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斯里兰卡农村地区针对学童开展的狂犬病预防校内干预措施的成效

Outcomes of a school-based intervention on rabies prevention among school children in rural Sri Lanka.

作者信息

Kanda Koji, Obayashi Yoshi, Jayasinghe Ananda, Gunawardena G S P de S, Delpitiya N Y, Priyadarshani N G W, Gamage Chandika D, Arai Asuna, Tamashiro Hiko

机构信息

Department of Global Health and Epidemiology, Hokkaido University Graduate School of Medicine, Sapporo, 060-8638, Japan.

Department of Community Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka.

出版信息

Int Health. 2015 Sep;7(5):348-53. doi: 10.1093/inthealth/ihu098. Epub 2014 Dec 30.

Abstract

BACKGROUND

In Sri Lanka, one of the major challenges in rabies control is to manage the dog population and subsequently to protect people, especially young children, from dog bites.

METHODS

In 2009, an educational-entertainment campaign called 'Rabies Edutainment 4 Kids' was introduced in the school curricula in rural Sri Lanka to improve practices on rabies prevention and pet care among school children, and to evaluate its effectiveness through pre- and post-tests.

RESULTS

The level of rabies knowledge, attitude and practice among the pupils was dependent on their responses to a survey, and scores were significantly improved both among the study and control groups after the intervention. A lecture accompanied by a rabies awareness leaflet was much more effective in improving knowledge than the leaflet alone. The type of intervention and language used was significantly associated with the score increment (p<0.001).

CONCLUSIONS

The threat of rabies to pupils in Sri Lanka would be reduced if they are given appropriate information on rabies prevention as a part of the school curricula. Close collaboration with local education offices is key to successful implementation of school-based rabies control programmes, which is, in turn, crucial to the eradication of rabies from Sri Lanka.

摘要

背景

在斯里兰卡,狂犬病防控的主要挑战之一是管理犬类数量,进而保护民众,尤其是儿童,免受犬类咬伤。

方法

2009年,斯里兰卡农村地区的学校课程中引入了一项名为“儿童狂犬病寓教于乐”的教育娱乐活动,以改善学童预防狂犬病和宠物护理的做法,并通过前后测试评估其效果。

结果

学生对狂犬病的知识、态度和做法水平取决于他们对一项调查的回答,干预后研究组和对照组的得分均显著提高。伴有狂犬病防治宣传册的讲座在提高知识方面比单独的宣传册更有效。干预类型和使用的语言与得分增量显著相关(p<0.001)。

结论

如果将有关狂犬病预防的适当信息作为学校课程的一部分提供给斯里兰卡的学生,狂犬病对他们的威胁将会降低。与当地教育部门密切合作是成功实施以学校为基础的狂犬病防控计划的关键,而这反过来对于斯里兰卡根除狂犬病至关重要。

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