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2013年加纳北部地区塔马利实施疟疾家庭管理社区中5岁以下儿童母亲/照料者的知识与技能

Knowledge and Skills of Mothers/Care Givers of Children Under Five Years in Communities with Home Based Management of Malaria in Tamale, Northern Region, Ghana, 2013.

作者信息

Mumuni Mukaila Z, Soghaier Mohammed A, Baba S Zankawah Korkortiakor, Musah Bukari, Kubio Cynthia, Mahamadu Tanko, Goodstaff Assau

机构信息

Metropolitan Health Directorate, Ghana Health Service, Tamale, Ghana.

Epidemiologist, Directorate of Epidemiology & Zoonotic Diseases, Sudan Federal Ministry of Health, Khartoum, Sudan.

出版信息

AIMS Public Health. 2016 Nov 11;3(4):923-932. doi: 10.3934/publichealth.2016.4.923. eCollection 2016.

Abstract

BACKGROUND

Malaria is still one of the major public health problems. More than 400 million cases of malaria are reported each year worldwide, Sub-Saharan Africa is the most affected region where about 90% of all malaria deaths in the world occur especially in children under five years of age. Home based management of Malaria showed a tremendous effect on reducing mortalities among children in Ghana.

OBJECTIVES

to determine the current level of knowledge and skills of mothers in Tamale Metropolitan Area in the northern region of Ghana in terms of disease identification, management and transmission of malaria.

METHODOLOGY

A cross sectional study conducted in 2013 involved 400 families and mothers/care givers with children less than five years were selected randomly and represented urban, peri-urbanand rural settings.

RESULTS

More than 90% of respondents identified malaria by presence of fever while 57.5% used fever as a cardinal sign. 91% of participants sought early treatment in urban and peri-urban settings while 85% did so in rural sites. 55% of participants administered the correct doses daily but only 17% of them knew the side effects of Antimalarial medications used. Almost all participants were aware about transmission of malaria, when to repeat the drug dose and usage of paracetamol as a medicine to reduce body temperature.

CONCLUSION

The overall knowledge and skills demonstrated are encouraging, there is no much difference between urban and rural settings. Community based initiatives should be strengthened and promoted to provide homemade solutions to saving lives and resources.

摘要

背景

疟疾仍然是主要的公共卫生问题之一。全球每年报告超过4亿疟疾病例,撒哈拉以南非洲是受影响最严重的地区,全球约90%的疟疾死亡发生在该地区,尤其是五岁以下儿童。在加纳,疟疾的家庭管理对降低儿童死亡率显示出巨大效果。

目的

确定加纳北部塔马利都会区母亲们在疟疾疾病识别、管理和传播方面的当前知识和技能水平。

方法

2013年进行的一项横断面研究涉及400个家庭,随机选择了有五岁以下儿童的母亲/照顾者,代表城市、城郊和农村地区。

结果

超过90%的受访者通过发烧来识别疟疾,而57.5%的人将发烧作为主要症状。91%的参与者在城市和城郊地区寻求早期治疗,而在农村地区这一比例为85%。55%的参与者每天给予正确剂量,但只有17%的人知道所使用抗疟药物的副作用。几乎所有参与者都了解疟疾的传播、何时重复用药剂量以及使用对乙酰氨基酚作为降低体温的药物。

结论

所展示的总体知识和技能令人鼓舞,城乡地区之间没有太大差异。应加强和推广基于社区的倡议,以提供挽救生命和资源的自制解决方案。

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