喀拉拉邦瓦亚纳德Shekharakund殖民地部落人口的求医行为

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摘要

健康是人类发展的主要途径。个人自我、各种疾病以及卫生服务的可得性和可及性都对人们寻求卫生保健的方式产生影响。目的:本研究旨在评估瓦亚纳德Shekharakund殖民地Paniya和kattunayakan部落的求医行为。方法:采用预先设计和预测的本族语问卷,收集青少年的求医行为资料。询问的问题包括:在附近的保健中心进行充分的健康检查、利用附近的初级保健中心提供的保健福利、怀孕检测、产前检查、分娩方式、婴儿免疫接种以及选定人群中传染性和非传染性疾病(DM/HT)的流行情况、社区中孕产妇和婴儿死亡情况、对蛇环境抗蛇毒血清的了解、相信疾病的因果关系和治疗中的黑魔法。结果:大多数35岁以上的研究人群没有寻求医疗保健福利。99%的部落人口发现很难请假,92%的人抱怨等待时间长,48%的人对治疗不满意,95%的受访者表示由于他们就诊时没有医生,98%的人认为每次就诊的医疗中心距离很远。52.9%的部落人口选择对抗疗法而不是传统疗法。只有29.4%的人知道蛇抗毒液。结论:在寻求治疗时,传统药物和治疗师在维持少数民族群体的健康和福祉方面发挥了重要作用。由于容易获得,传统药物和治疗师更倾向于治疗“简单和复杂的疾病”。他们意识到现代保健服务的优越性,但由于潜在的时间损失,他们对雇用这些服务犹豫不决。
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Health Seeking Behaviour among Tribal Population of Shekharakund Colony, Wayanad, Kerala
Introduction: Health is the major pathway to human development. The individual self, various diseases, and theavailability and accessibility of health services all have an impact on how people seek health care.Objectives: The present study is aimed to assess the health seeking behaviours in the tribes of Paniya andKattunayakan in Shekharakund colony, Wayanad.Methods: Data to know the health seeking behaviour was collected using predesigned and pretested questionnairein the native language. Questions were asked about adequate health check-ups in nearby health centres, utilisationof health benefits from nearby PHCs, detection of pregnancy, antenatal check-ups, mode of delivery, immunizationof infants and prevalence of communicable and non-communicable disease (DM/HT) in the selected population,maternal and infant death in the community, knowledge about the antivenom for the snake envonemation, beliefin black magic in causation and treatment of disease.Results: Majority of the study population above 35yrs of age, did not seek health care benefits. 99% of the tribalpopulation found it difficult to take leave from work, 92% complained about long waiting time, 48 % were notsatisfied with the treatment, 95% of respondents said due to unavailability of doctors during the time they visited,98% agreed the distance of health centre was long for them to visit every time. 52.9% of tribal population preferredallopathic treatment over traditional healers. Only 29.4% of the population were aware of snake anti-venom.Conclusions: When treatment is sought, traditional medicines and healers play an important role in maintaininghealth and well-being among the ethnic groups. Traditional medicines and healers were preferred for treatment ofboth ‘simple and complicated diseases’ because of easy accessibility. They are aware of the superiority of modernhealth services but are hesitant to employ them due to the potential time loss.
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