乡村医生在疟疾控制中的作用及其影响因素调查

THE ROLE OF VILLAGE DOCTORS AND THEIR INFLUENCE FACTORS IN MALARIA CONTROL *

目的：为巩固抗疟成果和拟订更有针对性的培训乡村医生计划。方法：按分层随机抽样法在３县９乡（镇）２７村抽取２７个卫生室和６７名乡村医生，进行有关疟疾知识和完成抗疟工作的问卷调查。结果：乡村医生疟疾知识问卷回答正确率为７９．３％，其中，接受过抗疟培训者的正确率高于未经培训者。乡村医生完成上级交付抗疟工作任务的占８２．５％，当地政府和卫生部门对村卫生室和乡村医生在经费投入、优惠政策、奖惩及劳务报酬等解决较好的地方，乡村医生完成抗疟工作优于解决较差的地方。接受过抗疟培训者完成工作任务率为９１．９％，好于未培训者。结论：需对乡村医生进行较系统的抗疟知识和技术的培训，并加强管理和扶持，才能使乡村医生更好地完成抗疟任务。

AIM: To consolidate the acquired achievements of malaria control and to work out an effective programme for training the village doctors in Yibin District. METHODS: A stratified sampling was done at random with sampling 27 village medical stations and 67 village doctors from 9 townships of 3 counties. A questionnaire concerning malaria control knowledge of the village doctors and the quality of their carrying out antimalaria measures was used in this study. RESULTS : The accuracy rate of answering the questionnaire among the village doctors was 79 3%, being higher in the village doctors receiving antimalaria training than in those not receiving antimalaria training. 82 5% of the doctors could correctly complete the tasks of controlling malaria. In addition, the quality of malaria control implementing in areas where the doctors and their stations had timely got investment funds, preferential policy, system of reward and subsidy from local governments, was superior to those areas where the doctors and their stations had not received those on time. 91 9% of the trained doctors completed the tasks of controlling malaria better than untrained ones. CONCLUSION: Greater efforts should be made to give a systematic training to village doctors on the knowledge and technique of malaria control, and to strengthen management and support in order to help these doctors accomplishing the tasks of malaria control better.