Programme National de Lutte contre le Paludisme,Ministere De La Sante Publique Guinee,BP: 6339-Conakry,Guinée,Guinea.
Comité Départemental des Cancers (CDC93),93146 Bondy,Seine-Saint-Denis,France.
Epidemiol Infect. 2018 Nov;146(15):1987-1995. doi: 10.1017/S0950268818002029. Epub 2018 Jul 26.
In 2013, the Guinean health authority had to reorganise and run a national response against malaria as a priority. The review of the National Strategic Plan to fight malaria in Guinea was carried out and one of its critical components was the prevention and rapid management of fever (RMF) attributable to malaria in children. The study reports on the demographic and health determinants of this rapid management in children under 5. The participants were 4786 children from 2874 representative households. RMF was defined in terms of recourse to primary care. The recourse was defined by child's reference for the treatment of fever which led or not to treatment of malaria. We found that 1491 children (31.2%) had a bout of fever within the 2 weeks that preceded the survey. The prevalence of malaria was 45.4% among those children who have a bout of fever. The recourse to traditional healers was estimated at 9.6% and the use of health facilities was estimated at 71.5%. Overall, 74.9% of children with fever received treatment within the recommended timeliness (24 h), with regional disparity in this rapid response. The high proportion of recourse to traditional healers is still a matter of concern. New control and prevention strategies should be extended to traditional healers for their training and involvement in directing febrile children to health facilities.
2013 年，几内亚卫生当局不得不重新组织并优先开展全国范围的疟疾应对工作。对《几内亚国家抗疟战略计划》进行了审查，其中一个关键组成部分是预防和快速管理儿童疟疾所致发热（RMF）。本研究报告了在 5 岁以下儿童中快速管理这种发热的人口统计学和健康决定因素。参与者是来自 2874 个代表性家庭的 4786 名儿童。RMF 是根据初级保健的利用情况来定义的。这种利用是根据儿童因发热而寻求治疗的情况来定义的，这可能导致或不导致疟疾治疗。我们发现，在调查前两周内，有 1491 名儿童（31.2%）出现了发热。发热儿童中疟疾的患病率为 45.4%。向传统治疗师寻求治疗的比例估计为 9.6%，利用卫生设施的比例估计为 71.5%。总体而言，74.9%的发热儿童在推荐的时间内（24 小时内）接受了治疗，但这种快速反应存在地区差异。向传统治疗师寻求治疗的比例仍然很高，这令人担忧。新的控制和预防策略应扩展到传统治疗师，对他们进行培训，并让他们参与指导发热儿童前往卫生机构就诊。
