Winch P J, Lloyd L S, Hoemeke L, Leontsini E
Department of International Health, Johns Hopkins University, School of Hygiene and Public Health, Baltimore, MD 21205.
Acta Trop. 1994 Apr;56(4):327-39. doi: 10.1016/0001-706x(94)90104-x.
The home is the setting where many vector-borne diseases are transmitted. Strategies for their control consequently have to involve the active participation of householders. In this paper we propose that low rates of participation in control activities frequently are related to the negative impact they have on women's power and authority within the domestic domain. This can arise from intrusion into domestic space by male vector control personnel, reorganization of the domestic environment as part of control activities, and promulgation of the idea that disease originates from within the home. In addition, women may need to make significant investments of both time and money in order to carry out the recommended control measures. Very little is known about the impact of vector control measures on women. This subject will assume increasing relevance as planners seek to involve householders, rather than the personnel of vertically-organized control programmes, in the implementation of vector control measures.
家庭是许多媒介传播疾病的传播场所。因此，疾病控制策略必须让住户积极参与。在本文中，我们提出，参与控制活动的比例较低往往与这些活动对女性在家庭领域的权力和权威产生的负面影响有关。这可能源于男性病媒控制人员进入家庭空间、作为控制活动一部分对家庭环境进行重新组织，以及宣扬疾病源于家庭内部的观念。此外，女性可能需要投入大量的时间和金钱来实施推荐的控制措施。关于病媒控制措施对女性的影响，我们所知甚少。随着规划者寻求让住户而非垂直组织的控制项目人员参与病媒控制措施的实施，这个问题将变得越来越重要。
