Hongvivatana T, Leerapan P, Smithisampan M
J Trop Med Hyg. 1982 Dec;85(6):245-50.
The study investigated factors affecting public co-operation in DDT house spraying which is the most important malaria control measure in Thailand. A spraying round in a rural village in an eastern province was observed by two field workers disguised as members of the DDT spraying team. Emphasis was placed on the operational practices of spraying teams and their interactions with the villagers whose houses were to sprayed with insecticides. Villagers' unco-operative attitude to their perception of insecticides as a danger to the health of children, pregnant women and domestic animals, and unsightliness caused by whitish DDT deposits on the house walls. To some extent, lack of knowledge or disbelief in the benefit of DDT house spraying also precipitated non-co-operation. The effects of these inhibiting factors varied with villagers' socioeconomic status. More importantly, the study revealed defects in the management and supervision of the spraying operation as possible causes of low coverage of DDT house spray. Lack of health education efforts in the conduct of the spraying operation and the failures of spraymen to develop good relations with the community contributed further to the villagers' limited co-operation. The success of insecticide house spraying as a malaria control measure depends on the community as well as the malaria workers.
该研究调查了影响泰国最重要的疟疾控制措施——室内喷洒滴滴涕过程中公众合作的因素。两名假扮成滴滴涕喷洒团队成员的实地工作人员观察了东部某省一个乡村的一轮喷洒情况。重点关注了喷洒团队的操作实践以及他们与房屋将被喷洒杀虫剂的村民之间的互动。村民不合作的态度源于他们认为杀虫剂对儿童、孕妇和家畜健康有危害，以及房屋墙壁上白色滴滴涕沉积物造成的不雅观。在某种程度上，对室内喷洒滴滴涕益处的知识缺乏或怀疑也导致了不合作。这些抑制因素的影响因村民的社会经济地位而异。更重要的是，研究揭示了喷洒操作管理和监督方面的缺陷可能是室内滴滴涕喷洒覆盖率低的原因。在喷洒操作过程中缺乏健康教育努力以及喷洒人员未能与社区建立良好关系，进一步导致了村民合作有限。室内喷洒杀虫剂作为一种疟疾控制措施的成功取决于社区以及疟疾防治工作人员。
