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印度“Nirmal Gram Puraskar”村居民家庭中有关病媒传播疾病的病媒防护措施和意识现状。

Status of vector protection measures and awareness regarding vector borne diseases in families residing in a "Nirmal Gram Puraskar" village in India.

机构信息

Department of Community Medicine, JJM Medical College, Davanagere, Karnataka, India.

Department of Community Medicine, Basaveshwara Medical College and Hospital, Chitradurga, Karnataka, India.

出版信息

J Vector Borne Dis. 2024 Jul 1;61(3):472-476. doi: 10.4103/JVBD.JVBD_27_24. Epub 2024 Sep 21.

Abstract

BACKGROUND OBJECTIVES

Mosquito-bome diseases are increasing problems in various parts of the world, causing high mortality and morbidity for humans. This study was done to assess the vector protection measures taken by rural below poverty line (BPL) families, and to assess the awareness about vector-borne diseases along with Total Sanitation Campaign (TSC) in rural BPL families.

METHODS

A cross-sectional study was conducted in a rural area which won "Nirmal Gram Puraskar" Award i.e., "clean village" among 96 below BPL families for a period of three months. These families (every 5 th ) were selected by systematic random sampling until we reached a sample size. Basic socio-demographic details, status of vector protection measures, solid waste management, vector-borne diseases and total sanitation campaign details were collected from the study participants. Pretested, semi-structured questionnaire was applied to the head of the families which included sanitation status at home by house-to-house visit. Data collected was analysed using SPSS version 20 and presented as frequency, percentages, mean and standard deviation.

RESULTS

Among 96 families studied (454 adults and children), 84 (87.5%) were males and 12 (12.5%) were females. Among these, 291 (64.1%) were using one or the other mosquito protection measures, 52 (54.2%) were using bednets and 23 (23.9%) used coils. 12 families (12.5%) were not using any mosquito protection measures. In our study, 66 (68.8%) families had individual household latrine (IHHL) and 50 (52.1%) had open drainage. Even though 314 participants had an access to individual household latrine, 20 (6.36%) had practice of open air defecation compared to 127 (90.7%) who practiced open air defecation without an access to individual household latrine. When asked about the awareness regarding vector-borne diseases, 56 (58.3%) were aware about chikungunya, 47 (48.9%) about dengue, 46 (47.9%) about malaria, 14 (14.6%) and only 5 (5.2%) families were aware about Japanese encephalitis. In this study, 37 (38.5%) were aware about the total sanitation campaign and 40 (41.6%) about the government support for sanitation.

INTERPRETATION CONCLUSION

While there is a general awareness of vector-borne diseases, the implementation of vector protection measures is not uniform across the village. There is a need for targeted interventions to improve the effectiveness of vector protection measures and increase awareness among the community.

摘要

背景目的

蚊媒疾病在世界许多地区日益成为严重问题,给人类造成高死亡率和高发病率。本研究旨在评估农村贫困线以下(BPL)家庭采取的病媒防控措施,并评估农村 BPL 家庭对病媒传播疾病和全面卫生运动的认识。

方法

在一个农村地区进行了一项横断面研究,该地区获得了“Nirmal Gram Puraskar”奖,即“清洁村庄”,在三个月的时间里,对 96 个 BPL 以下家庭中的每 5 个家庭进行了研究。通过系统随机抽样选择这些家庭,直到达到样本量。从研究参与者那里收集了基本的社会人口统计学细节、病媒防控措施状况、固体废物管理、病媒传播疾病和全面卫生运动的详细信息。对家庭负责人进行了预测试、半结构化问卷调查,包括通过挨家挨户访问评估家庭内的卫生状况。使用 SPSS 版本 20 对收集的数据进行分析,并以频率、百分比、平均值和标准差表示。

结果

在所研究的 96 个家庭(454 名成年人和儿童)中,84 名(87.5%)为男性,12 名(12.5%)为女性。其中,291 名(64.1%)使用了一种或另一种驱蚊保护措施,52 名(54.2%)使用了蚊帐,23 名(23.9%)使用了蚊香。12 个家庭(12.5%)没有使用任何驱蚊保护措施。在我们的研究中,66 个(68.8%)家庭拥有个人家庭厕所(IHHL),50 个(52.1%)拥有开放式排水系统。尽管 314 名参与者拥有个人家庭厕所,但仍有 20 名(6.36%)有露天排便的习惯,而没有个人家庭厕所的 127 名(90.7%)则有露天排便的习惯。当被问及对病媒传播疾病的认识时,56 名(58.3%)知道基孔肯雅热,47 名(48.9%)知道登革热,46 名(47.9%)知道疟疾,14 名(14.6%)和只有 5 名(5.2%)家庭知道日本脑炎。在这项研究中,37 个(38.5%)知道全面卫生运动,40 个(41.6%)知道政府对卫生的支持。

解释性结论

虽然对病媒传播疾病有普遍认识,但病媒防控措施的实施在村庄内并不统一。需要有针对性的干预措施来提高病媒防控措施的有效性,并提高社区的认识。

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