Minakawa Noboru, Dida Gabriel O, Sonye Gorge O, Futami Kyoko, Kaneko Satoshi
Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.
Malar J. 2008 Aug 27;7:165. doi: 10.1186/1475-2875-7-165.
To combat malaria, the Kenya Ministry of Health and nongovernmental organizations (NGOs) have distributed insecticide-treated nets (ITNs) for use over beds, with coverage for children under five years of age increasing rapidly. Nevertheless, residents of fishing villages have started to use these bed nets for drying fish and fishing in Lake Victoria. This study investigated the extent of bed net misuse in fishing villages.
Seven fishing villages along the lake were surveyed to estimate how widely bed nets were being used for fishing and drying fish. Villagers were asked why they used the bed nets for such purposes.
In total, 283 bed nets were being used for drying fish. Of these, 239 were long-lasting insecticidal bed nets (LLIN) and 44 were non-long-lasting insecticidal bed nets (NLLIN). Further, 72 of the 283 bed nets were also being used for fishing. The most popular reasons were because the bed nets were inexpensive or free and because fish dried faster on the nets. LLINs were preferred to NLLINs for fishing and drying fish.
There is considerable misuse of bed nets for drying fish and fishing. Many villagers are not yet fully convinced of the effectiveness of LLINs for malaria prevention. Such misuses may hamper the efforts of NGOs and governmental health organizations.
为抗击疟疾，肯尼亚卫生部和非政府组织已分发经杀虫剂处理的蚊帐（ITN）用于床上使用，五岁以下儿童的蚊帐覆盖率迅速提高。然而，渔村居民已开始将这些蚊帐用于在维多利亚湖晾晒鱼和捕鱼。本研究调查了渔村蚊帐滥用的程度。
对沿湖的七个渔村进行了调查，以估计蚊帐用于捕鱼和晾晒鱼的广泛程度。询问村民使用蚊帐用于此类目的的原因。
总共有283顶蚊帐被用于晾晒鱼。其中，239顶是长效杀虫蚊帐（LLIN），44顶是非长效杀虫蚊帐（NLLIN）。此外，283顶蚊帐中有72顶也被用于捕鱼。最常见的原因是蚊帐便宜或免费，以及鱼在蚊帐上干得更快。在捕鱼和晾晒鱼方面，长效杀虫蚊帐比非长效杀虫蚊帐更受青睐。
存在大量将蚊帐用于晾晒鱼和捕鱼的滥用情况。许多村民尚未完全相信长效杀虫蚊帐预防疟疾的有效性。这种滥用可能会妨碍非政府组织和政府卫生组织的工作。
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