蛇毒的预防和管理:关于马哈拉施特拉和奥迪沙州的观点和实践的定性研究
Hrishikesh Munshi1, Millind Gavhande1, Ganesh Bhad1
1Clinical Research Laboratory, Mumbai, India.
The Indian journal of medical research
|October 3, 2024
概括
印度的毒蛇咬伤情况因缺乏知识,不安全的急救和有限的医疗保健机会而恶化. 解决这些社区因素对于有效的预防和管理策略至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医学人类学 医学人类学
背景情况:
- 毒蛇咬伤 (SBE) 是一个重大的公共卫生挑战,印度受到SBE相关死亡率的不成比例影响.
- 印度的农村和部落社区面临着最大的负担,当地知识,态度和行为极大地影响了SBE的结果.
研究的目的:
- 调查与印度选定的地区SBE预防,急救和寻求医疗保健行为的社区观点和实践.
- 确定影响社区一级SBE预防和管理的关键障碍.
主要方法:
- 在2022年3月至4月期间,在马哈拉施特拉和奥迪沙州与男性和女性参与者 (18岁以上) 进行了28次焦点小组讨论 (FGD).
- 采用了基础理论方法来分析音频记录的讨论,并确定新出现的主题.
主要成果:
- 确定了关于蛇物种和毒液毒性的关键知识缺口.
- 记录了非科学的急救实践的普遍性,获得医疗保健的挑战,对传统治疗师的依赖,以及预防措施的不足利用.
- 揭示了基于性别的治疗差异,并突出了影响SBE管理的各种文化信仰.
结论:
- SBE负担是由社会经济,文化和人口因素的复杂相互作用驱动的.
- 有效的SBE控制需要合作,跨部门的努力和基于区域洞察力的定制干预措施.
- 该研究提供了关键数据,以告知印度国家行动计划预防和控制蛇毒 (NAPSE).
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