关键词: 血吸虫病, 重度流行区, 知识-态度-行为指数, 层次分析法

Abstract: Objective   To explore a comprehensive evaluation method of knowledge, attitude and behavior （KAP） about schistosomiasis control among students of susceptibility zone in lake region.  Methods   A comprehensive KAP evaluation indicator system was developed by using analytic hierarchy process （AHP）. The system consists of three layers. First-layer indices include knowledge, altitude and behavior of schistosomiasis control. 17 specific parts compose second-layer indices. Third-layer indices have 30 specific aspects. The experts were invited to provide comments for these indicators, and indicator weights were formulated by using AHP. A questionnaire survey was conducted among students of grade 3 and 4 from Central Primary School， Liyuzhou Primary School and Meichi Primary School in Wuxing Farm. Status of health education for schistosomiasis was evaluated by this method.   Results   In the indicator system， the weights of behavior， altitude and knowledge were 0.54, 0.30, and 0.16, respectively. The average score of KAP indicator was 8.45. The score for behavior, altitude and knowledge indicators was 8.86, 8.90, and 6.25, respectively. The scores of some indicators such as fishing outside and inside levee, washing outside levee and grazing in marshland were 8.17-9.29.  Conclusion   This comprehensive evaluation method can be used to evaluate basic situation and effect of health education in schistosomiasis intervention. The health education should be strengthened in the survey site.

Key words: Schistosomiasis； Highly endemic area； Knowledge-altitude-behaviour index； Analytic , hierarchical process