期刊名称：International Journal of Collaborative Research on Internal Medicine & Public Health
电子版ISSN：1840-4529
出版年度：2013
卷号：5
期号：6
出版社：DRUNPP Sarajevo
摘要：Introduction: In Myanmar, malaria problem has become more critical with the development of multi-drug resistance in P. falciparum. This development made the governments to focus their attention for building up vector control program based upon selective spraying, personal protection method, including Insecticide Treated Nets (ITNs) that can be carried out by the communities Objectives: The present study is aimed to assess knowledge, attitude and practice of community on ITN in Myanmar. Research Methdology: A cross-sectional descriptive study was done in 16 villages. A pre-tested structured questionnaire was used with face to face interview to 256 randomly selected households. Only one adult person was interviewed per household. Results: The study results showed that more than three-fifth (62.1%) of the study population had low knowledge level on malaria and ITNs uses and some misconceptions regarding the mode of transmission of malaria. About two-thirds of the study respondents had low attitude score on malaria prevention and use of ITNs. There is significant association between knowledge and attitude level of respondents and their educational status. Conclusion: This study show that there is a need for increasing availability of information on ITN and ITN tablets to prevent malaria transmission in the study township
关键词：Malaria; knowledge attitude and practice (KAP); insecticide treated nets; ;Myanmar ; var currentpos;timer; function initialize() { timer=setInterval("scrollwindow()";10);} function sc(){clearInterval(timer); }function scrollwindow() { currentpos=document.body.scrollTop; window.scroll(0;++currentpos); if (currentpos != document.body.scrollTop) sc();} document.onmousedown=scdocument.ondblclick=initializeInternational Journal of Collaborative Research on Internal Medicine & Public Health ;Vol. 5 No. 6 (2013) ;454 ;Introduction ;Malaria parasites are transmitted to humans by the bite of infected female mosquitoes ;of more than 30 anopheline species. Globally; an estimated 3.3 billion people were at ;risk of malaria in 2010; with populations living in sub-Saharan Africa having the ;highest risk of acquiring malaria: approximately 80% of cases and 90% of deaths are ;estimated occur in the WHO African Region; with children under five years of age ;and pregnant women most severely affected. Malaria is an entirely preventable and ;treatable disease; provided the currently recommended interventions are properly ;implemented. Vector control through the use of insecticide-treated nets (ITNs) is one ;of the preventable factor.;1;In Myanmar; malaria has been prioritized as the second priority disease. Like in other ;countries of South-East Asia Region; malaria was one of the major and re-emerging ;public health problems in Myanmar; due to climatic and ecological changes; ;uncontrolled population migration; development of multi-drug resistant P. falciparum ;parasite; development of insecticide resistant vectors and changes in behaviour of ;malaria vectors.;2 ;In Myanmar; malaria problem has become more critical with the development of ;multi-drug resistance in P. falciparum; vector resistance of Dichloro Diethyl ;Trichloroethane (DDT) and Organo Phosphorous (OP) compounds of insecticides. ;This development made the governments to focus their attention for building up ;vector control program based upon selective spraying; personal protection method; ;including Insecticide Treated Nets (ITNs) that can be carried out by the communities ;themselves within the primary health care system in conformity with the global ;malaria control strategy of World Health Organization(WHO). There is no enough ;time and funding to study the behaviour of vector mosquitoes and vector resistance to ;insecticide. So; locally appropriate vector control strategy is needed to allow cost- ;effective vector control. The ITNs could be considered as an added tool in combating ;against malaria.;3;Since prevention is more effective than treatment; we have to emphasize on ;community awareness on insecticide treated nets. Therefore; it is necessary to know ;the knowledge; attitudes and practices of population on ITN.;4 ;Knowledge; attitude and practice study on malaria was conducted by ORISSA ;voluntary health association; India in 1999. This study included 799 participants. ;They found that 100% respondents know about a disease called malaria. The ;respondents had good knowledge of signs and symptoms of malaria : highest of ;81.51% of respondents identified fever as a symptom of malaria followed by head and ;body ache 43.90%; chills and rigors 14.38%; sweating 12.97% others 12.84% and ;vomiting 7.96% respectively. This study also showed that 67.14% of the respondents ;identified the cause of malaria as Mosquito bite. They also had few answers like ;malaria parasite; unsanitary environment; drinking unsafe water and others.;5;A ;descriptive cross-sectional survey was undertaken in Swaziland by Khumbulani et al ;at 2009 ;6;. This study involved 320 randomly selected households. Of 320 households ;surveyed 289 (93.1%) of the respondents had heard about malaria with almost all of
