当前位置: X-MOL 学术J. Water Sanit. Hyg. Dev. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Impact of community health promoters on awareness of a rural social marketing program, purchase and use of health products, and disease risk, Kenya, 2014–2016
Journal of Water, Sanitation & Hygiene for Development ( IF 1.7 ) Pub Date : 2020-12-01 , DOI: 10.2166/washdev.2020.043
Sunkyung Kim 1 , Mark Laughlin 1 , Jamae Morris 2 , Ronald Otieno 3 , Aloyce Odhiambo 3 , Jared Oremo 3 , Jay Graham 4 , Mitsuaki Hirai 5 , Emma Wells 1 , Colin Basler 1 , Anna Okello 3 , Almea Matanock 1 , Alie Eleveld 3 , Robert Quick 1
Affiliation  

The Safe Water and AIDS Project (SWAP), a non-governmental organization in western Kenya, opened kiosks run as businesses by community health promoters (CHPs) to increase access to health products among poor rural families. We conducted a baseline survey in 2014 before kiosks opened, and a post-intervention follow-up in 2016, enrolling 1,517 households with children <18 months old. From baseline to follow-up, we observed increases in reported exposure to the SWAP program (3–11%, p = 0.01) and reported purchases of any SWAP product (3–10%, p < 0.01). The percent of households with confirmed water treatment (detectable free chlorine residual (FCR) >0.2 mg/ml) was similar from baseline to follow-up (7% vs. 8%, p = 0.57). The odds of reported diarrhea in children decreased from baseline to follow-up (odds ratios or OR: 0.77, 95% CI: 0.64–0.93) and households with detectable FCR had lower odds of diarrhea (OR: 0.53, 95% CI: 0.34–0.83). Focus group discussions with CHPs suggested that high product prices, lack of affordability, and expectations that products should be free contributed to low sales. In conclusion, modest reported increases in SWAP exposure and product sales in the target population were insufficient to impact health, but children in households confirmed to chlorinate their water had decreased diarrhea.



中文翻译:

社区健康促进者对农村社会营销计划,保健产品的购买和使用以及疾病风险的认识的影响,2014-2016年

肯尼亚西部的一个非政府组织安全水和艾滋病项目(SWAP)开设了由社区卫生促进者(CHP)作为企业经营的自助服务亭,以增加贫困农村家庭获得保健产品的机会。我们于2014年在信息亭开放之前进行了基线调查,并于2016年进行了干预后的随访,纳入了1,517个有18岁以下儿童的家庭。从基线到随访,我们观察到SWAP计划的报告暴露增加了(3-11%,p = 0.01),并且购买了任何SWAP产品的报告增加了(3-10%,p <0.01)。从基线到随访,经过确认的水处理的家庭百分比(可检测到的游离氯残留量(FCR)> 0.2 mg / ml)相近(7%vs. 8%,p= 0.57)。从基线到随访,儿童报告的腹泻几率降低(优势比或OR:0.77,95%CI:0.64-0.93),可检出FCR的家庭的腹泻几率较低(OR:0.53,95%CI:0.34 –0.83)。与CHPs进行的焦点小组讨论表明,产品价格高,负担能力不足以及对产品应免费提供的期望导致销售量下降。总之,在目标人群中,SWAP暴露和产品销售的适度增加尚不足以影响健康,但是确诊为水进行氯化处理的家庭中的儿童减少了腹泻。

更新日期:2020-12-23
down
wechat
bug