西盟佤族蚊帐使用的现状、态度和推广障碍(in English)

Curren situation, attitudes and scaling up obstacles toward usage of bednets in Wa ethnic.

目的 评价佤族蚊帐使用的现状、态度和推广障碍。 方法 采用问卷调查、专题性小组讨论和直接观察的方法进行调查。 结果 佤族社区中 ,蚊帐覆盖率极低 ,而且问卷调查所得使用率为 18 4% ,显著高于直接观察的11 8% ( χ2 =13 5 7,P <0 .0 1) ;所有流动人员在田棚、森林和缅甸过夜时均不使用蚊帐。 74 3 %的问卷调查对象愿意支付购买蚊帐的部分费用 ;愿意支付购买单人和双人蚊帐的费用额分别为 ( 2 2 5 7± 1 0 5 ) (范围 :5～ 70 )元和 ( 3 7 66±1 79) (范围 :10～ 15 0 )元。推广使用蚊帐的障碍为经济、社会和地理上的不可及性。 结论 蚊帐的推广使用 ,需要包括通过IEC提高意识和改变行为、补贴改善经济上的可及性和社会营销等综合性措施。

Objective To assesscurrentsituation,attitudesandobstaclestowarduseofbednets in Wa ethnic. Methods Investigation was carride out by combination of questionnaire surveys,focus group discussions and directly unstructured observation. Results In Wa communities,bednet coverage was very low;the bednet-using rate from questionnaire surveys was 18.4% significatnt higher than that of 11.8% from direct observation (χ 2=13.57,P<0.01).Immigrants did not use bednets when they staying overnight in field shacks,forests and Myanmar.74.3% of respondents are willing to pay a part of money to buy bednets.The amounts that they expressed willing to pay were respectively RMB (22.57±1.05)(RANG:5～70) yuan for a single net and RMB (37.66±1.79)(rang:10～159) yuan for a double one.The obstacles of scaling up bed net use were economic,social and geographical inaccessibility. Conclusion Scaling up bednet use needs integrated strategies,including raising awareness and changing behaviors by IEC campaign,promoting economic access by subsidization and social marketing.