Kumar Narendra, Siddiqui N A, Verma R B, Das P
Division of Social Sciences, Rajendra Memorial Research Institute of Medical Sciences (Indian Council of Medical Research), Agam-Kuan, Patna 800 007, Bihar, India.
J Commun Dis. 2009 Jun;41(2):121-8.
Visceral Leishmaniasis (VL) control is a global cause of concern. To identify the gaps in People's knowledge/awareness about sand flies and control activities of kala-azar in rural endemic areas of Bihar, this study consisting of 450 respondents with 288 male and 162 female was carried out. The result showed that 95% respondents had heard about the disease up to some extent, but majority respondents were neither aware about the vector of kala-azar, nor they had any idea about transmission of the disease. About 61% had wrong impression that mosquitoes were causing kala-azar. Regarding knowledge about breeding and resting sites of vectors, 20% reported cattle shed, 16% crevices in the household followed by 15% damp dark places. The attitude of respondents towards vector control programme was poor, as 99% lost faith in the DDT spraying because of ineffectiveness, like no reduction in mosquito nuisance. Bed net was considered the best protection method against sand fly or mosquito nuisance but the cost was considered the major constraint in its use. Proper health education programme in Simple and local language along with visual demonstration should be promoted to enhance the awareness and co-operation at community level.
内脏利什曼病（VL）的防控是一个全球关注的问题。为了找出比哈尔邦农村流行地区民众在白蛉知识/意识以及黑热病防控活动方面的差距，开展了这项研究，共有450名受访者，其中男性288名，女性162名。结果显示，95%的受访者在一定程度上听说过这种疾病，但大多数受访者既不了解黑热病的传播媒介，也不知道该疾病的传播方式。约61%的人有错误认知，认为蚊子会导致黑热病。关于病媒繁殖和栖息场所的知识，20%的人提到牛棚，16%的人提到家中的缝隙，其次是15%的人提到潮湿黑暗的地方。受访者对病媒控制项目的态度较差，99%的人因效果不佳（如蚊虫骚扰没有减少）而对喷洒滴滴涕失去信心。蚊帐被认为是防止白蛉或蚊虫骚扰的最佳保护方法，但成本被认为是使用蚊帐的主要制约因素。应推广用简单的当地语言并结合视觉演示的适当健康教育项目，以提高社区层面的认识与合作。
