• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Malaria Journal >Utilization of insecticide-treated bed nets and care-seeking for fever and its associated socio-demographic and geographical factors among under-five children in different regions: evidence from the Myanmar Demographic and Health Survey, 2015–2016
【24h】

Utilization of insecticide-treated bed nets and care-seeking for fever and its associated socio-demographic and geographical factors among under-five children in different regions: evidence from the Myanmar Demographic and Health Survey, 2015–2016

机译：不同地区杀虫剂处理的床网的利用和寻求发烧的追求以及其相关的社会人口和地理因素：来自缅甸人口统计和健康调查的证据，2015-2016

获取原文
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Abstract BackgroundMalaria is one of the top-five contributors to under-5 deaths in Myanmar. Use of insecticide-treated nets (ITN) and receiving early appropriate care in case of fever are the core interventions to prevent malaria and its complications and thereby deaths. This study aimed to assess among the under-five children, (a) utilization of ITNs and its associated factors, (b) care-seeking behaviour among their caregivers and its associated factors and uptake of malaria testing among those with fever in the last 2?weeks.MethodsThis was a cross sectional study using secondary analysis of Myanmar Demographic and Health Survey (MDHS) conducted in 2015–2016. Multivariable logistic regression was used to explore the factors associated with non-utilization of ITNs and not seeking care for fever. Effect sizes have been presented using odds ratios with 95% confidence intervals. Data analysis was done using svyset command in STATA to account for the multi-stage sampling design of the survey.ResultsOf 4597 alive under-five children, 80.5% did not sleep under an ITN last night. The factors significantly associated with non-utilization of ITNs were residing in malaria elimination regions (aOR?=?2.0, 1.3–3.2), urban residence (aOR?=?1.8, 1.2–2.9), staying in delta region (aOR?=?8.7, 4.7–12.2), hilly region (aOR?=?3.0, 2.0–4.6, and having highest wealth quintile (aOR?=?1.8, 1.1–3.0). Around 16% had fever in the last 2 weeks, of whom 66.7% sought care for fever and 3% got tested for malaria. Nearly half (50.9%) of the caregivers sought care from a government health facility, followed by private hospital/doctor (27.8%), shop (8.0%), village health worker (4.4%) and pharmacy (3.1%). The factors associated with not seeking care for fever were residing in specific geographical locations (hilly, delta and central plains compared to coastal region) and having lowest wealth quintile (aOR?=?2.3, 1.1–5.7).ConclusionsThis study highlighted that ownership and utilization of ITNs was very poor among under-5children. Care-seeking behaviour of the caregivers of under-5 children in case of fever was dismal with two-thirds not seeking care. The programme should seriously consider addressing these barriers if Myanmar is to achieve zero malaria deaths by 2030.
机译：摘要BackgroundMalaria是缅甸5岁以下5岁以下死亡的贡献者之一。在发烧的情况下，使用杀虫剂处理的网（ITN）并获得早期的适当护理是预防疟疾及其并发症的核心干预措施，从而死亡。本研究旨在评估五十例儿童，（a）ITNS的利用及其相关因素，（b）在过去2年中寻求护理的追求行为及其相关因素和吸收疟疾测试中的疟疾测试？几个星期.HareDsthis是使用2015 - 2016年缅甸人口统计和健康调查（MDHS）的二次分析的横断面研究。多变量逻辑回归用于探索与不利用ITNS相关的因素，而不是寻求发烧。利用差异比率呈现了95％置信区间的效果尺寸。数据分析是使用STATA中的SVYSET命令完成的，以考虑调查的多级采样设计。4597年5月的50岁以下儿童，80.5％昨晚在ITN下没有睡觉。与ITNS不利用显着相关的因素居住在疟疾消除地区（AOR？=？2.0,1.3-3.2），城市住所（AOR？=？1.8,1.2-2.9），住在Delta Region（Aor？= ？8.7,4-12.2），丘陵地区（AOR？=？3.0,2.0-4.6，拥有最高财富（AOR？=？1.8,1.1-3.0）。在过去的2周内大约16％发烧了66.7％寻求发烧的护理和3％对疟疾进行了测试。近一半（50.9％）的护理人员从政府卫生设施寻求护理，其次是私人医院/医生（27.8％），商店（8.0％），村庄卫生工作者（4.4％）和药房（3.1％）。与不寻求护理的因素居住在特定的地理位置（丘陵，三角洲和中原与沿海地区），并且拥有最低财富（AOR？=？ 2.3，1.1-5.7）.Conclusionsthis研究强调，5筹中的ITNS的所有权和利用非常差。5岁以下儿童护理人员的追求行为在发烧的情况下，令人沮丧的是不寻求护理的三分之二。如果缅甸是在2030年到2030年实现零疟疾死亡，该计划应该认真考虑解决这些障碍。

著录项

相似文献

  • 外文文献
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号