Ndyomugyenyi Richard, Magnussen Pascal, Clarke Siân
Vector Control Division, Ministry of Health, PO Box 1661, Kampala, Uganda.
Trans R Soc Trop Med Hyg. 2007 Mar;101(3):209-15. doi: 10.1016/j.trstmh.2006.06.004. Epub 2006 Sep 6.
Knowledge of malaria and treatment-seeking behaviour was investigated in an area of low transmission in Uganda to help health services to plan for appropriate interventions to control malaria. Although knowledge of malaria symptoms, preventive methods and malaria risks was widespread, few were actually using insecticide-treated nets. Many patients (25%) had received treatment prior to visiting a health facility, with drug shops and general stores being the main sources of treatment. Some shops dispensed quinine, a second-line drug recommended for complicated malaria. Prescription practices of health staff often did not comply with guidelines. Only 30% of patients received treatment at a health facility within 24h of onset of symptoms. Findings indicate a need for community-level information campaigns on prompt treatment and introduction of home-based management of fever. Measures are needed to protect second-line drugs from misuse. Failure to comply with drug policy in both the private and public sectors is of concern in an era of rapidly evolving drug policy changes and highlights the need for reorientation and training of health staff and drug vendors to improve malaria diagnostic and treatment skills.
在乌干达一个疟疾低传播地区，对疟疾知识和寻求治疗行为进行了调查，以帮助卫生服务部门规划适当的干预措施来控制疟疾。尽管对疟疾症状、预防方法和疟疾风险的了解很普遍，但实际使用驱虫蚊帐的人很少。许多患者（25%）在前往医疗机构就诊之前已经接受过治疗，药店和杂货店是主要的治疗来源。一些商店配发奎宁，这是一种推荐用于治疗复杂疟疾的二线药物。卫生工作人员的处方做法往往不符合指南。只有30%的患者在症状出现后24小时内在医疗机构接受治疗。研究结果表明，需要在社区层面开展关于及时治疗和引入家庭发热管理的宣传活动。需要采取措施防止二线药物被滥用。在药物政策迅速变化的时代，私营和公共部门不遵守药物政策令人担忧，这凸显了对卫生工作人员和药品供应商进行重新定位和培训以提高疟疾诊断和治疗技能的必要性。
