Adesão ao tratamento da malária: um estudo em comunidades do entorno da Usina Hidrelétrica de Tucuruí - Pará

Abstract

Malaria, infectious disease, caused by the protozoan Plasmodium, transmitted to humans by the bite of female mosquito of the genus Anopheles. Currently puts at risk 40% of the world population. In Brazil occurs mainly in the Amazon region where they are concentrated 99.7% of cases. In communities located around the lake of Tucuruí the occurrence of malaria is high and the residents do not have efficient services that provide appropriate prophylaxis and therapy. This research has the purpose of examining the occurrence of conduct of accession to drug treatment and prevention of malaria in people living in the surrounding communities of the Tucuruí hydroelectric power, state of Para, through comparison of three conditions for intervention: Timing ( n = 10), Monitoring (n = 9) and Monitoring with information (n = 10). To quantitatively assess the effects of intervention in the conduct adopted three conditions were compared by non-parametric statistical methods: the Chi-square test and Binomial test. It was previously set the significance level alpha = 0.05 to reject the null hypothesis. The adherence to treatment and the conditions Routine Monitoring was marginal, however, in the condition Monitoring with information was found that after the intervention 80% of the participants joined significantly (p <0.05) to treatment, demonstrating, effectiveness of intervention. As to the knowledge of malaria, in the condition Monitoring with information when compared with other conditions, after intervention, was obtained p-value = 0.0466 (significant) indicating that the intervention promoted increase in the level of knowledge of participants on malaria. The analysis of change in the behavioral repertoire was held in thirteen items. Results have been achieved more success in then condition Monitoring with information on nine items was observed significant change of attitude of the participants, highlighting the fact that these nine items the p-value <0.05 was certificate as evidence of statistical significance of this conclusion. The comparison between the conditions Monitoring and Monitoring with information presented significant difference in eight items. There was a statistically significant difference (p <0.05) in the following items: Use mosquito net, notify the officer of health, keep the trees pruned or cut, not bathing in the river in times of danger, Wear clothes suitable for enter the forest, Use appropriate clothing for fishing, not staying at night and Use repellents as andiroba or similar. In summary, the intervention was successful to contribute to effective treatment of malaria and increase the level of knowledge about the disease.