在柬埔寨流动和移民人口中疟疾预防知识的横断面调查

Soy Ty Kheang, A. Preston, Emma Louise Collins, Y. An, Hok Phalla, P. Ir, Dysoley Lek, R. Huy, Sovannaroath Siv, Hala J AlMossawi, N. Kak
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引用次数: 2

摘要

背景:柬埔寨的消除疟疾运动正在取得巨大进展,目标是到2025年消除疟疾。然而,小范围传播仍然存在。主要是在柬埔寨西部的边境森林地区,人口往往是流动和移民人口(MMPs)的一部分。方法:柬埔寨流动和流动人口调查旨在进一步了解MMPs。2017年在十个疟疾流行卫生区进行了横断面调查。MMPs分为四个主要职业亚组;建筑工人、季节性工人、森林游客和保安人员被用于分析。结果:所有被调查的MMPs都知道疟疾是什么,大多数MMPs知道蚊虫叮咬导致疟疾。然而,还有其他关于它如何传播的误解。只有6%的人能正确说出三种预防措施。总体净拥有率为95%,虽然很高,但仍低于全国水平。此外,经杀虫剂处理的蚊帐(ITN)拥有率为58%。据报道,87%的MMPs昨晚睡在蚊帐里,但只有37%的人使用了有效的ITN。在MMPs的人口统计学和流动性方面,亚组存在差异。结论:疟疾患者不是一个同质的群体,疟疾干预应侧重于特定的亚群体。这一信息应为今后干预措施提供信息并提高其有效性,使柬埔寨能够更接近2025年消除目标。*通讯:Soy Ty Kheang, University Research Co, LLC,金边,柬埔寨,电话:+855 17 988 388;电子邮件:ksoyty@urc-chs.com
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A cross-sectional survey of knowledge of malaria prevention among mobile and migrant populations in Cambodia
Background: Malaria elimination campaigns are making huge strides in Cambodia with a target of elimination by 2025. However, pockets of transmission remain. Predominately in border forested areas in Western Cambodia populations are often part of Mobile and Migrant Populations (MMPs). Methods: The Cambodian Mobile and Migrant Population Survey aimed to gain further insight into MMPs. The cross-sectional survey was carried out across ten malaria endemic health districts in 2017. Separation of MMPs into four main occupational subgroups; construction workers, seasonal workers, forest goers and security personnel, was used for analysis. Results: All MMPs questioned knew what malaria was and most MMPs knew mosquito bites caused malaria. However, there were other misconceptions about how it could be transmitted. Only 6% could correctly name three preventative measures. Overall net ownership was found to be 95% although high it remains lower than the national level. Furthermore, insecticide treated net (ITN) ownership 58%. MMPs reported to sleep under a mosquito net last night was 87% but only 37% of them did use effective ITN. Variation in subgroups was found regarding demographics of MMPs, and mobility. Conclusion: MMPs are not a homogenous group and malaria interventions should focus on specific subgroups. This information should inform and improve effectiveness of future interventions to allow Cambodia to move closer to the 2025 elimination goal. *Correspondence to: Soy Ty Kheang, University Research Co., LLC, Phnom Penh, Cambodia, Tel: +855 17 988 388; E-mail: ksoyty@urc-chs.com
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