Health Education Diagnosis And Intervention Strategies Discussion Of Indoor Air Pollution In The Rural Areas In Guizhou Province

ObjectivesBy qualitative and quantitative investigation, we try to understand distributing status of the factors that result in indoor air pollution (IAP) in the objective population, and if there are some special characteristics in local areas. We also try to find the emphasis of stove improving intervention and health education intervention, and establish a draft framework or strategy of the next intervention. MethodsWe uses both qualitative and quantitative research ways. First, we collect data by questionnaire survey and statistic analysis to understand IAP factors distributing in the objective population, and to know the impact factors of IAP related behaviors, the intention to receive stove improving and the intention to receive health education intervention. Second, we use some qualitative research ways such as workshop observation, qualitative interview, photograph and video, etc, to understand the natural factors and social factors that result in IAP in local areas. ResultsThe habitation status, income and educational level are low. The main fuel the use is coal and primary biomass, such as wood, crop stalks, etc. They use more coal than biomass. 99.2% households have coal stoves. 99.6% coal stoves have chimney. But the extending outside rate of chimney is low (26.2%). 43.3% households have Zao(a kind of stove). 38.2% Zao have flues. They lack of IAP related knowledge and their IAP related behavior level is low. The firing rate of corn and chilli is high (58.6%, 85.1%), and only12.2% households store their grain in container with lids. The main impact factors of the low level of IAP behaviors are the low quality stoves and lacking of IAP related knowledge. 79.6% people are like to receive health education. Sex, IAP related knowledge and if be stimulated while cooking are the main impact factors of the intention of receive health education. The intention to receive stove improving has the same impact factors as the intention to receive health education. ConclusionA serious of intervention points exist in the objective population, including communicating IAP knowledge, improving stoves, using stove properly and repairing them in time, drying, storing and washing corn and chilli in correct ways, etc. We should use the local area resources efficiently and integrate different health education/health promotion mode to enhance their cognition level of IAP and its harm, to reduce their IAP related harmful behaviors, to promote them adopting safe behaviors, so as to reduce their exposure to IAP, prevent the diseases resulting from IAP, and improve their life quality.