Kl^N THLTC V£ BENH S6l CCiA CAC BA ME CO CON DlfOI 5 TU6l DAN TQC THAI VA H'MONG TAI 3 XA HUY^N MITONG LA TiNH SOI^ LA NAM 2014
Ding Bich Thuy*
Tru&ng Dgi hpc YDupc Thdi Binh T O M TAT
Nhim myc dich mo ta kiln thdc ve b#nh sdi cCia cdc bd m? c6 con di/di 5 hili t^i 3 xd Ihupc huypn Mudng La tinh Son La, nam 2014. nghidn cdu phdng vin theo b | cdu hdi clu tnic duvc thyc hi|n tren 385 bd mp ngu-dl ddn tpc Thdi vd H'mdng. Kit qud cho thiy: (i) Chl c6 38,2% bd mp co kien thdc dung v l ddc dilm Chung b§nh sdi, trong khi ty lp ngu'di khftng bilt Id 55,9% vd c6 kiln thdc sai Id 5.8% ; (ii) Cd 28,8%
bd mp CO kiln thdc dilng v l tri|u chipng phdt hidn bdnh sdi trong khi t^ Id khdng bilt Id 58,4% vd c6 kiln thdc sai Id 12,9% ; (iii) Co 19,5% bd me cd hilu bilt v l nhO'ng loai biln chdng cua b$nh sdi, trong khi t^ Id bd mp khong bill id 66.6% vd c6 kiln thdc sai id 13,9%. NhO'ng h^n chl trong kien thdc v l tipnh sdi ndu trdn thiy c l trdn nhdm cdc bd mp ngifdi ddn tic Thdi vd ngirdi H'mdng theo chieu hiFdng tirong tu nhu nhau Nghidn cdu nay ddt ra nhu d u tdng cu^ng tmyln thdng, gido dgc, trang b; kiln thirc v l bdnh sii n6i ridng, v l cdc bpnh djch truyin nhilm ndi chung trdn cd 2 nhdm bd mp ngwdi ddn tpc Thdi vd H'mdng sing trdn dia bdn nghidn cdu.
Td khoa: Kiln thijc bdnh sdl; bd mp cd con du'di 5 tuoi; ngirdi Thdi; ngir&i H'mdng; Son La.
I. D ^ T VAN DE
Bfnh sdi la mpt bpnh sfit phit ban cip tinh lay qua dufing hfl hap do vi nit sdi gay ra vi li rapt ttong nhimg benh nhiem vi rftt thudng gap nhit, efi khi ning truyfin nhiem rat cao v i phi bifin d ttfi era [1-4].
Tgi tinh Son La nhiing nim diu trifin khai liem chung mfi r^ng (TCMR) so lupng tre mie sdi rit Ifim, thufimg hinh thinh nhihig vy djeh lifin tiep tft nim niy qua nim khie. Nhd chuang trinh TCMR ty If ttfi mac sdi giim ding kfi, my nhifin ttj nim 2000 den nay San La di xiy ra 04 vy djeh sot phit ban dang sdi, gin day nhil Ii vy djeh cufli nim 2013 chuyen sang diu nira 2014 xiy ra tgi huyfin Mudng La, tinh Son La vfii tflng sfl mic li 138 tiardng hpp, toin bfi li ttfi em.
Ba mp Ii ngudi tryc tifip cham soe, nufli dufing ttfi, do dfi mpi thay doi bat thufimg cfta tre, bi mp li ngudi nhay cim nhat, diu tifin
phit hifn sy thay doi. Nhimg hieu biel cfta bi mp ve bpnh tat nfii ehung, bfnh sdi nfii rifing cfi y nghta dac bift quan ttpng dfli vfii vipc cham sfic, bio vp sue khofi ttfi em. Chi khi efi kifin thftc til ba me mfii cfi thfi nufii dufing tre tot, giftp cho tte phit trien khoe manh v i mdi cfi cic bifn phip phfing bfnh tfit nhat, Iam giim khi ning mac bfnh va tft vong efta tte [5].
Scm La Ii tinh efi nhifiu din tpe it ngufii, ttong dfi ngufii Thii v i ngudi H 'Mfing Ii nhftng dan tpe efi sfl lupng dong nhat ttong sfl eic din tfie thifiu sfi fi tinh Som la. Do cfin nhifiu khfi khin ttong ddi song va nhirng hgn ehe vfi dia- din cu nfin hifiu bifit vfi phdng chfing bfinh djch cua bi mp cfi nhftng hgn chl. Difiu niy khflng ttinh khfii inh hufimg tieu eye ldi vife ehim sfic, bio vf sue khfie tte em. Bi efi co sd thyc tien cho eong lic phdng ching djch benh sdi fi tre em, ehung tfli tien hinh nghien eftu niy vdi rape tifiu mo l i thye trang hifiu biel mpt sl d$e diem chinh ve djch tfi, trifu ehftng lim sing, biln chumg eua bfnh sdi ttfin eie bi mp dan
•Tic gia: D ^ g Bich Thiiy Dja chi: Trudng D^i hpc Y EJupc Thii Binh Dien thoai: 0985.201.899
Email: [email protected] 66
Ngdy n h ^ bii: 10/03/2015 Ngiy phin b i ^ : 30/04/2015 Ngiy dang bai: 20/04/2015
Tap chi Y hpc dy phfing. Tip XXV, Sfl 3 (163) 2015
tfie Thii vi H,Mflng tai mpt s l x i thufic huyfin Mudng La, tinh San La nam 2014.
H. PHU'ONG PHAP NGHIEN CLTU 2.1 Dja diem, dli tirpng ngbien cftu 2.1.1 Dia diem nghien cuu
Nghifin cftu dupc thyc hifn lai 3 xi li Ngpe Chien, Ta Bu, Chifing An cfta huypn Mudng La - tinh Som La
2.1.2 Doi tuang nghiin cuu
Bi mp CO eon dudi 5 tufii dang sflng tten dja bin nghifin eftu. Khflng ehpn vio nghifin cftu nhihig b i rap khfing efi khi ning hifiu v i dip ftng trong cic cufie phfing vin, nhung bi rae khfing nhin ldi tham gia cu^e nghifin cuu.
2.1.3 Th&i gian nghien cuu: Tu thdng 04 den thdng 06 ndm 2014.
2.2 Phuvng phip nghifin cihi 2 2.1 Ihiit ki nghiin cuu
Ap dyng thilt kfi nghifin eftu rafi ti eat ngang, sft dyng phuang phip nghifin cuu djnh lupng qua difiu tta xi hpi hpe.
2.2.2 Chpn mdu. c&mdu
Chpn dja diem: Chpn co chu dich 3 xa Ngpe Chifin, Ta Bu, Chifing An thupe huyfn Mufimg La tinh Son La li nhftmg dja phuong cfi djch
sdi xuat hipn lft 23/12/2013 den 17/4/2014. dfi phfing vin kifin thfte efta bi me efi con dufii 5 mfli WQ mfit sfi dae difim eua bfnh sfii.
C5 miu: Ap dyng theo eflng thuc tinh cd miu udc lupng rapt ty If:
„= g.-^p('-p) d^
Trong dfi: n li cd mau tfli thifiu efi thfi eho ude Iuang ty lp cic bi me efi kiln thftc dftng ve phdng bfnh sdi trong cfing dfing; p dupc mae dinh fi gia tri 50% (0,5); d li sai sl mong mufin, efi gii tti bing 10% ( 0,1). Kit qui tinh dupc n=385 bi me cfi con dufii 5 tufii.
Cach chpn mau: Cbpn ngiu nhien dom tix danh sich efta toin bp cac bi rae efi eon dudi 5 tuoi d 3 xi nghifin euu. Viee ehpn miu va tiep can vdi gia dmh va dli tupng do nhfira nghifin cftu phoi hpp vfii Tram y tfi xi lien hinh.
2.2.3 Ky thugt dp dung trong nghiin cuu Phdng van tryc liep doi tupng cic ba mp ve mpt so djc diem cua bfnh sdi theo miu phifiu ciu trfte di dupe ehuan bi trufic. Cin bp tham gia nghien cftu dupc tip huan thflng nhit ve cich hfii, giii thich vi ghi chfip Ihfing tin.
2.2.4 Xir ly, phdn tich so lieu
Sft dyng eae phin mfim Excel, Epidata 3.0!
vi SPSS 21.0 ttong thong ke, phan tieh ket qua ngbien eftu.
ID. KET QUA
Tgp ehi Y hpc dy phdng, Tip XXV, Sfl 3 (163) 2015
Sang 1. Kiln thijc cua bd mp v l m$t s l d|c dilm cua b ^ h sdi
Hi4ubietveb$nhs6i
La tinh trgng nhiSm vi nit c^p tlnli Co ichd ndng I3y truydn cao
C6 l<hS nSng t ) i ^ chimg cao va gSy nguy hiem Thudng gip d trd em
Tiem vie xin sin phong din^c b&nh l ^ b$nil C6 nguin truy^ nhiSm duy nhit Id ngu^i Vi Kit sdri I3y qua dirong h6 hip MiSn dich eua mg truyin cho tre C6 thi bSo v0 trong khoSng 6-9 thang
Trung binh ty i f %
Dunj S6lV9mg
155 151 152 149 201 94 144
40,3
%
39,2 39,5 38,7 52,2 24,4 37,4 34,0 38,2
Kien thl>c Sai S 6 l i f ^ g
29 11 15 16 2 65 23
n=385
7,5
%
2.9 3,9 4,2 0,5 14,3 6,0 7,3 5,8
Kh6ng S6ltr9ng
201 223 218 220 182 236 218
bilt 52,2
%
57,9 56,6 57,1 47,3 61,3 56,6
55,9
Kfit qui Bing 1 quacicgiatrittmngbmh^lf eho thiy chi cfi 38,2% bi me cfi ciu tri Idi dung, trong khi ^ If tri Ifii "khflng bilt" Ifin loi 55,9%, vi nfiu tinh chimg ca ty If cd kiln thfte sai thi ty lp ba mp khflng eo kifin thue eo ban ve bfnh
sfii len ldi gin 62%. Cy thi ed 39,2% bi me bilt bfnh co khi nang lay tmyen cao; 52,2%
bifil liem vie xin sdi cfi thfi phfing dupe bfnh;
34,0% b i me bill raifin djch cfta me truyfin eho ttfi cfi Ihl bio vf ttong khoang 6-9 thing.
Bdng 2. Kiln thi>c dung cua bd mp v l bpnh sdi, phdn tich theo ddn t$c
Kiln thiPC v l bpnh sdi
Ddnt$c H'mdng
(n=151) Thdi (n=234)
Chung (n=3B5) Sl
lu-yng Sd lu'p'ng
So luvng i^ tinh trang nhilm vi njt d p tinh
Cd M\i nang iSy truyin cao
Cd l(hd nang biln chi>ng cao va gay nguy hilm 48 59 57
31,8 39,1 37,7
107 92 95
45,7 39,3 40,6
155 151 152
40,3 39,2 39,6
<0,05
!-0,05
>0,05
Qua kfit qui Bing 2 cho thay: Ba me din tpe Thii hieu dung bfnh sdi Ii nhifim virut cip tinh dat 45,7%., cao hon so vdi bi mp din tfie H'mfing (31,8%), su khic biet co y ng-
hTa thong ke vfii p<0,05. Hifiu bilt cua ba me din tpe Thai vfi khi ning lay truyfin, khi ning efi biln chumg cua bfnh cung eao hom nhung khfing cd y nghTa tiiflng kfi.
Tgp ehi Y hpc dy phdng, Tgp XXV, Sfl 3 (163) 2015
Bang 3. Kiln thdc dftng v l djch t l cua b^nh sdi, phdn tich theo ddn t$c Ddn tpc
Kiln thiJc v l bpnh sdl
H'mdng fn=1S1)
Thdi (n=234)
Chung {n=385) Sl
luyng
S l luyng Chu y l u gIp d tid dtrd-i 10 tu4l
IA b&nh c6 ngu6n truyen nhilm duy nhit Id nguiri Vi nSt sdri iSy qua dudng h6 hip
60 24 52
39,7 15,9 34,4
89 70 92
38.0 29,9 39,3
149 94 144
38,7 24,4 37,4
<0,05
>0,05
>0,05
Bi mp din tpc Tbii bifit bfnh sfii cfi ngufin eao ban so vdi bi rae ngudi H'raflng li 15,9%.
timyfin nhilm duy nhit Ii ngudi chilm 29,9%, Sy khic bift niy efi y nghTa tiiong kfi voi p<0,05.
Bdng 4. Kiln thdc diing v l kha ndng phdng bpnh sdi, phdn tfch theo ddn t^c
Kiln thdc v l bdnh sdi
H'mdng (n=151)
Thdi (n=234)
lu-pmg S l Ivqmg
Chung (n=385) S l luyng Tiem vie xin sdi phdng duvc bdnh 76 Midn djch cua mp truyin cho trd cd the bao v | tning
khoang 6-9 thdng
50,3 34,4
125 53,4 79 33,8
52,2 >0,05 34,0 >0,05
Kfit qui Bing 4 eho thiy: Kifin thfte cua bi me dan lpc Thai ve tie dyng efta vaexin sdi vi thdi gia duy tri mien djch sau sinh dfiu eao
ban so vdi bi mp din tfle H'mdng (53,4% so vdi 50,3%), tuy nhifin sy khic bift khfing efi y nghia thfing kfi.
Bang 5. Kiln thdc cua bd mp v l tripu chdng t>$nh khi m i c sdi
Sit Ho, vidm long Nhip thd nhanh A^dm kit mpc mit Phdt ban Tmng blnh ty id %
D I U hipu khi mdc bdnh sdi Dung S l luvng %
Kiln thdc (n=385)
Sai Khdng bilt S l luvng % S l luvng % 62.6
37.4 9,9 6,8 37,9 28,8
3 49 96 89 13
0,8 12,7 24,9 23,1 3,4 12,9
180 192 251 270 226
46,8 49,9 65,2 70,1 58,7 58,4
KSt qua Bang 5 qua cic gii trj trung binh ty ty 1? tning binli ba me kliong co kidn thiic hojc 1$ cho thay: Chi c6 28,8% M m? co cau tii loi khdng c6 kien thiic co bdn vS cdc tri?u chting dting, trong khi ty 1? tra IM "khong bijt'' len tdi I t a sang chfnh ii phdt hi$n duijc benh scri a 58,4%, vd neu tinh chung cd so hilu bilt sai thi con mmh len loi ti^n 71%,
Tap chi Y hpc du phbng. Tap XXV, So 3 (163) 2015 69
Bdng 6. Kiln thdc cua bd mp v l biln chdng cfta b$nh sdl
Sit cao CO gipt Vidm tai giua Vidm thanh qudn Vidm phii Tidu chdy Vidm kit mpc Vidm ndo Tmng binh ty ip
Biln chdng cOa b$nh sd^
Kiln thdc (n=385)
DOng Sai Khdng bilt s l liFp'ng % S l lin^g % S l luvng %
142 63 26 106 112 31 45
36,9 16,4 6,8 27,5 29,1 8,1 11,7 19,5
11 69 77 28 37 80 74
2,9 17,9 20,0 7,3 9,6 20,8 19,2 13,9
232 263 282 251 236 274 266
60,3 65.7 73.2 65.2 61.3 71.2 69.1 66.6
Kfit qui Bing 6 eho thiy gii tii tmng binh ty If rit thip (19,5%) bi mp cfi eau tri Ifii dftng, ttong khi ty If tra Idi "khong bifit" Ifin ldi 66,6% (61,3-73,2%), vi nlu tinh chung c i sfl
hifiu bifit sai (13,9%) thi trung binh ty If bi m?
khfing cfi kien thfte hoae khong cfi kifin thftc ea bin ve cie Ioai bifin chumg do hiu qui bfnh sdi d tte em Ifin tdi ttfin 80% .
Bdng 7. Nguin cung cip thing tin v l b$nh sdl cho bd mp d 3 xa Nguin thdng tin So Iv^ng (n=385) Cdn b|, nhdn vien y t l xd, thdn
Tivi Bdo chi Tranh dnh, dp phich Loa tmyln thanh Ddi Ngudi thdn Ngudi hdng xdm
246 217
15 31
63,9 56,4
Qua kit qui bing 7 cfi thfi thiy ngufin cung cip thfing tin vfi benh sdi cho bi rap chu ylu l i qua hf thfing loa truyfin thanh tryc tiep ehiem 64,4%; do nhin vifin y tfi xi, thfln, bin 63,9%
vi qua tmyen hinh/ livi ehifim 56,4%. Cie nguon eung cap tbong tin khie nhu bio chi, dii, ngudi than... ehilm ly If khi thip (3,9%- 8,6%).
IV. BAN LUAN
Sdi li mpt benh do virus cip linh Iiy nhilm
cao cfi thfi din dfin nhftng bien ehftng ning vi tft vong. Tgi My v i mOt s l quoc gia, khu vyc khic tten thi gioi m^c dft da thflng bio logi trft dupc bpnh sdi nhung dfin nay nhifiu vy djch xuat hifin ttd lgi. Tgi Vift Nam, sy bftng phit efta eic vy dich sdi nira 2009 hay gin diy hom, vy djch sdi nim 2013-2014 ttfin dipn rpng di cho thay vifc kifim soit, logi tru bfnh sdi li mpt qua trinh khd khan, phue tgp, Mpt ttong cic Iy do bpnh sdi bftng phit ttong cpng ding Ii do kiln thfte vl bpnh soi cflng nhu vl tifim ehftng phfing bpnh cfin ed sy Ifch lgc vi hgn chfi, trude hit Ii d cie bi me [6].
70 Tgp chi Y hpc dy phfing, Tgp XXV, S l 3 (163) 2015
Kfit qua nghifin cftu cfta ehung tfii tren dja bin 3 xa mifin nfti Muong La, noi sinh sfing cfta dfing bio cie din toe Thii va H'mdng cho thiy mpt thyc tfi ding bio dpng efi thfi tgo ra nhftng lfi hong vfi phfing chflng bfnh sdi ttong cpng dflng. Dfi l i cfi mpt ly lp rit cao eic b i me efta ttfi dudi 5 tufii khfing cfi hoic khong CO dft kifin thftc, hifiu bifit ca bin ve bfinh sdi, vfi cich thfte liy truyfin v i eieh thfte phong bfnh scri, die bift li dy phfing bing viee tifim ehftng vie xin. Kfit qui difiu tta efi gin 62% b i mp khong efi hifiu bill chung vfi dich tl bfnh sdi, ttfin 71% khfing bifit vfi cic bifiu hifn lam sang thufimg thiy d con em minh khi mac sdi vi cfi ldi tten 80% bi me khflng bifit boac bill sai vfi biln ehftng khi mic sfii, d i chung minh cho nhin djnh ttfin efta ehung tfii. Cie kfit qui eua rafit s l nghien cuu tgi nhftng khu vyc khic nhau a nude ta [2, 5, 7] cung cho thiy tinh trgng Ihieu hieu bifit hoac hifiu bifit chua dung din vfi bin chit tic nhin vi nil sdi, vl dudng lay truyfin, vfi trifu ehftng v i biln chung bpnh sfii vi nhat la ve Ipi ich cua tifim ehftng dft miii, dftng Iich vie xin sdi...cfin dang Ii nhirng "Io hong" ttong eflng eu$e phfing chong dich bfnh sfii hifn nay.
Ket qui nghifin cuu cua ehung tfii cbo tbay nhftng bi me cfi con dudi 5 tufli ngufii din tpc Thii nhin ehung efi hieu bilt vl bpnh sdi eiing nhu cich phit hifn, phong bfnh sdi nfii ehung cfi ehifiu hufimg cao han b i rae ngufii H'mfing, luy nhifin sy Ichie bipt niy khfing ro ring (the hien qua kfit qui kifim djnh thing ke) d hiu hit chi tifiu so sinh. Nhu vgy cie bi me fi ci 2 dan tpc Thii vi H'mfing trong dja bin nghifin cuu thupc tuih mifin nfti San La dfiu cin dupe sy quan lira hon nfta eua hf tiifing y ll dia phuong vi eie dy in sue khoe nhim nang cao kien thftc va hieu bifil vfi bfinh sfii vi phfing chflng sfii.
Tgi Vifl Nam, sy hifiu bifit nhirag kien thftc vl chim sdc sftc khfie ndi chung, ve bfnh sdi vi cich tiiftrc phdng chflng bfnh sfii nfii rieng cua cie bi m? phy thupc mpt pbin vio ein bfl y tl ea sd, d?c bifii li cin bp y tfi thfin, bin, trgm y tfi. Diy li nhftng ngudi ttiyfin ttuyen, phfi bifin kiln thftc, ky nang thye hinh cho cic bi m? vi
Ii ngirdi tifip xftc dau tifin, gan gui nhit vfii tre bj mic sfii. Khi dfta trfi bj mic sfii cic bi mp mang con dfin trgm y te xi dfi duoe ttr vin, hudng dan dieu tti vi chim sfic tiieo dfii. NIU bi rap cd kiln thuc tfit viec phfli hpp vdi eic thay thufic ttong difiu tri vi chira sfic trfi se tfit hom vi thdi gian Im cfta ttfi se nil ngin han. Trong nghifin euu cua ehftng toi eho tiiay ngufin cung e ^ thflng tin vfi bpnh sdi eho ba mp ehu yeu li cin bp, nhin vifin y tfi xi, thfin, ban (63,9%) bfin eanh nhiing hf thong tmyln thong vfln cfi thi mgnh a cfing dfing hifn nay nhu hf thfing loa tmyfin thanh hay qua tmyfin hinb. Thudng xuyen bfl sung, tgp huin kiln thftc, thyc hinh phfing chflng djeh bfnh sfii eho he thflng nhin vifin y le co sd (thfln, bin, xi) ben cgnh vifc quan tam tfii dot sfing cua hp, li nhftng van dfi rit ein thifit, nfii Ifin hifn nay, gfip phin quan trpng eho efing eupe phong chfing djch, tifin ldi logi trft benh sdi d nudc la.
V. K E T L U ^
Difiu tta phfing vin 385 bi mp ngufii din tpc Thii vi H'mong efi eon dudi 5 tufii tgi 3 xi thupe huyfn Mufimg La tinh San La, nam 2014, ehung toi nhan tbay:
Chi cfi 38,2% b i rae cfi kien thue dftng vfi d$c difira ehung bfnh sdi;
Cfi 28,8% ba m? ed kiln thuc dftng vfi trifu ehftng bfnh sfii;
Cfi 19,5% bi mp ed hifiu bilt dung vfi nhiimg Ioai bifin ehftng efta bfnh sdi.
Nhung hgn chfi trong kifin thue vfi bfnh sdi nfiu tren thiy e i tten nhfim eic ba mp ngufii dan tflc Thai va ngudi H'mflng theo chieu hudng tuong ty nhu nhau, dit ra nhu cau cin quan tim tmyfin thong, giao dyc, trang bj thfim kiln thfte vfi bfnh sdi ttfin c i 2 nhfim ba mp sflng trfin dja bin nghifin ciru.
L&i cdm an:
Chung tfii trin ttpng eim an Trung tira Y tl dy phdng tinh Son la, Trung tim y tfi huyfn Mudng La, eie Trgm ytevieinbflytfixa Ngpc Chifin, Tg Bft, Chieng An da ho trp nhfim nghifin cuu trong suit qua trinh thye hifn dfi tai niy.
Tap ehi Y hpe dy phdng. Tip XXV, S l 3 (163) 2015 71
TAI LIEU THAM KHAO
1 Phan Trong Lan vi CS. D$c diSm djch ti v\i djch sdi tgi khu v ^ phia nam \^pt Nam, 2013 - 2014.
Tgp chi Y hpc dy phdng, 2014. Tgp XXIV, so 3(152): 19.
2. Phan \ ^ Ndra. D$c ^km dich te hpc va ISm sdng bfnh soi 6 khoa Nhi benh vifn Da khoa Vinh Lcmg, 2001-2002. Tap chi Y hpc thdnh phd H6 Chi Minh, 2004.75p8:6.
3. Donas A., A. Marty-Nussbaumer, H. P. Roost, et al (2014), "Measles epidemic in a highly developed country: low mortality, high morbidity and exten- sive costs", Klin Padiatr, 226(1), pp, 13-18.
4 Zhang X., G. Kou, H. Du, et aL Measles epidemi- ology and survey of measles immunity level among healthy population in Baoji City, Shaanxi Province,
China, 2013. Jpn J tofect Dis, 66(5): 449-453.
HujTih Giao, Phgm IA An. Kien thftc, thdi dp ciia cdc ba mp c6 con dudi 1 tuoi v^ tiem chiing md rpng, thuoc chung phli hpp, thuoc chiing rotavirus, Human Papiloma virus tgi benh vifn Nhi Ding 2 \i qu|n Tan Phu thanh phd Hd Chi Minh ndm 2009.
Tap chi Y hpc thyc hanh, 2010. T ^ XIV, so 2.
Gastanaduy P. A., S. B. Redd, A. P. Fiebelkom, et al.
Measles - United States, January 1-May 23, 2014, MMWR Morb Mortal Wkly Rep, 2014 63{22):
496499.
Giang Vi Nhan. Tun hieu nhan thuc, diai d$ va hanh vi ciia cdc ba mp cd con ti!i 5-10 tuli v^ chiing ngira bfnh sdi lan 2 tgi Phuong Due thanh pho Hue. Lugn vdn thgc sy Y te cong cpng, Tnrong Dgi hpc Y Dupc Hui.
KNOWLEDGE ON MEASLES IN MOTHERS HAVING CHILDREN UNDER 5 YEARS OLD OF THE THAI AND H'MONG ETHNICS AT MUONGLA DISTRICT SONLA PROVINCE IN 2014
Dang Bich Thuy
Thai Binh University of Medicine and Pharmacy
In order to describe a knowledge on mea- sles in mothers who are having children un- der 5 years old a cross-secttonal survey of 385 mothers of the Thai and H'mong ethnic popu- lations m Muongia disttict Sonla provmee was conducted. The results showed that: (i) There was only 38,2% of mothers ofthe both relevant ethnics having a correct knowledge of common characteristics of measles while a proportion of mothers who were a no-having and having in- eorreel knowledge was about 62% (ii) There was 28,8% of tiie mothers having a correct knowl- edge of some cUnical reraarks of measles how- ever a proportion of motheis who's no-having and having incorrect knowledge was reached to 71% (iii) There was only 19,5% of mothers
to have a conect knowledge about the common eomplieations of measles while a proportion of mothers who's no-having and having incorrect knowledge was over to 80%.
These limitations of a knowledge on mea- sles in mothers who are having children under 5 years old were showed in the both relevant ethnic minorities ofthe Thais and the H'mong populations. The results of this study once lo take a requueraents to strengthen a communi- cation, information and education on measles as well as on a communicable diseases control and prevention for the regarding mothers.
Keywords: Knowledge on measles, moth- er of children under 5 years old. Thai ethnic, H'mong ethnic, Sonla province.
Tgp chl Y hpc dy phfing. Tip XXV, Sl 3 (163) 2015
