Accessibility to and utilisation of schistosomiasis-related health services in a rural area of state of Minas Gerais, Brazil

Memórias do Instituto Oswaldo Cruz

Dener Carlos Dos Reis²  Helmut Kloos¹  Charles King¹  Humberto Ferreira Oliveira Quites²  Leonardo Ferreira Matoso²  Kellen Rosa Coelho²  Andrea Gazzinelli² 

[1] ,Universidade Federal de Minas Gerais Escola de Enfermagem Belo Horizonte MG ,Brasil

关键词: schistosomiasis;    access to health care;    spatial;    health-seeking behaviour;   

DOI  :  10.1590/S0074-02762010000400039

来源: SciELO

【 摘 要 】

The objective of the present paper was to compare accessibility and utilisation of schistosomiasis diagnostic and treatment services in a small village and the surrounding rural area in northern part of the state of Minas Gerais Brazil. The study included 1,228 individuals: 935 central village residents and 293 rural residents of São Pedro do Jequitinhonha. Schistosoma mansoni infection rates were significantly higher in the central village than in the rural area during a survey in 2007 (44.3% and 23.5%, respectively) and during the 2002 schistosomiasis case-finding campaign (33.1% and 26.5%, respectively) (p < 0.001). However, during the 2002-2006 period, only 23.7% of the villagers and 27% of the rural residents obtained tests on their own from health centres, hospitals and private clinics in various nearby towns. In 2007, 63% of the villagers and 70.5% of the rural residents reported never having received treatment for schistosomiasis. This paper reveals considerable variation in the accessibility and utilisation of schistosomiasis-related health services between the central village and the rural area. A combination of low utilisation rates between 2002-2006 and persistently high S. mansoni infection rates suggest that the schistosomiasis control program must be more rapidly incorporated into the primary health services.

【 授权许可】

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