Doannio J M C, Doudou D T, Konan L Y, Djouaka R, Pare Toe L, Baldet T, Akogbeto M, Monjour L
Institut Pierre Richet, 01 BP 1500, Bouaké 01, Côte d'Ivoire.
Med Trop (Mars). 2006 Feb;66(1):45-52.
The National Malaria Programme in Ivory Coast has encountered difficulty in winning public acceptance of insecticide-treated bednets. We speculate that resistance to the use of bednets could be rooted in social perceptions, beliefs and practices in the communities. The purpose of this study was to identify sociocultural and environmental factors that could be used to support promotion strategies and acceptance of impregnated bednets in Ivory Coast. Survey findings confirmed that bednets were not in widespread use among the population (25%). The most widely used methods were burning mosquito coils (50%) and indoor spraying (31%). Use of impregnated bednets was low (6%). Most survey respondents (73%) indicated initial appreciation for the effectiveness of bednets in protecting against mosquitoes as a nuisance. However only 9% of respondents thought that impregnated bednets provided protection against malaria although they did not necessarily use them. Design was a determinant factor for the use, and even acceptance, of bednets. The population want rectangular, permanently impregnated bednets large enough to accommodate at least 2 persons. Cost was a major obstacle to wider use by the population. According to our data the best price for the population would be between 2000 and 2500 FCFA as compared to the current price of 3500 FCFA in Ivory Coast.
科特迪瓦的国家疟疾防治计划在赢得公众对经杀虫剂处理的蚊帐的认可方面遇到了困难。我们推测，对使用蚊帐的抵触可能源于社区中的社会认知、信仰和习俗。本研究的目的是确定可用于支持科特迪瓦推广策略和接受浸渍蚊帐的社会文化和环境因素。调查结果证实，蚊帐在人群中的使用并不广泛（25%）。使用最广泛的方法是燃蚊香（50%）和室内喷洒（31%）。浸渍蚊帐的使用率较低（6%）。大多数调查受访者（73%）表示，最初赞赏蚊帐在防止蚊虫滋扰方面的有效性。然而，只有9%的受访者认为浸渍蚊帐能预防疟疾，尽管他们不一定使用蚊帐。设计是蚊帐使用甚至接受程度的一个决定性因素。人们想要长方形、永久性浸渍、足够大以容纳至少两人的蚊帐。成本是蚊帐更广泛使用的主要障碍。根据我们的数据，对民众来说，最佳价格在2000至2500非洲法郎之间，而科特迪瓦目前的价格为3500非洲法郎。
