947505774938792.

DOI:10.1258/004947505774938792
PMID:16354477
Abstract

This paper, using focus group discussions and questionnaires in Enugu State, Southeast Nigeria, examines the implications of consumer malaria perceptions and behaviour for measuring the disease burden and improving its treatment. The results show that, because peoples' understanding of the disease was related to its symptoms, this could lead to overestimation of the economic burden of malaria, based only on surveys without diagnostic confirmation. Survey-based estimations of the burden of malaria should control for the different local terminologies of malaria, and health personnel should be aware of these in order to improve the appropriate use of antimalarial drugs in presumptive treatment of malaria.

摘要

本文采用焦点小组讨论和问卷调查的方式,对尼日利亚东南部埃努古州的消费者对疟疾的认知和行为进行了研究,探讨了这些因素对衡量疟疾疾病负担及改善治疗效果的影响。结果表明,由于人们对该疾病的认知与症状相关,仅基于未经诊断确认的调查可能会导致对疟疾经济负担的高估。基于调查的疟疾负担估计应考虑到疟疾在当地的不同称谓,卫生人员也应了解这些情况,以便在疟疾推定治疗中更合理地使用抗疟药物。

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引用本文的文献

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Factors affecting treatment practices of patent medicine vendors for malaria in under-five children: implications for malaria control in Nigeria.影响五岁以下儿童疟疾治疗中专利药供应商治疗行为的因素:对尼日利亚疟疾控制的启示
Ghana Med J. 2019 Sep;53(3):237-247. doi: 10.4314/gmj.v53i3.8.
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Barriers to the effective treatment and prevention of malaria in Africa: A systematic review of qualitative studies.非洲疟疾有效治疗与预防的障碍:定性研究的系统评价
BMC Int Health Hum Rights. 2009 Oct 25;9:26. doi: 10.1186/1472-698X-9-26.
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Improving equity in malaria treatment: relationship of socio-economic status with health seeking as well as with perceptions of ease of using the services of different providers for the treatment of malaria in Nigeria.
改善疟疾治疗的公平性:尼日利亚社会经济地位与寻求医疗行为以及对使用不同医疗机构疟疾治疗服务便利性的认知之间的关系。
Malar J. 2008 Jan 8;7:5. doi: 10.1186/1475-2875-7-5.