多方面的社区健康教育计划是减轻蛇咬伤导致的死亡、残疾和社会经济负担的有力工具

IF 3.6 Q2 TOXICOLOGY Toxicon: X Pub Date : 2023-03-01 DOI:10.1016/j.toxcx.2022.100147
Sakthivel Vaiyapuri , Priyanka Kadam , Gnaneswar Chandrasekharuni , Isadora S. Oliveira , Subramanian Senthilkumaran , Anika Salim , Ketan Patel , Jacqueline de Almeida Gonçalves Sachett , Manuela B. Pucca
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引用次数: 6

摘要

蛇咬伤(SBE)主要影响农村贫困社区,这些社区获得即时医疗保健的机会有限。这些社区经常持有许多关于蛇和SBE的神话/误解。此外,在农村地区执业的医疗保健专业人员往往在医疗基础设施有限的不稳定环境中工作,因此缺乏足够的知识/经验和对SBE临床管理的信心。由于缺乏关于SBE真实负担的可靠统计数据,相关当局可能很难制定针对这种情况的卫生政策。因此,通过强有力的多方面社区健康教育方法,提高农村社区、医疗保健专业人员和卫生当局对SBE的认识至关重要。在这里,我们描述了我们在印度和巴西使用的独特社区健康教育方法的设计、开发、实施和影响。以当地语言开发了一系列广泛的教育工具,包括信息传单、海报、袖珍指南、医疗专业人员学习材料和短/长视频纪录片,并通过直接集会以及大众/传统和社交媒体与目标社区接触。值得注意的是,我们使用了多种方法来确定我们的项目在提高意识、寻求治疗行为和临床实践方面的影响。我们使用的以人为本的方法具有包容性,在推动农村社区SBE管理的根本变革方面具有高度影响力。本文中介绍的资源和方法可以很容易地在其他国家进行调整,以更广泛地使用,从而共同减少SBE导致的死亡、残疾和社会经济影响。
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Multifaceted community health education programs as powerful tools to mitigate snakebite-induced deaths, disabilities, and socioeconomic burden

Snakebite envenoming (SBE) predominantly affects rural impoverished communities that have limited access to immediate healthcare. These communities often hold numerous myths/misbeliefs about snakes and SBE. Moreover, healthcare professionals who practice in rural regions often work in unstable situations with limited medical infrastructure and therefore, lack sufficient knowledge/experience and confidence in the clinical management of SBE. Due to the lack of reliable statistics on the true burden of SBE, developing health policies for this condition by relevant authorities may be difficult. Hence, it is critical to improve awareness about SBE among rural communities, healthcare professionals and health authorities using robust multifaceted community health education approaches. Here, we describe the design, development, implementation, and impact of distinctive community health education approaches that we used in India and Brazil. A wide range of educational tools including information leaflets, posters, pocket guides, learning materials for healthcare professionals and short/long video documentaries were developed in local languages and used to engage with target communities through direct assemblies as well as mass/traditional and social media. Notably, we used diverse methods to determine the impact of our programs in improving awareness, treatment-seeking behaviour, and clinical practice. The people-centred approaches that we used were inclusive and highly impactful in instigating fundamental changes in the management of SBE among rural communities. The resources and approaches presented in this article can be easily adapted for wider use in other countries in order to collectively reduce SBE-induced deaths, disabilities and socioeconomic ramifications.

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来源期刊
Toxicon: X
Toxicon: X Pharmacology, Toxicology and Pharmaceutics-Toxicology
CiteScore
6.50
自引率
0.00%
发文量
33
审稿时长
14 weeks
期刊最新文献
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