Spencer H C, Kaseje D C, Roberts J M, Huong A Y
Kenya Medical Research Institute, Clinical Research Centre, Nairobi.
Ann Trop Med Parasitol. 1987 Apr;81 Suppl 1:116-23. doi: 10.1080/00034983.1987.11812197.
A community-based malaria control programme in Saradidi, Kenya provided chloroquine treatment for malaria in each village beginning in May 1982. Malaria was holoendemic in Saradidi. Treatment was provided by volunteer community health workers chosen and supported by the village. Consumption of the drug and characteristics of persons treated were recorded. Between 1 September 1982 to 31 August 1983, 40,649 treatments with chloroquine were given to village residents. The treatment rate per person in the mid-year population was 1.24. However, at least 41.8% of the mid-year population of 32,650 did not receive a single treatment. Multiple treatments were given to 50.5% of persons treated at least once and 13.4% of 13,879 persons treated at least once received five or more treatments during the year. Consumption patterns were not random: they were higher in females, in persons above 30 years of age and in the area with greater community organization and community participation. There is need to ascertain the reasons why so large a proportion of the population never received a single treatment in this highly malarious area and why adults who should not have had a high frequency of clinical malaria were treated so often. Nonetheless, the results demonstrate that volunteer community health workers can effectively provide treatment for malaria.
肯尼亚萨拉迪迪实施了一项基于社区的疟疾控制项目，自1982年5月起在每个村庄提供氯喹治疗疟疾。疟疾在萨拉迪迪呈高度地方性流行。治疗由村庄挑选并支持的社区志愿卫生工作者提供。记录了药物的使用情况和接受治疗者的特征。在1982年9月1日至1983年8月31日期间，共对村庄居民进行了40,649次氯喹治疗。年中人口的人均治疗率为1.24。然而，年中32,650人的人口中至少41.8%未接受过一次治疗。至少接受过一次治疗的人中，50.5%接受了多次治疗，在至少接受过一次治疗的13,879人中，13.4%在该年接受了五次或更多次治疗。用药模式并非随机：女性、30岁以上人群以及社区组织和社区参与度较高地区的用药率更高。有必要查明在这个疟疾高发地区为何有如此大比例的人口从未接受过一次治疗，以及为何本不应频繁患临床疟疾的成年人却接受了如此频繁的治疗。尽管如此，结果表明社区志愿卫生工作者能够有效地提供疟疾治疗。
