Qayum Mehran, Zahur Haider, Ahmad Niqad, Ilyas Muhammad, Khan Adeel, Khan Salman
Improving Quality of health Care Services (IQHCS) in Khyber Pakhtunkhwa, Government of Khyber Pakhtunkhwa Health Department.
J Pak Med Assoc. 2012 Apr;62(4):344-6.
To assess the level of awareness regarding malaria, the availability of preventive material and its use in a camp for the internally displaced persons (IDPs) in Pakistan, using SPHERE standards and indicators.
The descriptive cross-sectional study was conducted in Jalozai from March to Novemeber 2010. Systematic random sampling was done with a sample size of 116 families (10% of Phase II). A structured questionnaire was distributed to the heads of the families and among healthcare providers.
More than two-fifth (42%, n = 49) of the study population was unaware of malaria, while more than three-fifth (70%, n = 76) was ignorant of the preventive strategies. The study found that the surveyed population (55%, n = 64) had access to health education on diseases cased by mosquitoes but less than half of them (44%, n = 28) reported that health education included preventive strategies against malaria. Health education was done at community (40%) and household levels (60%). Simple Bed Nets were given to 68% (n = 78), while 26 (32%) families reported that the nets providers were not in a useable state. No education on the proper usage of bed nets was available, and replacement of the nets was not noticed.
Health education programmes should include preventive methods. Provision of Insecticide Treated Nets (ITNs) to the displaced population, guidance by health awareness teams, and the replacement of old nets should be ensured to control malaria effectively.
采用SPHERE标准和指标,评估巴基斯坦境内流离失所者营地中人们对疟疾的认知水平、预防物资的可获得性及其使用情况。
2010年3月至11月在贾洛宰开展了描述性横断面研究。采用系统随机抽样,样本量为116个家庭(第二阶段的10%)。向户主和医疗服务提供者发放了结构化问卷。
超过五分之二(42%,n = 49)的研究人群不了解疟疾,超过五分之三(70%,n = 76)对预防策略一无所知。研究发现,被调查人群中有55%(n = 64)获得了关于蚊虫所致疾病的健康教育,但其中不到一半(44%,n = 28)报告称健康教育包括预防疟疾的策略。健康教育在社区层面(40%)和家庭层面(60%)开展。68%(n = 78)的家庭获得了简易蚊帐,而26个(32%)家庭报告称蚊帐提供者提供的蚊帐无法使用。没有关于蚊帐正确使用方法的教育,也未注意到蚊帐的更换情况。
健康教育项目应包括预防方法。应确保向流离失所人群提供经杀虫剂处理的蚊帐(ITN),由健康意识团队提供指导,并更换旧蚊帐,以有效控制疟疾。