Menon A, Snow R W, Byass P, Greenwood B M, Hayes R J, N'Jie A B
Medical Research Council Laboratories, Fajara, Banjul, The Gambia.
Trans R Soc Trop Med Hyg. 1990 Nov-Dec;84(6):768-72. doi: 10.1016/0035-9203(90)90071-l.
Mortality and morbidity from malaria were measured in children for a one-year period in a rural area of The Gambia 3-4 years after the introduction of a primary health care programme into some villages in the study area. Among children resident in primary health care villages who received treatment for febrile illnesses from a village health worker resident in their village there was no reduction in overall mortality or in morbidity from malaria compared with levels found in villages without a primary health care worker. However, among children aged 3-59 months who received malaria chemoprophylaxis from a village health worker in addition to treatment there was a 49% reduction in mortality and a 73% reduction in attacks of clinical malaria. The level of protection against malaria achieved by chemoprophylaxis given by village health workers 3-4 years after the chemoprophylaxis programme was started was as high as that obtained shortly after the introduction of the primary health care programme.
在向研究区域的一些村庄引入初级卫生保健项目3 - 4年后，对冈比亚农村地区的儿童进行了为期一年的疟疾死亡率和发病率测量。在接受本村乡村卫生工作者治疗发热疾病的初级卫生保健村庄的儿童中，与没有初级卫生保健工作者的村庄相比，总体死亡率和疟疾发病率没有降低。然而，在3 - 59个月大的儿童中，除了接受治疗外还接受了本村乡村卫生工作者疟疾化学预防的儿童，死亡率降低了49%，临床疟疾发作减少了73%。疟疾化学预防项目启动3 - 4年后，乡村卫生工作者进行的化学预防所达到的预防疟疾水平与初级卫生保健项目引入后不久所达到的水平一样高。
