Village health workers in Bihar, India: an untapped resource in the struggle against kala‐azar
Introduction In 2005 a visceral leishmaniasis (VL) elimination initiative was launched on the Indian subcontinent; important components of early case finding and treatment are entrusted to the primary health care system (PHC). In an earlier study in Bihar, India, we discovered some major shortcoming...
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| Veröffentlicht in: | Tropical medicine & international health 2013-02, Vol.18 (2), p.188-193 |
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| description | Introduction
In 2005 a visceral leishmaniasis (VL) elimination initiative was launched on the Indian subcontinent; important components of early case finding and treatment are entrusted to the primary health care system (PHC). In an earlier study in Bihar, India, we discovered some major shortcomings in implementation, in particular related to monitoring of treatment and treatment outcomes. These shortcomings could be addressed through involvement of village health workers. In the current study we assessed knowledge, attitude and practice of these village health workers in relation to VL. Main objective was to assess the feasibility of their involvement in VL control.
Methods
We obtained a list of auxiliary nurses/midwives and accredited social health activists for the highly endemic district of Muzaffarpur. We randomly sampled 100 auxiliary nurses and 100 activists, who were visited in their homes for an interview. Questions were asked on knowledge, attitude and practice related to visceral leishmaniasis and to tuberculosis.
Results
Auxiliary nurses and activists know the presenting symptoms of visceral leishmaniasis, they know how it is diagnosed but they are not aware of the recommended first‐line treatment. Many are already involved in tuberculosis control and are very well aware of the treatment modalities of tuberculosis, but few are involved in control of visceral leishmaniasis control. They are well organised, have strong links to the primary healthcare system and are ready to get more involved in visceral leishmaniasis control.
Conclusion
To ensure adequate monitoring of visceral leishmaniasis treatment and treatment outcomes, the control programme urgently needs to consider involving auxiliary nurses and activists.
Objectif
Evaluer la faisabilité de l'implication des agents de santé villageois dans le sud du Bihar dans la lutte contre la leishmaniose viscérale (LV), en investiguant sur leurs connaissances, attitudes et pratiques.
Méthodes
Nous avons obtenu une liste des infirmières/sages‐femmes auxiliaires et militants sociaux de la santé accrédités pour le district de Muzaffarpur à forte endémicité. Nous avons échantillonné aléatoirement 100 infirmières auxiliaires et 100 militants qui ont été visités à leur domicile pour une interview. Des questions ont été posées sur les connaissances, attitudes et pratiques liées à la LV et à la tuberculose.
Résultats
Les infirmières auxiliaires et les militants connaissent les symptômes révélateurs de la LV, |
| doi_str_mv | 10.1111/tmi.12031 |
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In 2005 a visceral leishmaniasis (VL) elimination initiative was launched on the Indian subcontinent; important components of early case finding and treatment are entrusted to the primary health care system (PHC). In an earlier study in Bihar, India, we discovered some major shortcomings in implementation, in particular related to monitoring of treatment and treatment outcomes. These shortcomings could be addressed through involvement of village health workers. In the current study we assessed knowledge, attitude and practice of these village health workers in relation to VL. Main objective was to assess the feasibility of their involvement in VL control.
Methods
We obtained a list of auxiliary nurses/midwives and accredited social health activists for the highly endemic district of Muzaffarpur. We randomly sampled 100 auxiliary nurses and 100 activists, who were visited in their homes for an interview. Questions were asked on knowledge, attitude and practice related to visceral leishmaniasis and to tuberculosis.
Results
Auxiliary nurses and activists know the presenting symptoms of visceral leishmaniasis, they know how it is diagnosed but they are not aware of the recommended first‐line treatment. Many are already involved in tuberculosis control and are very well aware of the treatment modalities of tuberculosis, but few are involved in control of visceral leishmaniasis control. They are well organised, have strong links to the primary healthcare system and are ready to get more involved in visceral leishmaniasis control.
Conclusion
To ensure adequate monitoring of visceral leishmaniasis treatment and treatment outcomes, the control programme urgently needs to consider involving auxiliary nurses and activists.
Objectif
Evaluer la faisabilité de l'implication des agents de santé villageois dans le sud du Bihar dans la lutte contre la leishmaniose viscérale (LV), en investiguant sur leurs connaissances, attitudes et pratiques.
Méthodes
Nous avons obtenu une liste des infirmières/sages‐femmes auxiliaires et militants sociaux de la santé accrédités pour le district de Muzaffarpur à forte endémicité. Nous avons échantillonné aléatoirement 100 infirmières auxiliaires et 100 militants qui ont été visités à leur domicile pour une interview. Des questions ont été posées sur les connaissances, attitudes et pratiques liées à la LV et à la tuberculose.
Résultats
Les infirmières auxiliaires et les militants connaissent les symptômes révélateurs de la LV, ils savaient comment elle est diagnostiquée, mais ils ne sont pas au courant du traitement de première ligne recommandé. Beaucoup sont déjà impliqués dans le contrôle de la tuberculose et sont bien au courant des modalités de traitement de la tuberculose, mais peu sont impliqués dans le contrôle de la LV. Ils sont bien organisés, ont des liens étroits avec le système de soins de santé primaires et sont prêts à s'impliquer davantage dans la lutte contre la LV.
Conclusion
Afin d'assurer un suivi adéquat du traitement de la LV et des résultats du traitement, le programme de contrôle doit considérer d'urgence l'implication des infirmières auxiliaires et des militants.
Objetivo
Evaluar la viabilidad de involucrar a los trabajadores sanitarios del sur de Bihar en el control de la leishmaniasis visceral, investigando sus conocimientos, actitudes y prácticas.
Métodos
Obtuvimos una lista de auxiliares de enfermería /comadronas y activistas socio‐sanitarios acreditados del distrito altamente endémico de Muzaffarpur. Se realizó un muestreo aleatorio de 100 auxiliares de enfermería y 100 activistas, a quienes se les visitó en sus hogares para realizarles una entrevista. Se les hizo preguntas sobre conocimientos, actitudes y prácticas relacionadas con la leishmaniasis visceral y la tuberculosis.
Resultados
Las enfermeras auxiliares y los activistas conocían los síntomas representativos de la leishmaniasis visceral, conocían como se diagnostica pero no eran conscientes de la primera línea de tratamiento recomendada. Muchos ya estaban participando en el control de la tuberculosis y conocían bien las modalidades de tratamiento para esta enfermedad, pero pocos estaban involucrados en el control de la leishmaniasis visceral. Estaban bien organizados, tenían lazos fuertes con el sistema primario de salud y estaban listos para involucrarse más a fondo en el control de la leishmaniasis visceral.
ConclusiónPara asegurar una monitorización adecuada de la leishmaniasis y los resultados del tratamiento, el programa de control necesita reconsiderar de forma urgente el involucrar a los auxiliares de enfermería y a los activistas.</description><identifier>ISSN: 1360-2276</identifier><identifier>EISSN: 1365-3156</identifier><identifier>DOI: 10.1111/tmi.12031</identifier><identifier>PMID: 23279554</identifier><language>eng</language><publisher>Oxford: Blackwell</publisher><subject>Accredited Social Health Activist network ; Adult ; Antiprotozoal Agents - therapeutic use ; auxiliary nurse/midwife ; Bacterial diseases ; Biological and medical sciences ; Community Health Workers - organization & administration ; drug effectiveness ; drug monitoring ; Educational Status ; Female ; General aspects ; Handicapped assistance devices ; Health Knowledge, Attitudes, Practice ; Health Resources - organization & administration ; Human bacterial diseases ; Human protozoal diseases ; Humans ; India - epidemiology ; Infectious diseases ; Insect Control - methods ; Insect Control - standards ; KAP survey ; Leishmaniasis, Visceral - epidemiology ; Leishmaniasis, Visceral - prevention & control ; Leshmaniasis ; Medical personnel ; Medical sciences ; Medical treatment ; Middle Aged ; Nursing Assistants - organization & administration ; Parasitic diseases ; patient follow‐up ; Protozoal diseases ; Public Health ; public health system ; Rural Health Services - organization & administration ; supervised treatment ; Treatment Outcome ; Tuberculosis ; Tuberculosis and atypical mycobacterial infections ; visceral leishmaniasis</subject><ispartof>Tropical medicine & international health, 2013-02, Vol.18 (2), p.188-193</ispartof><rights>2012 Blackwell Publishing Ltd</rights><rights>2014 INIST-CNRS</rights><rights>2012 Blackwell Publishing Ltd.</rights><rights>2013 Blackwell Publishing Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Ftmi.12031$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Ftmi.12031$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,1427,27903,27904,45553,45554,46388,46812</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26849039$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23279554$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Malaviya, P.</creatorcontrib><creatorcontrib>Hasker, E.</creatorcontrib><creatorcontrib>Singh, R. P.</creatorcontrib><creatorcontrib>Geertruyden, J. P.</creatorcontrib><creatorcontrib>Boelaert, M.</creatorcontrib><creatorcontrib>Sundar, S.</creatorcontrib><title>Village health workers in Bihar, India: an untapped resource in the struggle against kala‐azar</title><title>Tropical medicine & international health</title><addtitle>Trop Med Int Health</addtitle><description>Introduction
In 2005 a visceral leishmaniasis (VL) elimination initiative was launched on the Indian subcontinent; important components of early case finding and treatment are entrusted to the primary health care system (PHC). In an earlier study in Bihar, India, we discovered some major shortcomings in implementation, in particular related to monitoring of treatment and treatment outcomes. These shortcomings could be addressed through involvement of village health workers. In the current study we assessed knowledge, attitude and practice of these village health workers in relation to VL. Main objective was to assess the feasibility of their involvement in VL control.
Methods
We obtained a list of auxiliary nurses/midwives and accredited social health activists for the highly endemic district of Muzaffarpur. We randomly sampled 100 auxiliary nurses and 100 activists, who were visited in their homes for an interview. Questions were asked on knowledge, attitude and practice related to visceral leishmaniasis and to tuberculosis.
Results
Auxiliary nurses and activists know the presenting symptoms of visceral leishmaniasis, they know how it is diagnosed but they are not aware of the recommended first‐line treatment. Many are already involved in tuberculosis control and are very well aware of the treatment modalities of tuberculosis, but few are involved in control of visceral leishmaniasis control. They are well organised, have strong links to the primary healthcare system and are ready to get more involved in visceral leishmaniasis control.
Conclusion
To ensure adequate monitoring of visceral leishmaniasis treatment and treatment outcomes, the control programme urgently needs to consider involving auxiliary nurses and activists.
Objectif
Evaluer la faisabilité de l'implication des agents de santé villageois dans le sud du Bihar dans la lutte contre la leishmaniose viscérale (LV), en investiguant sur leurs connaissances, attitudes et pratiques.
Méthodes
Nous avons obtenu une liste des infirmières/sages‐femmes auxiliaires et militants sociaux de la santé accrédités pour le district de Muzaffarpur à forte endémicité. Nous avons échantillonné aléatoirement 100 infirmières auxiliaires et 100 militants qui ont été visités à leur domicile pour une interview. Des questions ont été posées sur les connaissances, attitudes et pratiques liées à la LV et à la tuberculose.
Résultats
Les infirmières auxiliaires et les militants connaissent les symptômes révélateurs de la LV, ils savaient comment elle est diagnostiquée, mais ils ne sont pas au courant du traitement de première ligne recommandé. Beaucoup sont déjà impliqués dans le contrôle de la tuberculose et sont bien au courant des modalités de traitement de la tuberculose, mais peu sont impliqués dans le contrôle de la LV. Ils sont bien organisés, ont des liens étroits avec le système de soins de santé primaires et sont prêts à s'impliquer davantage dans la lutte contre la LV.
Conclusion
Afin d'assurer un suivi adéquat du traitement de la LV et des résultats du traitement, le programme de contrôle doit considérer d'urgence l'implication des infirmières auxiliaires et des militants.
Objetivo
Evaluar la viabilidad de involucrar a los trabajadores sanitarios del sur de Bihar en el control de la leishmaniasis visceral, investigando sus conocimientos, actitudes y prácticas.
Métodos
Obtuvimos una lista de auxiliares de enfermería /comadronas y activistas socio‐sanitarios acreditados del distrito altamente endémico de Muzaffarpur. Se realizó un muestreo aleatorio de 100 auxiliares de enfermería y 100 activistas, a quienes se les visitó en sus hogares para realizarles una entrevista. Se les hizo preguntas sobre conocimientos, actitudes y prácticas relacionadas con la leishmaniasis visceral y la tuberculosis.
Resultados
Las enfermeras auxiliares y los activistas conocían los síntomas representativos de la leishmaniasis visceral, conocían como se diagnostica pero no eran conscientes de la primera línea de tratamiento recomendada. Muchos ya estaban participando en el control de la tuberculosis y conocían bien las modalidades de tratamiento para esta enfermedad, pero pocos estaban involucrados en el control de la leishmaniasis visceral. Estaban bien organizados, tenían lazos fuertes con el sistema primario de salud y estaban listos para involucrarse más a fondo en el control de la leishmaniasis visceral.
ConclusiónPara asegurar una monitorización adecuada de la leishmaniasis y los resultados del tratamiento, el programa de control necesita reconsiderar de forma urgente el involucrar a los auxiliares de enfermería y a los activistas.</description><subject>Accredited Social Health Activist network</subject><subject>Adult</subject><subject>Antiprotozoal Agents - therapeutic use</subject><subject>auxiliary nurse/midwife</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Community Health Workers - organization & administration</subject><subject>drug effectiveness</subject><subject>drug monitoring</subject><subject>Educational Status</subject><subject>Female</subject><subject>General aspects</subject><subject>Handicapped assistance devices</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Resources - organization & administration</subject><subject>Human bacterial diseases</subject><subject>Human protozoal diseases</subject><subject>Humans</subject><subject>India - epidemiology</subject><subject>Infectious diseases</subject><subject>Insect Control - methods</subject><subject>Insect Control - standards</subject><subject>KAP survey</subject><subject>Leishmaniasis, Visceral - epidemiology</subject><subject>Leishmaniasis, Visceral - prevention & control</subject><subject>Leshmaniasis</subject><subject>Medical personnel</subject><subject>Medical sciences</subject><subject>Medical treatment</subject><subject>Middle Aged</subject><subject>Nursing Assistants - organization & administration</subject><subject>Parasitic diseases</subject><subject>patient follow‐up</subject><subject>Protozoal diseases</subject><subject>Public Health</subject><subject>public health system</subject><subject>Rural Health Services - organization & administration</subject><subject>supervised treatment</subject><subject>Treatment Outcome</subject><subject>Tuberculosis</subject><subject>Tuberculosis and atypical mycobacterial infections</subject><subject>visceral leishmaniasis</subject><issn>1360-2276</issn><issn>1365-3156</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkctu1TAQhi0EoqWw4AWQJYTEgrS-J-4CCSouRypiU9iawXEStz5OsBOqsuIReEaeBJ_TQ7l44xnPp1_j_0foISWHtJyjee0PKSOc3kL7lCtZcSrV7W1NKsZqtYfu5XxOCBFCqrtoj3FWaynFPvr00YcAvcODgzAP-HJMFy5l7CN-6QdIz_Aqth6OMUS8xBmmybU4uTwuyboNNQ8O5zktfR8chh58zDO-gAA_v_-Ab5DuozsdhOwe7O4D9OH1q7OTt9Xp-zerkxen1cS1plVLJbjOKuWAKeqI0tSWtgbKhLZWCA0N2E5zUjfaKtGSrq55QWzHZHngB-j5te60fF671ro4JwhmSn4N6cqM4M2_k-gH049fDZeSc9IUgac7gTR-WVyezdpn64o70Y1LNpTVvKFUEF7Qx_-h58WPWL63oahmvCG0UI_-3uhmld_mF-DJDoBsIXQJovX5D6caoQnXhTu65i59cFc3c0rMJn1T0jfb9M3Zu9W24L8AUeCizw</recordid><startdate>201302</startdate><enddate>201302</enddate><creator>Malaviya, P.</creator><creator>Hasker, E.</creator><creator>Singh, R. P.</creator><creator>Geertruyden, J. P.</creator><creator>Boelaert, M.</creator><creator>Sundar, S.</creator><general>Blackwell</general><general>Blackwell Publishing Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7T2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201302</creationdate><title>Village health workers in Bihar, India: an untapped resource in the struggle against kala‐azar</title><author>Malaviya, P. ; Hasker, E. ; Singh, R. P. ; Geertruyden, J. P. ; Boelaert, M. ; Sundar, S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p3991-d15aefc66ea261e0691cfc67a1249cc449a8acf930789c64d0f773cfccf259c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Accredited Social Health Activist network</topic><topic>Adult</topic><topic>Antiprotozoal Agents - therapeutic use</topic><topic>auxiliary nurse/midwife</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Community Health Workers - organization & administration</topic><topic>drug effectiveness</topic><topic>drug monitoring</topic><topic>Educational Status</topic><topic>Female</topic><topic>General aspects</topic><topic>Handicapped assistance devices</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Resources - organization & administration</topic><topic>Human bacterial diseases</topic><topic>Human protozoal diseases</topic><topic>Humans</topic><topic>India - epidemiology</topic><topic>Infectious diseases</topic><topic>Insect Control - methods</topic><topic>Insect Control - standards</topic><topic>KAP survey</topic><topic>Leishmaniasis, Visceral - epidemiology</topic><topic>Leishmaniasis, Visceral - prevention & control</topic><topic>Leshmaniasis</topic><topic>Medical personnel</topic><topic>Medical sciences</topic><topic>Medical treatment</topic><topic>Middle Aged</topic><topic>Nursing Assistants - organization & administration</topic><topic>Parasitic diseases</topic><topic>patient follow‐up</topic><topic>Protozoal diseases</topic><topic>Public Health</topic><topic>public health system</topic><topic>Rural Health Services - organization & administration</topic><topic>supervised treatment</topic><topic>Treatment Outcome</topic><topic>Tuberculosis</topic><topic>Tuberculosis and atypical mycobacterial infections</topic><topic>visceral leishmaniasis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Malaviya, P.</creatorcontrib><creatorcontrib>Hasker, E.</creatorcontrib><creatorcontrib>Singh, R. P.</creatorcontrib><creatorcontrib>Geertruyden, J. P.</creatorcontrib><creatorcontrib>Boelaert, M.</creatorcontrib><creatorcontrib>Sundar, S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Tropical medicine & international health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Malaviya, P.</au><au>Hasker, E.</au><au>Singh, R. P.</au><au>Geertruyden, J. P.</au><au>Boelaert, M.</au><au>Sundar, S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Village health workers in Bihar, India: an untapped resource in the struggle against kala‐azar</atitle><jtitle>Tropical medicine & international health</jtitle><addtitle>Trop Med Int Health</addtitle><date>2013-02</date><risdate>2013</risdate><volume>18</volume><issue>2</issue><spage>188</spage><epage>193</epage><pages>188-193</pages><issn>1360-2276</issn><eissn>1365-3156</eissn><abstract>Introduction
In 2005 a visceral leishmaniasis (VL) elimination initiative was launched on the Indian subcontinent; important components of early case finding and treatment are entrusted to the primary health care system (PHC). In an earlier study in Bihar, India, we discovered some major shortcomings in implementation, in particular related to monitoring of treatment and treatment outcomes. These shortcomings could be addressed through involvement of village health workers. In the current study we assessed knowledge, attitude and practice of these village health workers in relation to VL. Main objective was to assess the feasibility of their involvement in VL control.
Methods
We obtained a list of auxiliary nurses/midwives and accredited social health activists for the highly endemic district of Muzaffarpur. We randomly sampled 100 auxiliary nurses and 100 activists, who were visited in their homes for an interview. Questions were asked on knowledge, attitude and practice related to visceral leishmaniasis and to tuberculosis.
Results
Auxiliary nurses and activists know the presenting symptoms of visceral leishmaniasis, they know how it is diagnosed but they are not aware of the recommended first‐line treatment. Many are already involved in tuberculosis control and are very well aware of the treatment modalities of tuberculosis, but few are involved in control of visceral leishmaniasis control. They are well organised, have strong links to the primary healthcare system and are ready to get more involved in visceral leishmaniasis control.
Conclusion
To ensure adequate monitoring of visceral leishmaniasis treatment and treatment outcomes, the control programme urgently needs to consider involving auxiliary nurses and activists.
Objectif
Evaluer la faisabilité de l'implication des agents de santé villageois dans le sud du Bihar dans la lutte contre la leishmaniose viscérale (LV), en investiguant sur leurs connaissances, attitudes et pratiques.
Méthodes
Nous avons obtenu une liste des infirmières/sages‐femmes auxiliaires et militants sociaux de la santé accrédités pour le district de Muzaffarpur à forte endémicité. Nous avons échantillonné aléatoirement 100 infirmières auxiliaires et 100 militants qui ont été visités à leur domicile pour une interview. Des questions ont été posées sur les connaissances, attitudes et pratiques liées à la LV et à la tuberculose.
Résultats
Les infirmières auxiliaires et les militants connaissent les symptômes révélateurs de la LV, ils savaient comment elle est diagnostiquée, mais ils ne sont pas au courant du traitement de première ligne recommandé. Beaucoup sont déjà impliqués dans le contrôle de la tuberculose et sont bien au courant des modalités de traitement de la tuberculose, mais peu sont impliqués dans le contrôle de la LV. Ils sont bien organisés, ont des liens étroits avec le système de soins de santé primaires et sont prêts à s'impliquer davantage dans la lutte contre la LV.
Conclusion
Afin d'assurer un suivi adéquat du traitement de la LV et des résultats du traitement, le programme de contrôle doit considérer d'urgence l'implication des infirmières auxiliaires et des militants.
Objetivo
Evaluar la viabilidad de involucrar a los trabajadores sanitarios del sur de Bihar en el control de la leishmaniasis visceral, investigando sus conocimientos, actitudes y prácticas.
Métodos
Obtuvimos una lista de auxiliares de enfermería /comadronas y activistas socio‐sanitarios acreditados del distrito altamente endémico de Muzaffarpur. Se realizó un muestreo aleatorio de 100 auxiliares de enfermería y 100 activistas, a quienes se les visitó en sus hogares para realizarles una entrevista. Se les hizo preguntas sobre conocimientos, actitudes y prácticas relacionadas con la leishmaniasis visceral y la tuberculosis.
Resultados
Las enfermeras auxiliares y los activistas conocían los síntomas representativos de la leishmaniasis visceral, conocían como se diagnostica pero no eran conscientes de la primera línea de tratamiento recomendada. Muchos ya estaban participando en el control de la tuberculosis y conocían bien las modalidades de tratamiento para esta enfermedad, pero pocos estaban involucrados en el control de la leishmaniasis visceral. Estaban bien organizados, tenían lazos fuertes con el sistema primario de salud y estaban listos para involucrarse más a fondo en el control de la leishmaniasis visceral.
ConclusiónPara asegurar una monitorización adecuada de la leishmaniasis y los resultados del tratamiento, el programa de control necesita reconsiderar de forma urgente el involucrar a los auxiliares de enfermería y a los activistas.</abstract><cop>Oxford</cop><pub>Blackwell</pub><pmid>23279554</pmid><doi>10.1111/tmi.12031</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1360-2276 |
| ispartof | Tropical medicine & international health, 2013-02, Vol.18 (2), p.188-193 |
| issn | 1360-2276 1365-3156 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3553308 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Wiley Online Library Free Content; IngentaConnect Open Access Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Accredited Social Health Activist network Adult Antiprotozoal Agents - therapeutic use auxiliary nurse/midwife Bacterial diseases Biological and medical sciences Community Health Workers - organization & administration drug effectiveness drug monitoring Educational Status Female General aspects Handicapped assistance devices Health Knowledge, Attitudes, Practice Health Resources - organization & administration Human bacterial diseases Human protozoal diseases Humans India - epidemiology Infectious diseases Insect Control - methods Insect Control - standards KAP survey Leishmaniasis, Visceral - epidemiology Leishmaniasis, Visceral - prevention & control Leshmaniasis Medical personnel Medical sciences Medical treatment Middle Aged Nursing Assistants - organization & administration Parasitic diseases patient follow‐up Protozoal diseases Public Health public health system Rural Health Services - organization & administration supervised treatment Treatment Outcome Tuberculosis Tuberculosis and atypical mycobacterial infections visceral leishmaniasis |
| title | Village health workers in Bihar, India: an untapped resource in the struggle against kala‐azar |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-22T11%3A46%3A54IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Village%20health%20workers%20in%20Bihar,%20India:%20an%20untapped%20resource%20in%20the%20struggle%20against%20kala%E2%80%90azar&rft.jtitle=Tropical%20medicine%20&%20international%20health&rft.au=Malaviya,%20P.&rft.date=2013-02&rft.volume=18&rft.issue=2&rft.spage=188&rft.epage=193&rft.pages=188-193&rft.issn=1360-2276&rft.eissn=1365-3156&rft_id=info:doi/10.1111/tmi.12031&rft_dat=%3Cproquest_pubme%3E2871393451%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1271923801&rft_id=info:pmid/23279554&rfr_iscdi=true |