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目的了解我国血吸虫病流行农村地区人群建造卫生厕所的需求、支付意愿及影响因素。方法于2007年6—11月,在目前仍然存在血吸虫病流行的湖南、湖北、江西、安徽、江苏、云南、四川7个省,每省随机抽取2个流行县,每县选取3个流行村,每村随机抽取30名居民进行问卷调查。结果在中国血吸虫病流行的农村地区,干净、卫生、方便等提高生活质量的需求是农户建造、使用卫生厕所的主要原因;98%以上的使用非卫生厕所的农户愿意支付一定的建造经费,多数农户的支付意愿在100~500元之间;缺少资金、技术、劳动力等是影响使用非卫生厕所农户自行建造卫生厕所的主要限制因素;了解“改水改厕”以及了解“消灭钉螺”、“家畜圈养”等血吸虫病预防措施的居民愿意出资建造卫生厕所的比例高于“不知道血吸虫病预防措施”的居民。结论中国血吸虫流行农村地区使用非卫生厕所人群对建造卫生厕所的需求强烈,并有一定的支付意愿和支付能力;加强血吸虫病卫生知识的宣传可以提高血吸虫流行农村地区使用非卫生厕所人群对建造卫生厕所的需求和支付意愿。
Objective To understand the demand, willingness to pay and the factors that affect the construction of sanitary latrines in rural areas where schistosomiasis prevalence in our country. Methods From June to November, 2007, there are still seven endemic areas of Hunan, Hubei, Jiangxi, Anhui, Jiangsu, Yunnan and Sichuan with schistosomiasis endemic. Two endemic counties are randomly selected in each province, and three endemic villages are selected in each county , Each village randomly selected 30 residents to conduct a questionnaire survey. Results In rural areas where schistosomiasis prevalence was the main reason for improving the quality of life in the areas of cleanliness, sanitation and convenience were the main reasons for the construction and use of sanitary latrines. More than 98% of the households using non-sanitary latrines were willing to pay a certain amount of construction funds. The majority The willingness of farmers to pay is between 100 and 500 yuan. The lack of capital, technology and labor force are the major limiting factors that affect the use of non-sanitary latrine households to build sanitary latrines. They also know about “ Residents of schistosomiasis prevention measures such as ”“, ”livestock captives “ are willing to contribute to the construction of sanitary latrines in a higher proportion than those who ”do not know the prevention of schistosomiasis". Conclusions There is a strong demand for sanitation latrines for people living in non-sanitary latrine clinics in China’s endemic areas of schistosomiasis, with a willingness to pay and a willingness to pay. Strengthening publicity on schistosomiasis health can increase the prevalence of schistosomiasis among people using non-sanitation latrines in rural areas. Toilet needs and willingness to pay.