Abstract:
BACKGROUND: Healthcare seeking behavior (HSB) and community perception on cholera can influence its management. We conducted a cross-sectional survey to generate evidence on cholera associated HSB and disease perception in populations living in cholera hotspots in Ethiopia.
METHODS: A total of 870 randomly selected households (HHs) in Shashemene Town (ST) and Shashemene Woreda (SW) participated in our survey in January 2022.
RESULTS: Predominant HHs (91.0%; 792/870) responded \"primary health center\" as the nearest healthcare facility (HCF). Around 57.4% (247/430) of ST HHs traveled <30 minutes to the nearest HCF. In SW, 60.2% (265/440) of HHs travelled over 30 minutes and 25.9% (114/440) over 4 km. Two-thirds of all HHs paid CONCLUSIONS: Variations in cholera prevention practices between rural and urban residents were shown. Addressing differences in HSB per age groups is needed for community engagement for early case detection and case management; critical in reducing cholera deaths and transmission.
摘要:
背景:医疗寻求行为(HSB)和社区对霍乱的看法会影响其管理。我们进行了一项横断面调查,以提供有关埃塞俄比亚霍乱热点地区人群霍乱相关HSB和疾病感知的证据。
方法:2022年1月,ShashemeneTown(ST)和ShashemeneWoreda(SW)的共870个随机选择的家庭(HHs)参加了我们的调查。
结果:主要的HH(91.0%;792/870)作为最近的医疗机构(HCF)回应“初级保健中心”。大约57.4%(247/430)的STHHs行进<30分钟到最近的HCF。在SW,60.2%(265/440)的HHs行驶了30分钟,25.9%(114/440)行驶了4公里。所有HH的三分之二支付的旅行费用结论:显示了农村居民和城市居民在霍乱预防方面的差异。需要解决各年龄组HSB的差异,以便社区参与早期病例发现和病例管理;对于减少霍乱死亡和传播至关重要。