RESUMO
OBJECTIVE: This study intends to explore young people s knowledge, attitudes and practices regarding dengue fever in Trinidad and Tobago. METHODS: Interviews and focus groups were carried out with young people studying at the University of Trinidad and Tobago. Thematic analysis was then conducted on these scripts and recommendations for improvement were made. RESULTS: All participants had some knowledge about dengue fever; however, the extent of this knowledge varied greatly. Participants knew most about the mode of spread and symptoms. All participants did something at home as a means of vector control of the disease; ensuring no stagnant water was present in containers in the yard was the most popular method of vector control. All participants were aware that the government sprayed the neighbourhoods against mosquitoes; however, the majority thought they did not do this often enough. CONCLUSION: Following the results of this study, three recommendations were made: the government should spray on a more regular basis, particularly just before the rainy season; a pilot study should take place investigating whether a fining scheme would improve vector control and dengue fever health education should be improved.
OBJETIVO: Este estudio persigue explorar los conocimientos, actitudes y prácticas de los jóvenes, con respecto a la fiebre del dengue en Trinidad y Tobago. MÉTODOS: Se llevaron a cabo entrevistas y se organizaron grupos focales con jóvenes que estudian en la Universidad de Trinidad y Tobago. Se realizó entonces un análisis temático a partir de estos guiones, e igualmente se hicieron recomendaciones para el mejoramiento. RESULTADOS: Todos los participantes tenían algún conocimiento sobre la fiebre de dengue, pero el grado de conocimiento variaba considerablemente de uno a otro. Los participantes sabían principalmente los síntomas de la enfermedad y la forma en que la misma se propaga. Todos los participantes tomaron alguna medida en sus casas como medio de control de vector de la enfermedad. El método más popular de control de vectores fue asegurarse de que no hubiera agua estancada en ningún recipiente en los patos. Todos los participantes conocían que el gobierno fumigaba los barrios contra los mosquitos. No obstante, la mayoría tenían la opinión de que no se hacía suficientemente a menudo. CONCLUSIÓN: A partir de los resultados de este estudio, se hicieron tres recomendaciones: el gobierno debe garantizar la fumigación se manera más sistemática, particularmente antes del período de lluvia; debe hacerse un estudio piloto para investigar si un esquema de imposición de multas mejoraría el control de vectores y debe mejorar la educación par ala salud en torno a la fiebre del dengue.
Assuntos
Adolescente , Animais , Feminino , Humanos , Masculino , Aedes , Dengue/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Insetos Vetores , Controle de Mosquitos , Participação da Comunidade , Dengue/transmissão , Trinidad e TobagoRESUMO
OBJECTIVE: This study intends to explore young people's knowledge, attitudes and practices regarding dengue fever in Trinidad and Tobago. METHODS: Interviews and focus groups were carried out with young people studying at the University of Trinidad and Tobago. Thematic analysis was then conducted on these scripts and recommendations for improvement were made. RESULTS: All participants had some knowledge about dengue fever; however the extent of this knowledge varied greatly. Participants knew most about the mode of spread and symptoms. All participants did something at home as a means of vector control of the disease; ensuring no stagnant water was present in containers in the yard was the most popular method of vector control. All participants were aware that the government sprayed the neighbourhoods against mosquitoes; however the majority thought they did not do this often enough. CONCLUSION: Following the results of this study, three recommendations were made: the government should spray on a more regular basis, particularly just before the rainy season; a pilot study should take place investigating whether a fining scheme would improve vector control and dengue fever health education should be improved.
Assuntos
Aedes , Dengue/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Insetos Vetores , Controle de Mosquitos , Adolescente , Animais , Participação da Comunidade , Dengue/transmissão , Feminino , Humanos , Masculino , Trinidad e TobagoRESUMO
A study of the knowledge, perceptions, and behavioral intentions of physicians regarding periodic abstinence (PA) methods was undertaken in Mauritius, Peru, the Philippines, and Sri Lanka. Most respondents considered PA to be useful, although even the PA providers prescribed mainly non-PA methods. Detailed knowledge of PA methods was not evident, but most physicians were willing to initiate general discussion about PA with patients. Physicians favored methods perceived as "scientific" and "modern," which primarily prevent pregnancy and secondarily avoid other health risks. When carefully presented as "scientific" and "modern," methods presented to medical audiences may find acceptance and be more likely to result in referral.
PIP: This study attempts to assess the level of knowledge about periodic abstinence methods and willingness to communicate that knowledge to patients among a sample of 375 physicians from 4 developing countries: Mauritius, Peru, the Philippines, and Sri Lanka. For purposes of this study, periodic abstinence includes the calendar method (rhythm), the Billings method (ovulation method), the temperature method (basal body temperature), and the sympto-thermal method (temperature and cervical mucus observation). 54% of the doctors interviewed did not provide periodic abstinence services. 67% were male, 60% were over 40, 92% were not strongly Catholic, and 42% were general practitioners. Older doctors, female doctors, and strongly Catholic doctors were most likely to provide periodic abstinence services. 54% of providers were general practitioners, 46% were gynecologists, and 36% were clinicians. Both providers and nonproviders were most likely to recommend the pill or the IUD as a contraceptive method. The calendar method was the most commonly provided abstinence method. Providers, in general, had more knowledge about abstinence methods than did nonproviders, but even providers were deficient in knowledge about methods that they did not supply. Of the 3 main abstinence methods, the calendar method was perceived as most traditional, the Billings method as most modern. The sympto-thermal method was perceived as modern but also as "artificial." On a scale of 1 to 7 from bad/nonscientific to good/scientific, the pill scored highest (6.4), while the temperature, Billings, and calendar methods scored 5.2 or 5.1. 47% of all the physicians surveyed said that they would not recommend periodic abstinence to their patients. The majority said that they would respond to inquiries about these methods but would not initiate discussions about them. Among nonproviders, 12% said they would seek future training, but 17% said they had no future plans for either training or service.