Vaidya Abhinav, Gyenwali Deepak, Tiwari Sundar, Pande Badri Raj, Jørs Erik
Department of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal.
Farming, Health and Environment Nepal Project, Nepal Public Health Foundation, Kathmandu, Nepal.
Environ Health Insights. 2017 Jul 10;11:1178630217719270. doi: 10.1177/1178630217719270. eCollection 2017.
Unsafe use of hazardous pesticides is a neglected public health problem in developing countries. This survey evaluates the effects of a training program to increase awareness on harmful effects of pesticides and to enhance capacity for safe handling involving 57 trained farmers, 98 neighboring farmers, 94 control farmers, and 23 pesticide retailers from villages in Chitwan, Nepal. Knowledge and attitude-related variables improved in all 3 farmer groups, with a significant trend of better knowledge and attitude from trained to neighboring to control farmers (in 14/16 [87.5%] variables). In practice, there were significant differences among the groups with a trend from trained to neighboring to control farmers (in 10/26 [38.5%] variables).The pesticide retailers also improved on knowledge and practice. In conclusion, training farmers and pesticide retailers improved their knowledge and practice, with possible positive effect on neighboring farmers and control villages as well. An improved extension service to farmers is recommended.
在发展中国家，危险农药的不安全使用是一个被忽视的公共卫生问题。这项调查评估了一个培训项目的效果，该项目旨在提高对农药有害影响的认识，并增强安全处理能力，涉及尼泊尔奇旺地区村庄的57名受过培训的农民、98名相邻农民、94名对照农民和23名农药零售商。所有三个农民群体在知识和态度相关变量方面均有改善，从受过培训的农民到相邻农民再到对照农民，知识和态度呈现出显著的更好趋势（在16个变量中的14个[87.5%]）。在实践中，各群体之间存在显著差异，从受过培训的农民到相邻农民再到对照农民呈现出一种趋势（在26个变量中的10个[38.5%]）。农药零售商在知识和实践方面也有改善。总之，培训农民和农药零售商提高了他们的知识和实践水平，对相邻农民和对照村庄也可能产生积极影响。建议改善对农民的推广服务。
