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目的探讨加强边远贫困地区少数民族中疟疾防治的有效策略。方法采用社区动员、生物医学和行为干预并重的疟疾防治措施,改进居民疟疾防治服务经济、地理、信息和文化方面的可及性。结果居民疟疾传播与预防、症状与求医方面的知识显著提高;与干预试验前比较,评估调查前夜睡在杀虫剂处理过的蚊帐(ITNs)中、发热后24h求医和发热病例到公共卫生机构就医的比值比(OR)分别为37.85%(95%CI:27.69%～51.88%)、22.28%(6.06%～96.87%)和7.94%(1.78%～49.54%);发病率、发热病例血片阳性率和一年内有发热史人员间接免疫荧光试验阳性率OR值分别为0.16%(0.08%～0.32%)、0.20%(0.10%～0.39%)和0.34%(0.22%～0.51%)。结论社区动员、生物医学和行为干预并重的疟疾防治措施有效地降低了当地疟疾的发病和流行程度。
Objective To explore effective strategies for strengthening malaria control among ethnic minorities in remote and poverty-stricken areas. Methods The community-based mobilization, biomedicine and behavioral interventions for malaria prevention and control measures were taken to improve the economic, geographical, informational and cultural accessibility of residential malaria prevention and treatment services. As a result, knowledge of malaria transmission and prevention, symptoms and medical treatment of residents was significantly increased. Compared with the pre-intervention trial, the assessment fell asleep on insecticide-treated mosquito nets (ITNs) on the eve of the survey and sought medical and febrile cases after 24 h The odds ratios (OR) for medical treatment in public health institutions were 37.85% (95% CI 27.69% -51.88%), 22.28% (6.06% ~ 96.87%) and 7.94% (1.78% ~ 49.54% The OR of positive rate of blood film and indirect immunofluorescence test in one year were 0.16% (0.08% -0.32%), 0.20% (0.10% -0.39%) and 0.34% (0.22% -0.51%) respectively, . Conclusion Community-based mobilization, biomedical and behavioral interventions for malaria prevention and treatment have effectively reduced the incidence and prevalence of malaria in the country.