坦桑尼亚林迪社区成员对泌尿生殖血吸虫病的知识、态度和做法:一项定性研究

V. Mushi, D. Tarimo
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引用次数: 3

摘要

背景:由血血吸虫(S. haematobium)引起的泌尿生殖道血吸虫病仍然是林迪地区的一个公共卫生问题。尽管进行了十二轮吡喹酮预防性化疗。关于在林迪持续传播S. haematobium的因素的信息缺乏。因此,本研究旨在探讨坦桑尼亚林迪地区Mtama地区社区成员对泌尿生殖道血吸虫病的知识、态度和做法。方法:采用定性方法的横断面研究于2021年5月在Lindi的Mtama进行。有目的地对受访者进行抽样调查,共进行6次焦点小组讨论(fgd),每个村庄2次。录音,逐字抄录,并按主题分析,以确定新出现的主题。结果:大多数受访者了解血氧弧菌的地方性和吡喹酮预防性化疗的持续分布。应答者对疾病的病因和蜗牛在疾病传播中的作用认识不足。此外,还观察到对疾病传播方式的误解。受访者的态度不受欢迎。他们反对定期对泌尿生殖血吸虫病进行筛查,并倾向于使用传统的治疗方法,以避免筛查和治疗费用。答复者表现出不适当的水、环境卫生和个人卫生习惯(WaSH),从而使疾病传播永久化。结论:尽管社区对泌尿生殖道血吸虫病有一定的认识和了解,但对该病的传播方式、蜗牛在血吸虫传播中的作用以及不良态度和不适当的做法了解不足。这些可能会损害政府正在林迪地区控制该疾病的努力。因此,有必要发起一项以改变行为为目标的社区卫生教育方案。
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Urogenital schistosomiasis knowledge, attitudes and practices among the community members in Lindi, Tanzania: A qualitative study
Background: Urogenital schistosomiasis caused by Schistosoma haematobium (S. haematobium), remains a public health problem in Lindi region. Despite twelve rounds of praziquantel preventive chemotherapy. There is a scarcity of information on the factors perpetuating the transmission of S. haematobium in Lindi. Therefore, this study aimed to explore the urogenital schistosomiasis knowledge, attitudes, and practices among the community members in Mtama district in the Lindi region of Tanzania. Methodology: A cross-sectional study employing a qualitative approach was conducted in Mtama, Lindi in May 2021. The respondents were purposively sampled, and a total of 6 Focus Group Discussions (FGDs), 2 in each village were conducted. The FGDs were audio-recorded, transcribed verbatim, and analysed thematically to identify emerging themes. Results: Majority of respondents were aware of the endemicity of S. haematobium and the ongoing distribution of praziquantel preventive chemotherapy. Respondents had inadequate knowledge of the disease causation and the role of snails in disease transmission. Also, misconception on the modes of disease transmission was observed. Respondents had undesirable attitudes. They were against regular screening of urogenital schistosomiasis and were into the use of traditional ways of treatment to dodge screening and treatment costs. Respondents exhibited inappropriate water, sanitation, and hygienic practices (WaSH), thus perpetuating disease transmission. Conclusion: Despite the community being aware and knowledgeable of urogenital schistosomiasis, there is inadequate understanding of how the disease is transmitted, the roles of snails in S. haematobium transmission, coupled with undesirable attitudes and inappropriate practices. These potentially compromise the ongoing Government efforts to control the disease in Lindi region. Therefore, there is need to initiate a community-based health education programme targeting behaviour change.
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