云南西盟佤族居民患疟求医的现状、费用支付能力和障碍

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 ;3 7 4% (95 % :3 0 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 0 6(范围 :0～ 5 0 0 )元 ,88 5 % (95 %CI :82 4～ 93 0 % )的人认为不能超过RHBl0 0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。

Current situation affordability and obstacles on treatment - seeking of WA ethnic in Ximeng,Yunnan

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.