We propose using a multi-level discourse analysis. Community households were randomly selected (n = 68). Structured and semi-structured questionnaires were applied. A stakeholder analysis was used to identify policy makers (n = 34). In-depth interviews were performed, recorded and transcribed. Descriptive variables were analyzed with SPSS®. Answers were coded following variables adapted from the Commission on Social Determinants of Health and analyzed with the assistance of ATLAS.ti®.
Results showed that risk perception was low within the community. Policy-makers identified agriculture and sugarcane production as the root cause while community answers ranked the hygiene situation as the main cause. Stakeholders first ranked governmental sectors (education, housing, agriculture and transport) and the community prioritized the health sector. Social surveillance and improving prevention and control were first cited by policy-makers and community members, respectively.
The determinants of plague endemicity identified by the two groups differed. Similarly, actions and sectors needed to be involved in solving the problem varied. The gaps in understanding plague root causes between these two groups might hinder the efficiency of current plague prevention and control strategies.
我们建议使用多层次的语篇分析。随机选择社区家庭(n=68)。采用结构化和半结构化问卷。利益相关者分析用于确定决策者(n=34)。进行了深入访谈,记录和转录。用SPSS®分析描述性变量。根据健康社会决定因素委员会改编的变量对答案进行编码,并在ATLAS的协助下进行分析。ti®。
结果显示,社区内的风险认知较低。政策制定者将农业和甘蔗生产确定为根本原因,而社区答案将卫生状况列为主要原因。利益相关者排名第一的政府部门(教育,住房,农业和运输)和社区优先考虑卫生部门。政策制定者和社区成员首先提到了社会监督和改善预防和控制,分别。
两组确定的鼠疫流行的决定因素不同。同样,需要参与解决问题的行动和部门各不相同。这两组之间在了解鼠疫根本原因方面的差距可能会阻碍当前鼠疫预防和控制策略的效率。