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柬埔寨农村地区将戏剧作为疟疾社区参与策略

Drama as a community engagement strategy for malaria in rural Cambodia.

作者信息

Lim Renly, Tripura Rupam, J Peto Thomas, Sareth Ma, Sanann Nou, Davoeung Chan, Nguon Chea, Cheah Phaik Yeong

机构信息

Mahidol Oxford Tropical Medicine Research Unit, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.

Quality Use of Medicines and Pharmacy Research Centre, School of Pharmacy and Medical Sciences, University of South Australia, Adelaide, Australia.

出版信息

Wellcome Open Res. 2017 Sep 29;2:95. doi: 10.12688/wellcomeopenres.12594.2. eCollection 2017.

Abstract

: Countries in Southeast Asia are working to eliminate multidrug-resistant falciparum malaria, a major cause of mortality in tropical regions. Malaria is declining but transmission persists in many rural areas and among forest workers and isolated populations. In these remote communities, conventional health services and education are limited. Mobilising and educating these populations require new approaches as many people are illiterate and do not attend village meetings. This article describes a qualitative study to assess the feasibility of a drama project as a community engagement strategy. : A drama project was conducted in twenty villages in Cambodia with three key messages: to use insecticide-treated bednets and repellents, to get early diagnosis and treatment, and to learn about risks of forest-acquired malaria. Qualitative interviews were conducted with the drama team members, village malaria workers, local health staffs and villagers, to explore the feasibility of using drama to engage the community and the associated challenges. : 29 people were interviewed, which included 18 semi-structured interviews and one focus group discussion. Analysis of the interviews resulted in development of the following seven themes: i) exposure to malaria and engagement activities, ii) readiness and barriers to participation, iii) understanding and learning about malaria using drama, iv) entertainment value and engagement method preferences, v) challenges to community engagement, vi) future participation and vii) sustainability. The event saw a very positive response, with an encouraging average participation rate of 66%. The project faced several challenges including logistic problems, rescheduling due to raining season, and time- and budget-constraints. : Our evaluation demonstrated that the drama project was feasible in promoting awareness and understanding of malaria prevention and control. Audience members perceived drama as entertaining and as the preferred choice of engagement activity. Participatory drama could be considered as part of the community engagement for malaria elimination.

摘要

东南亚国家正在努力消除耐多药恶性疟,这是热带地区主要的死亡原因。疟疾发病率正在下降,但在许多农村地区以及林业工人和孤立人群中,传播仍在持续。在这些偏远社区,传统的卫生服务和教育有限。动员和教育这些人群需要新的方法,因为许多人是文盲,不参加村民会议。本文描述了一项定性研究,以评估戏剧项目作为社区参与策略的可行性。

在柬埔寨的20个村庄开展了一个戏剧项目,传达了三个关键信息:使用经杀虫剂处理的蚊帐和驱虫剂、尽早诊断和治疗以及了解森林获得性疟疾的风险。对戏剧团队成员、乡村疟疾防治人员、当地卫生工作人员和村民进行了定性访谈,以探讨使用戏剧吸引社区参与的可行性及相关挑战。

共采访了29人,包括18次半结构化访谈和1次焦点小组讨论。对访谈的分析产生了以下七个主题:i)接触疟疾和参与活动,ii)参与的意愿和障碍,iii)通过戏剧了解和学习疟疾,iv)娱乐价值和对参与方式的偏好,v)社区参与面临的挑战,vi)未来的参与,vii)可持续性。该活动得到了非常积极的回应,令人鼓舞的平均参与率为66%。该项目面临一些挑战,包括后勤问题、因雨季重新安排时间以及时间和预算限制。

我们的评估表明,戏剧项目在提高对疟疾预防和控制的认识和理解方面是可行的。观众认为戏剧具有娱乐性,是参与活动的首选。参与式戏剧可被视为消除疟疾社区参与的一部分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ec8/5958316/0239bce1b990/wellcomeopenres-2-15916-g0000.jpg

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