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尼日利亚拉各斯奥乔军事营地看护者对儿童疟疾的管理做法:对儿童生存的影响

Management practices of childhood malaria among caregivers in Ojo Military Cantonment, Lagos, Nigeria: implication for child survival.

作者信息

Arulogun O S, Gregory A U

机构信息

Department of Health Promotion and Education, College of Medicine, University of Ibadan, Ibadan.

出版信息

Afr J Med Med Sci. 2009 Mar;38(1):45-54.

Abstract

The study explored home management practices for malaria by caregivers in the Military Cantonment, Ojo Lagos. Data was collected using pre-tested Focus Group Discussion guide and interviewer-administered questionnaire. The 400 survey respondents were selected using the systematic sampling method while the discussion participants were purposively selected. Data analysis was done using EPI Info statistical software and thematic approaches. The mean age of respondents was 29 +/- 15.2 years while 89.8% of respondents were biological parents of the index children. High prevalence of malaria all year round caused by mosquitoes bite was indicated by 281 (70.2%) respondents, while 73 (18.3%) of the respondents reported having lost a child under 5 years old to malaria related illnesses. Preventive practices were uncoordinated while awareness and use of ITNs is low. Home management practices of childhood malaria involved the immediate treatment with medicines available in the home. Sharing of left over drugs and herbs were common practices. Home treatment was preferred because of high costs 250 (62.5%), unfriendly attitude of workers 195 (48.8%) and long waiting time 194 (48.5%) in the health facilities. Based on the findings there is the need to institute an awareness programme aimed at improving prompt home management of malaria in the barracks.

摘要

该研究探讨了拉各斯州奥乔军事营地中照顾者对疟疾的家庭管理做法。使用预先测试的焦点小组讨论指南和访谈员管理的问卷收集数据。400名调查受访者采用系统抽样方法选取,而讨论参与者则是有目的地挑选。使用EPI Info统计软件和主题方法进行数据分析。受访者的平均年龄为29 +/- 15.2岁,89.8%的受访者是指数儿童的亲生父母。281名(70.2%)受访者指出全年因蚊虫叮咬导致疟疾高发,73名(18.3%)受访者报告有5岁以下儿童因疟疾相关疾病死亡。预防措施不协调,蚊帐的知晓率和使用率较低。儿童疟疾的家庭管理做法包括立即使用家中现有的药物进行治疗。共用剩余药物和草药是常见做法。由于医疗设施费用高昂(250人,占62.5%)、工作人员态度不友好(195人,占48.8%)和等待时间长(194人,占48.5%),人们更倾向于在家治疗。基于这些发现,有必要开展一项提高认识的计划,以改善军营中疟疾的及时家庭管理。

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