尼日利亚拉各斯州 Badagry 孕妇对预防疟疾和使用磺胺乙胺嘧啶的认识、态度和做法。

MalariaWorld journal Pub Date : 2016-03-25 eCollection Date: 2016-01-01 DOI:10.5281/zenodo.10797047
Josephine N Chukwurah, Emmanuel T Idowu, Adeniyi K Adeneye, Oluwagbemiga O Aina, Philip U Agomo, Adetoro O Otubanjo
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引用次数: 0

摘要

背景:妊娠期疟疾是导致孕妇发病和死亡以及不良妊娠结局的主要原因之一。我们研究了孕妇在预防疟疾方面的知识、态度和做法,评估了她们对用于妊娠间歇预防疗法(IPTp-SP)的磺胺乙胺嘧啶(SP)的认识,并利用研究结果提高了人们对使用IPTp-SP预防疟疾的认识:对在尼日利亚拉各斯州 Badagry 的政府和私营医疗机构产前门诊就诊的 450 名孕妇进行了关于疟疾预防和 SP 使用情况的结构化问卷调查:355(78.8%)名孕妇认为疟疾是一种严重疾病。受访者的其他回答包括:寄生虫病(13 人;2.9%);蚊子引起的疾病(5 人;1.9%),77 人(17%)表示不知道。提到的疟疾症状包括头痛(109 人,占 24.2%)、虚弱(77 人,占 17.1%)、发烧(77 人,占 17.1%)和身体疼痛(44 人,占 10%)。174(58%)名妇女表示患疟疾时会去医院,54(17%)名妇女会自行服药,32(11%)名妇女会服用草药。43(14%)人没有采取任何措施。预防疟疾的方法有:服用草药(134 人,占 30%);青蒿素类复方疗法(123 人,占 27%);达拉匹林(104 人,占 23%);补血药(51 人,占 11%);扑热息痛(21 人,占 5%)和 SP(17 人,占 4%)。灭蚊主要是喷洒杀虫剂(215 人;47.7%),其次是使用灭蚊线圈(95 人;21%)。在 450 名受访孕妇中,有 350 人(84.5%)说 SP 是用来治疗疟疾的,69 人(15.2%)说 SP 是用来预防疟疾的。对 SP 的了解受教育程度(PPC 结论)的影响:大多数孕妇对 SP 有所了解,但不知道 SP 是用来预防疟疾的。大多数受访者通过服用草药采取预防疟疾的措施,但在怀疑自己患上疟疾时更愿意去医院。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Knowledge, attitude and practice on malaria prevention and sulfadoxine-pyrimethamine utilisation among pregnant women in Badagry, Lagos State, Nigeria.

Background: Malaria in pregnancy is one of the major causes of mater nal morbidity and mortality as well as of poor pregnancy outcomes. We studied the knowledge, attitude and practices of pregnant women on malaria prevention, assessed their knowledge of sulfadoxine-pyrimethamine (SP) for intermittent preventive therapy in pregnancy (IPTp-SP), and used the outcomes to create awareness on malaria prevention with IPTp-SP.

Materials and methods: A structured questionnaire on malaria prevention and SP utilisation was administer ed to 450 pregnant women attending antenatal clinics in both government and private health facilities in Badagry, Lagos State, Nigeria.

Results: 355 (78.8% ) of the pregnant women perceived malaria as a serious illness. Other responses by the respondents included: parasitic disease (13; 2.9%); caused by mosquito (5; 1.9%), while 77 (17%) said they did not know. The signs and symptoms of malaria mentioned included headache (109; 24.2%), weakness (77; 17.1%), fever (77; 17.1%) and body pains (44; 10%). 174 (58%) women indicated that they would go to a hospital when having malaria, 54 (17%) indulged in self-medication, while 32 (11%) took herbs. 43 (14%) did nothing. Malaria prevention was performed by taking herbs (134; 30%); artemisinin-based combination therapy (ACT) (123; 27%); daraprim (104; 23%); blood tonic (51; 11%); paracetamol (21; 5%) and SP (17; 4%). Mosquito control was mainly carried out by the use of insecticide spray (215; 47.7%), followed by anti-mosquito coils (95; 21%). Out of the 450 pregnant women interviewed, 350 (84.5%) said that SP was for the treatment of malaria, while 69 (15.2%) said that it was for malaria prevention. Knowledge of SP was influenced by both education (P<0.05) and parity (P<0.001).

Conclusion: The majority of the pregnant women had knowledge of SP but did not know that it is used for malaria prevention. Most of the respondents took malaria-preventive measures by taking herbs but preferred to go to the hospital when suspecting that they had malaria.

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