남인도 지역사회에서 교육 후 조충증/낭미충증(taeniasis/cysticercosis)에 대한 지식과 수행능력 변화

남인도 지역사회에서 교육 후 조충증/낭미충증(taeniasis/cysticercosis)에 대한 지식과 수행능력 변화

Changes in knowledge and practices related to taeniasis/cysticercosis after health education in a south Indian community

A.M. Alexandera, V.R. Mohana, J. Muliyila,1, P. Dornyb,c, V. Rajshekhard,∗

낭미충증의 풍토평(endemic for cysticercosis)이 있는 남부 인도지역의 시골 지역사회에서 조충증/낭미충증(taeniasis/cysticercosis)에 대한 교육 프로그램을 초등학생을 대상으로 시행하였다. 기초조사를 시행했을 때 임의로 선택된 831명의 참가자들은 조충증과 신경낭미충증에 대한 지식이 매우 부족한 상태였다. 또한 적절한 위생시설이나 개념도 부족했다.

이 마을 사람들에게 갈고리촌충의 생활주기, 조충증이나 낭미충증의 전파경로, 예방에 대한 보건교육이 시행되었다. 교육 6개월 후 수행한 시험에서 1060명의 참여자가 전반적으로 46%의 지식과 수행능력 향상을 보였다.

조충증/낭미충증의 전파에 대한 인식수준도 3배 가까이 향상되었으며, 식사 전과 화장실 다녀온 후에 비누로 손을 씻는다는 응답은 각각 4.8배, 3.6배 증가하였다. 조충증/낭미충증의 예방에 대한 교육은 지역사회에서 지식와 수행능력을 증진시키고 자가보고를 통한 진단을 높이는데 효과가 있다.

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Changes in knowledge and practices related to taeniasis/cysticercosis after health education in a south Indian community

1. A.M. Alexander^a, 
2. V.R. Mohan^a, 
3. J. Muliyil^a,¹, 
4. P. Dorny^b,^c and 
5. V. Rajshekhar^d,^⁎

-Author Affiliations

1. ^aDepartment of Community Health, Christian Medical College, Vellore, Tamil Nadu, India
2. ^bDepartment of Biomedical Sciences, Institute of Tropical Medicine, Antwerp, Belgium
3. ^cLaboratory of Parasitology, Faculty of Veterinary Medicine, Ghent University, Belgium
4. ^dDepartment of Neurological Sciences, Christian Medical College, Vellore 632004, Tamil Nadu, India

1. ↵⁎ Corresponding author. Tel.: +91 416 228 2767; fax: +91 416 223 2103. E-mail address:rajshekhar@cmcvellore.ac.in (V. Rajshekhar).

• Received August 11, 2011.
• Revision received October 1, 2011.
• Accepted April 30, 2012.

Abstract

A health education programme for taeniasis/cysticercosis was implemented and evaluated among schoolchildren and the general community in a rural block in southern India, an area that is endemic for cysticercosis. The baseline survey among 831 participants from three randomly selected villages showed poor knowledge regarding the spread of taeniasis and neurocysticercosis. There was also a lack of adequate hygiene and sanitation practices. Health education was given in these villages and in the schools located in these villages regarding the lifecycle of the pork tapeworm, spread of taeniasis and cysticercosis, and prevention of these conditions. The post-intervention test conducted 6 months later among 1060 participants revealed a 46% increase in the overall score of knowledge and practices. Awareness about the mode of spread of taeniasis and cysticercosis improved by almost 3 times and the reported practice of washing hands with soap and water before eating improved by 4.8 times and after using the toilet by 3.6 times. One person who reported the passage of tapeworm segments was confirmed to be a carrier of Taenia solium and was treated. The health education given on prevention of taeniasis and cysticercosis was useful in improving the knowledge and practices of the community and also in diagnosing taeniasis through self-reporting.

Key words

• Health education
 
• Knowledge
 
• Taeniasis
 
• Neurocysticercosis
 
• Evaluation
• India