首页> 外文期刊>BMC Public Health >A public private partnership to fight against malaria along the Chad-Cameroon pipeline corridor: I. Baseline data on socio-anthropological aspects, knowledge, attitudes and practices of the population concerning malaria
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A public private partnership to fight against malaria along the Chad-Cameroon pipeline corridor: I. Baseline data on socio-anthropological aspects, knowledge, attitudes and practices of the population concerning malaria

机译:与乍得-喀麦隆管道走廊沿线的疟疾作斗争的公共私人伙伴关系:I.关于疟疾人口的社会人类学,知识,态度和做法的基线数据

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Background Malaria is ranked as the major public health problem in Cameroon, representing 50% of illness in less than five year old children, 40-45% of medical consultation and 40% of the annual home income spent on health. The Cameroon Oil Transportation Company (COTCO) that exploits the Chad-Cameroon pipeline in Cameroon territory, initiated in 2010, a public private partnership project to control malaria along the pipeline corridor. A research component was included in the project so as to guide and evaluate the control measures applied in this pipeline corridor. This study presents the baseline socio-anthropological data as well as the knowledge, attitudes and practices of the local population concerning malaria, its transmission, management and prevention. Methods A descriptive cross-sectional survey was undertaken in four sentinel sites (one site per ecological zone) along the Chad-Cameroon pipeline corridor. Three structured questionnaires were used for the survey. Two of them were addressed to the heads of households (one for census and the other to collect information concerning the characteristics of houses and living conditions in households as well as their knowledge, attitudes and practices concerning malaria). The last questionnaire was used to collect information on malaria management and prevention. It was addressed to women who had delivered a living child within the past three years. Interviewers were recruited from each village and trained for two consecutive days on how to fill the different questionnaires. All data were analysed at 5% significant level using Epi-Info, SPSS and Cs PRO 4.0 STATA. Values of p?≤?0.05 were considered statistically significant. Results Interviews were conducted in 2597 households (Bipindi 399, Bélabo 835, in Meidougou 820 and Dompta 543). Whatever the study site, 50% of the heads of household were workers of the agro-pastoral sector. Most of the heads of household were men (average 77.4% for men and 22.6% for females). The walls of households were mostly made-up of earth blocks and access to media was low. There were significant differences between mean ages and educational level of the heads of household. Significant differences were also observed between the characteristics of houses and the sites located in the southern regions (Bipindi and Bélabo) and those located in the northern regions (Meidougou and Dompta). The later household heads were younger and less educated than those in the other regions. In most of the study sites, paracetamol was cited as the first intention drug for malaria treatment, followed by chloroquine, a banned drug. More than half of the households studied had a correct knowledge of malaria and its mode of transmission: 120/155 (77.1%) in Bipindi, 244/323 (74.5%) in Bélabo, 171/235 (72.8%) in Meidougou and 118/218 (54.1%) in Dompta. Fever and headache were the malaria signs/symptoms most often cited by the households. An important percentage of pregnant women did not take any malaria prophylaxis during their last pregnancy (up to 43.4% in Bélabo). Conclusion In all the study sites, there were conditions that indicated the all year round transmission of malaria (characteristics of houses and limited access to media making sensitization campaigns difficult). In general, most households had a good knowledge of malaria and its mode of transmission. However, malaria treatment drugs were most often inappropriate. In this study, recommendations were made in order to guide the implementation of control measures.
机译:背景疟疾是喀麦隆的主要公共卫生问题,在五岁以下的儿童中,疾病占50%,在医疗咨询中占40-45%,在医疗上花费的年度家庭收入占40%。喀麦隆石油运输公司(COTCO)于2010年启动了一项利用喀麦隆境内的乍得-喀麦隆管道的计划,这是一个公私合营项目,旨在控制沿管道走廊的疟疾。该项目包括一个研究部分,以指导和评估在该管道走廊中采用的控制措施。这项研究提供了基本的社会人类学数据,以及当地居民对疟疾,其传播,管理和预防的知识,态度和做法。方法在乍得-喀麦隆管道走廊沿线的四个哨兵地点(每个生态区一个地点)进行了描述性横断面调查。三个结构化的问卷用于调查。其中两个是针对户主的(一个用于人口普查,另一个用于收集有关房屋的特征和家庭生活条件以及他们关于疟疾的知识,态度和做法的信息)。最后一张问卷用于收集有关疟疾管理和预防的信息。它针对的是在过去三年中分娩过活儿的妇女。从每个村庄招募访问者,并连续两天接受有关如何填写不同问卷的培训。使用Epi-Info,SPSS和Cs PRO 4.0 STATA以5%的显着性水平分析了所有数据。 p≤≤0.05的值被认为具有统计学意义。结果访谈对象为2597户家庭(Bipindi 399,Bélabo835,Meidougou 820和Dompta 543)。无论研究地点是什么,户主中有50%是农牧业的工人。户主中大多数是男性(男性平均为77.4%,女性为22.6%)。家庭的墙壁大多是由土块组成的,接触媒体的机会很少。户主的平均年龄和受教育程度之间存在显着差异。在南部地区(Bipindi和Bélabo)和北部地区(Meidougou和Dompta)的房屋和场所特征之间也观察到了显着差异。后来的户主比其他地区的户主年轻,教育程度较低。在大多数研究地点,扑热息痛被认为是治疗疟疾的首选药物,其次是被禁用的药物氯喹。超过一半的研究家庭对疟疾及其传播方式有正确的认识:比平迪为120/155(77.1%),贝拉波为244/323(74.5%),梅杜古为171/235(72.8%)和118 / 218(54.1%)。发烧和头痛是家庭最常引用的疟疾征兆/症状。很大一部分孕妇在上次怀孕期间未采取任何预防疟疾的措施(贝拉波州最高达到43.4%)。结论在所有研究地点,都存在表明疟疾终年传播的条件(房屋的特点和有限的媒体获取渠道,使得开展宣传运动变得困难)。一般而言,大多数家庭对疟疾及其传播方式有很好的了解。但是,疟疾治疗药物通常是不合适的。在这项研究中,提出了一些建议,以指导控制措施的实施。

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