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低流行地区卫生工作者为消除疟疾所做的调整。

Health Workers Adjustment for Elimination of Malaria in a Low Endemic Area.

作者信息

Shahandeh Khandan, Basseri Hamid Reza, Majdzadeh Reza, Sadeghi Roya, Safari Reza, Shojaeizadeh Davoud

机构信息

Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Department of Medical Entomology and Vector Control, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Int J Prev Med. 2015 Nov 2;6:105. doi: 10.4103/2008-7802.169022. eCollection 2015.

Abstract

BACKGROUND

Malaria elimination efforts face with substantial challenges and the role of health workers in address this challenge, particularly advocates and mobilizes communities. The aim of the study was to explore perceptions of health workers in relation to eliminating malaria in order to better understand the level their involvement in malaria elimination efforts. A qualitative approach was adopted based on key informant interviews with 26 health workers who working at community-level in malaria low endemic areas, southern Iran.

METHODS

Data were collected through key informant interviews. Data were analyzed using thematic content analysis.

RESULTS

Findings reveal that the majority of participants concerned with the imported malaria cases, without to address an effective solution to the issue. Health workers had positive perceptions on their basic knowledge and opinions in relation to their field work with emphases to integrate methods. Participants expressed willingness to contribute to malaria elimination effort. They also emphasized on continuous training, resource mobilization, and support. In addition, their perceptions on malaria elimination policy such as sustained financial investment to achieve elimination and integrated management of vector control were rather negative.

CONCLUSIONS

A mechanism should be considered that allow the health workers to feedback positively on their quality of their practice to health providers.

摘要

背景

疟疾消除工作面临重大挑战,卫生工作者在应对这一挑战中发挥着作用,尤其是倡导并动员社区。本研究的目的是探讨卫生工作者对消除疟疾的看法,以便更好地了解他们参与疟疾消除工作的程度。采用定性研究方法,对伊朗南部疟疾低流行地区社区层面工作的26名卫生工作者进行关键 informant访谈。

方法

通过关键 informant访谈收集数据。采用主题内容分析法对数据进行分析。

结果

研究结果显示,大多数参与者关注输入性疟疾病例,但未找到有效的解决办法。卫生工作者对其基础知识以及与实地工作相关的意见持积极看法,强调采用综合方法。参与者表示愿意为疟疾消除工作做出贡献。他们还强调持续培训、资源调动和支持。此外,他们对疟疾消除政策,如为实现消除目标而持续进行财政投资以及病媒控制综合管理的看法较为负面。

结论

应考虑建立一种机制,使卫生工作者能够就其执业质量向卫生服务提供者提供积极反馈。

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