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2017 年也门亚丁的霍乱知识、社会经济和水环境卫生特征:一项基于社区的比较调查。

Cholera knowledge, socioeconomic and WaSH characteristics in Aden - Yemen, 2017: a community-based comparative survey.

机构信息

Department of Community Medicine and Public Health, Faculty of Medicine and Health Sciences, University of Aden, Aden, Yemen.

CRIMEDIM - Research Center in Emergency and Disaster Medicine, Università del Piemonte Orientale, Novara, Italy.

出版信息

J Prev Med Hyg. 2020 Oct 6;61(3):E392-E400. doi: 10.15167/2421-4248/jpmh2020.61.3.1529. eCollection 2020 Sep.

Abstract

OBJECTIVES

To improve prevention and control response to the cholera outbreak, we sought to assess and compare the community's cholera awareness and needs in high and low epidemic areas in Aden.

METHODS

A community-based comparative survey was conducted in 2017. We used multi-stage cluster sampling. Eligible household heads in high and low epidemic areas were interviewed. The data collected from both areas using a pretested questionnaire.

RESULTS

Cholera cases and mortality were higher in high epidemic areas compared with low epidemic areas. Socioeconomic, water, sanitation, and hygienic conditions were poorer in high epidemic areas compared with low epidemic areas. Knowledge of cholera transmission and prevention was sub-optimal in both areas. We found a mismatch between the delivered education and distributed preventive materials.

CONCLUSIONS

Stakeholders should tailor the design, content, and implementation of future cholera prevention and control methods to meet the needs of the community. Future educational camping should focus on the transmission prevention, including vaccination. Education and sustainable interventions should be implemented to improve the water, sanitation, and hygiene.

摘要

目的

为了改善对霍乱疫情的防控反应,我们旨在评估和比较亚丁高、低流行地区社区的霍乱意识和需求。

方法

2017 年进行了一项基于社区的对比调查。我们采用多阶段聚类抽样。在高、低流行地区,对符合条件的家庭户主进行了访谈。在两个地区使用经过预测试的问卷收集数据。

结果

与低流行地区相比,高流行地区的霍乱病例和死亡率更高。高流行地区的社会经济、水、环境卫生和个人卫生条件比低流行地区差。两个地区对霍乱传播和预防的了解都不理想。我们发现所提供的教育和分发的预防材料之间存在不匹配。

结论

利益相关者应根据社区的需求调整未来霍乱防控方法的设计、内容和实施。未来的教育营应侧重于预防接种等传播预防。应实施教育和可持续干预措施,以改善水、环境卫生和个人卫生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e70a/7595064/04a4ea1e9430/jpmh-2020-03-e392-g001.jpg

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