关键词: 疟疾防治, 生物医学干预, 行为干预, 少数民族

Abstract:

Objective To explore the effective strategies for strengthening malaria control and prevention for ethnic minorities in the remote and poor mountainous areas. Methods Community mobilization, biomedical and behavioral intervention for malaria control were undertaken to promote the local residents economical, geographical, informational and cultural accessibility. Results The residents’knowledge on malaria transmission and prevention, symptoms and medical consultation got increased significantly. Compared with the parameters before the intervention，the odds ratios(OR)of people sleeping in insecticide- treated mosquito nets(ITNs)the night before the final evaluation survey, febrile patients seeking medical attention within 24 hours of onset, and utilizing the public health services for treatment were 37.85%(95％CI: 27.69%-51.88%), 22.28%(6.06%-96.87%) and 7.94%(1.78%-49.54%)respectively. The OR of the annual incidence, the smear positive rate of febrile patients and the indirect fluorescence antibody positive rate of people with a history of fever in the past year were 0.16%(0.08%-0.32%), 0.20% (0.10%-0.39%)and 0.34%(0.22%-0.51%)respectively. Conclusion Community mobilization in combination with biomedical and behavioral interventions for the control and prevention of malaria can effectively lower the incidence and prevalence of malaria in the local area.

Key words: Malaria control, Biomedical intervention, Behavioral intervention, Ethnic minority