CAJ | 학술논문

目的评价佤族患疟求医的现状、费用支付能力和障碍.方法对社区居民进行问卷调查和参与式行动评估,对关键人员进行半结构深度访谈.结果自己治疗是村民治疗疟疾的第一行动,只有自己治疗无效后才到卫生机构求医;5.1%(95%CI:2.6～8.9%)问卷调查回答者从不求医,8.8%(95%CI:5.4～13.3%)仅靠自己治疗;37.4%(95%:30.9～44.3%)付不起疟疾治疗费;村民提出的疟疾治疗费为平均RHB 64.15±7.06(范围:0～500)元,88.5%(95%CI:82.4～93.0%)的人认为不能超过RHB100元.结论佤族中的患疟求医行为不当,障碍为经济,地理,知识和技术上的不可及性;疟疾病例的家庭管理是改善疟疾治疗现状的方法之一.
목적평개와족환학구의적현상、비용지부능력화장애.방법대사구거민진행문권조사화삼여식행동평고,대관건인원진행반결구심도방담.결과자기치료시촌민치료학질적제일행동,지유자기치료무효후재도위생궤구구의;5.1%(95%CI:2.6～8.9%)문권조사회답자종불구의,8.8%(95%CI:5.4～13.3%)부고자기치료;37.4%(95%:30.9～44.3%)부불기학질치료비;촌민제출적학질치료비위평균RHB 64.15±7.06(범위:0～500)원,88.5%(95%CI:82.4～93.0%)적인인위불능초과RHB100원.결론와족중적환학구의행위불당,장애위경제,지리,지식화기술상적불가급성;학질병례적가정관리시개선학질치료현상적방법지일.
Objectives To assess current situation, affordability and obstacles on malaria treatment- seeking in Wa ethnic.Methods Investigation was carried out by combination of questionnaire surveys (QS) and participatory learning and action to community member, and semi- structured in- depth interview to key informants. Results Self- medication is villager' s first action for malaria treatment. They sought treatment from health facilities again after self- medication did not work. 5.1% ( 95 % CI: 2.6 ～8.9%) of respondents of OS never sought for treatment, and 8.8% (95%CI: 5.4～ 13.3%) only depended on self- medication.37.4% (95%: 30.9～44.3%) of them could not pay for malaria treatment. Mean cost for a malaria case treatment suggested by them was RMB 64.15±7.06 (Range: 0 ～ 500) yuan and 88.5% (95%CI: 82.4～ 93.0%) ofthem considered less than RMB 100 as the appropriate amount. Conclusion Malaria treatment seeking behavior is inappropriate in Wa ethnic. The barrier is inaccessibility in economic, geography, knowledge and technical. Malaria case family management might be an alternative for malaria treatment promotion.