School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Howard Campus, Durban 4001, South Africa.
Faculty of Agriculture and Natural resources, University of Namibia, Katima Mulilo Campus, Winela Road, Box 1096, Ngweze, Katima Mulilo, Namibia.
Int J Environ Res Public Health. 2020 Feb 19;17(4):1349. doi: 10.3390/ijerph17041349.
: Schistosomiasis is a public health problem that affects over 240 million people worldwide. It is mostly prevalent in tropical and sub-tropical areas among communities with limited access to clean water and adequate sanitation. This study was conducted in uMkhanyakude District in rural South Africa, where water resources are limited. In this community, individuals frequently come into contact with freshwater bodies for various reasons. The objective of the study was to identify critical contextual and psychosocial factors for behaviour change to reduce risk of schistosomiasis transmission in Madeya Village, uMkhanyakude district. : Structured household interviews were held with 57 primary caregivers to assess their thoughts and attitudes towards collecting water from a safe source. We used the Risk, Attitude, Norm, Ability, and Self-regulation model (RANAS) to estimate the intervention potential for each factor by analysing differences in means between groups of current performers and nonperformers who use safe water sources. : The subscale vulnerability belonging to the risk factor on the RANAS was scored as low. Furthermore, attitudinal factors towards the use of safe water sources were found to be low. Ability factors (confidence in performance and confidence in recovery) towards the use of safe water sources were low as well, indicating that these factors should be the target of the intervention in the study area. : Based on this study, it is recommended that a community-based empowerment intervention strategy it appropriate. The strategy should prompt behavioural practice and public commitment, use persuasive language to boost self-efficacy and target younger low-income caregivers between 18 and 35 years of age.
血吸虫病是一个公共卫生问题，影响着全球超过 2.4 亿人。它主要在热带和亚热带地区的社区流行，这些社区获得清洁水和适当卫生设施的机会有限。本研究在南非农村的乌姆坎夸德区进行，那里水资源有限。在这个社区，由于各种原因，个人经常接触淡水体。该研究的目的是确定关键的背景和社会心理因素，以改变行为，减少马迪雅村血吸虫病传播的风险，乌姆坎夸德区。 ：对 57 名主要照顾者进行了结构化家庭访谈，以评估他们对从安全水源收集水的想法和态度。我们使用风险、态度、规范、能力和自我调节模型 (RANAS) 通过分析当前表演者和非表演者之间的均值差异来估计每个因素的干预潜力，这些表演者和非表演者使用安全水源。 ：RANAS 上属于风险因素的脆弱性亚量表得分较低。此外，对使用安全水源的态度因素也较低。使用安全水源的能力因素（表现信心和恢复信心）也较低，表明这些因素应该是研究区域干预的目标。 ：基于这项研究，建议采取以社区为基础的赋权干预策略。该策略应促进行为实践和公众承诺，使用有说服力的语言来提高自我效能，并针对 18 至 35 岁的年轻低收入照顾者。
