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A pilot study on strengthening malaria control for ethnic minorities
XU Jian-wei, WU Xian-hua, WEI Chun, Pricha Petlueng, TAO Hong, LIU Hui, XIA Min
Abstract1026)      PDF (988KB)(871)      

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.

2010, 21 (6): 527-530.
Study  on  the  use  of   insecticide?treated  mosquito  nets  among  ethnical  minority  residents  by  behavior  change communication  strategies
XU Jian-Wei, WU Xian-Hua, WEI Chun, Pricha Petlueng, TAO Hong
Abstract1614)      PDF (381KB)(959)      

【Abstract】 Objective To explore the strategies promoting the use of insecticide?treated mosquito nets (ITNs)among ethnic minority residents by behavior change communication(BCC). Methods The knowledge and awareness of target population on malaria control was increased by intensive health education. The environment leading to behavior change was created by community mobilization. High subsidies were supplied and material barriers were overcame. Results Person?net ratios were changed from 12.67∶1 to 1.64∶1 after intervention. The knowledge known by population on malaria transmission and prevention got improved significantly (P<0.01). Proportions of people sleeping in nets were increased from 16.11%(95% confidence interval:14.94%-17.33%) to 87.91%(84.56%-90.74%) (P<0.01) after intervention. Conclusion BCC strategies successfully promoted corrective use of ITNs, decreasing malaria incidence and prevalence with other measures together.

2009, 20 (5): 433-435.