Déti Edouard K, Flénon Joseph, Zohoun Théophile, Maurice-Tison Sylvie, Salamon Roger, Atakouma Yawo D
Service d'information médicale Hôpital Pellegrin CHU de Bordeaux Place Amélie-Raba-Léon 33076 Bordeaux France.
Sante. 2008 Jul-Sep;18(3):155-61. doi: 10.1684/san.2008.0109.
Malaria is a common and frequently fatal disease in sub-Saharan Africa and children suffer the consequences of their family's erroneous therapeutic decisions.
To assess knowledge, attitudes and practices related to malaria treatment and prevention among mothers of children younger than 5 years old.
Cross-sectional survey conducted from July to September 2000, in Notsé (Togo) among a sample of 385 mothers of children aged younger than 5 years. Investigators completed environmental evaluation cards and used a questionnaire to interview mothers.
Mothers' level of knowledge was qualified as high among 53% of the subjects, intermediate among 30%, and poor among 17%. It was associated with the mothers' level of education. All mothers considered malaria to be a serious disease; 79% said that they were favourable to drug use for malaria prevention in children; 81% preferred mosquito nets as the means of prevention; 94% of them preferred that their child receive modern medical treatment for malaria. Mothers' global practices for malaria prevention and treatment were qualified as good among 5%, intermediate among 23%, and poor among 73%. Practices were associated with educational and level of knowledge and inversely associated with the number of children she had.
These results suggest that improved communication with the population and promotion of intra- and inter-sector collaborations and literacy in mothers, together with active participation by the population, might be useful measures for reaching the objectives of antimalaria program in Togo.
疟疾在撒哈拉以南非洲是一种常见且往往致命的疾病，儿童承受着其家庭错误治疗决策带来的后果。
评估5岁以下儿童母亲关于疟疾治疗和预防的知识、态度及做法。
2000年7月至9月在多哥的诺泰对385名5岁以下儿童的母亲进行了横断面调查。调查人员填写环境评估卡片并使用问卷对母亲进行访谈。
53%的受试者母亲知识水平为高，30%为中等，17%为差。这与母亲的教育水平相关。所有母亲都认为疟疾是一种严重疾病；79%表示她们赞成给儿童使用预防疟疾的药物；81%更喜欢用蚊帐作为预防手段；94%的母亲希望她们的孩子接受现代医学治疗疟疾。母亲们预防和治疗疟疾的总体做法5%为好，23%为中等，73%为差。做法与教育程度和知识水平相关，与她所生孩子的数量呈负相关。
这些结果表明，加强与民众的沟通、促进部门内和部门间合作以及提高母亲的识字率，再加上民众的积极参与，可能是实现多哥抗疟计划目标的有用措施。
