Ko ngā kupenga waeroa roa-roa kua rongoatia ki ngā patu pepeke (ILN) e whakamahia whānuitia ana hei ārai tinana hei ārai i te mate malaria. I Āwherika ki te tonga o te Sahara, ko tētahi o ngā wawaotanga nui hei whakaiti i te mate malaria ko te whakamahinga o ngā ILN. Heoi, he iti noa ngā mōhiohio mō te whakamahinga o ngā ILN i Etiopia. Nō reira, ko te whāinga o tēnei rangahau he aromatawai i te whakamahinga o ngā ILN me ngā āhuatanga e pā ana ki ngā whare i te Rohe o Arsi ki te Hauāuru, te Kāwanatanga o Oromia, te Tonga o Etiopia i te tau 2023. I whakahaerehia he rangahau whakawhiti-wāhanga e hangai ana ki te taupori i te Rohe o Arsi ki te Hauāuru mai i te 1 ki te 30 o Mei 2023 me te tauira o te 2808 whare. I kohia ngā raraunga mai i ngā whare mā te whakamahi i tētahi pātai hanganga i whakahaerehia e te kaiuiui. I tirohia ngā raraunga, i whakakōwaea, ā, i whakaurua ki roto i te Epiinfo putanga 7, kātahi ka horoia, ka tātarihia mā te whakamahi i te SPSS putanga 25. I whakamahia te tātari whakaahua hei whakaatu i ngā auau, ngā ōwehenga me ngā kauwhata. I tatauhia te tātaritanga taunga logistic rua, ā, i tīpakohia ngā taurangi me ngā uara p iti iho i te 0.25 hei whakauru ki te tauira maha-taurangi. I whakamāramahia te tauira whakamutunga mā te whakamahi i ngā ōwehenga ōrite kua whakatikatikaina (95% te wā whakawhirinaki, te uara p iti iho i te 0.05) hei tohu i te hononga tatauranga i waenga i te putanga me ngā taurangi motuhake. Tata ki te 2389 (86.2%) ngā whare he kupenga patu pepeke roa te pumau ka taea te whakamahi i te wā e moe ana. Heoi, ko te whakamahinga whānui o ngā kupenga patu pepeke roa te pumau he 69.9% (95% CI 68.1–71.8). He hononga nui te whakamahinga o ngā kupenga patu pepeke roa te pumau ki te noho hei upoko wahine o te whare (AOR 1.69; 95% CI 1.33–4.15), te maha o ngā rūma motuhake i roto i te whare (AOR 1.80; 95% CI 1.23–2.29), te wā i whakakapia ai te kupenga patu pepeke roa te pumau (AOR 2.81; 95% CI 2.18–5.35), me te mōhiotanga o te kaiwhakautu (AOR 3.68; 95% CI 2.48–6.97). He iti te whakamahinga whānui o ngā kupenga patu pepeke roa-roa i waenga i ngā whare i Etiopia ki te whakataurite ki te paerewa ā-motu (≥ 85). I kitea i roto i te rangahau ko ngā āhuatanga pēnei i te upoko wahine o te whare, te maha o ngā rūma motuhake i roto i te whare, te roa o te whakakapinga o ngā kupenga patu pepeke roa-roa me te taumata mōhiotanga o ngā kaiwhakautu he tohu mō te whakamahinga LLIN e ngā mema o te whare. Nō reira, hei whakanui ake i te whakamahinga LLIN, me whakarato e te Tari Hauora o te Rohe o West Alsi me ngā kaipupuri hea ngā mōhiohio e tika ana ki te marea me te whakapakari i te whakamahinga o te LLIN i te taumata whare.
He raruraru nui te mate pāwera o te ao whānui, ā, he mate hopuhopu e nui ai te mate me te mate. Nā te pirinoa protozoan o te momo Plasmodium te mate, e horahia ana mā te ngau a ngā waeroa wahine Anopheles1,2. Tata ki te 3.3 piriona tāngata kei te mōrearea ki te mate pāwera, ā, ko te mōrearea nui rawa atu i Awherika ki te tonga o te Sahara (SSA)3. E whakaatu ana te pūrongo a te World Health Organization (WHO) 2023 ko te haurua o te taupori o te ao kei te mōrearea ki te mate pāwera, me te tata ki te 233 miriona ngā take o te mate pāwera i roto i te 29 whenua, ā, tata ki te 580,000 tāngata e mate ana, ko ngā tamariki kei raro iho i te rima tau me ngā wāhine hapu ngā mea tino pāngia3,4.
Kua whakaatuhia e ngā rangahau o mua i Etiopia ko ngā āhuatanga e pā ana ki te whakamahinga o te kupenga namu mō te wā roa ko te mōhiotanga ki ngā tauira tuku mai o te malaria, ngā mōhiohio e whakaratohia ana e ngā kaimahi toronga hauora (HEW), ngā kaupapa pāpāho, te mātauranga i roto i ngā whare hauora, ngā waiaro me te kore whakamarie tinana ina moe i raro i ngā kupenga namu mō te wā roa, te kore e taea te whakairi i ngā kupenga namu mō te wā roa, te koretake o ngā whare hei whakairi i ngā kupenga namu, te koretake o ngā wawaotanga mātauranga, te korenga o ngā taputapu kupenga namu, ngā mōrearea malaria, me te kore mōhio ki ngā painga o ngā kupenga namu. 17,20,21 Kua whakaatuhia hoki e ngā rangahau ko ētahi atu āhuatanga, tae atu ki te rahi o te whare, te tau, te hītori whara, te rahi, te āhua, te tae, me te maha o ngā wāhi moe, e hono ana ki te whakamahinga o te kupenga namu mō te wā roa. 5,17,18,22 Heoi, kāore i kitea e ētahi rangahau he hononga nui i waenga i te taonga o te whare me te roa o te whakamahinga o te kupenga namu3,23.
Kua kitea he nui ake te whakamahinga o ngā kupenga waeroa roa, he nui hei whakanoho ki ngā wāhi moe, ā, he maha ngā rangahau i roto i ngā whenua e horapa ana te malaria kua whakaū i tō rātou uara ki te whakaiti i te whakapā atu o te tangata ki ngā kawe malaria me ētahi atu mate e horapa ana te malaria7,19,23. I roto i ngā rohe e horapa ana te malaria, kua whakaatuhia te tohatoha o ngā kupenga waeroa roa ki te whakaiti i te maha o ngā mate malaria, te mate kino, me ngā mate e pā ana ki te malaria. Kua whakaatuhia te whakaiti a ngā kupenga waeroa i rongoatia ki ngā patu pepeke i te maha o ngā mate malaria mā te 48–50%. Mena ka whakamahia whānuitia, ka taea e ēnei kupenga te ārai i te 7% o ngā mate kei raro iho i te rima tau te pakeke puta noa i te ao24, ā, e pā ana ki te whakaiti nui i te mōrearea o te taumaha whānau iti me te ngaronga o te pēpi25.
Kāore i te mārama te nui o te mōhio o te tangata ki te whakamahinga o ngā kupenga patu pepeke roa-roa, me te nui hoki o tā rātou hoko mai. Me āta tirotiro ngā kōrero me ngā kōrero pakiwaitara mō te kore whakairi kupenga, te whakairi hē me te kore e tika te tūranga, me te kore e whakatau i ngā tamariki me ngā wāhine hapu. Ko tētahi atu wero ko te tirohanga a te marea mō te tūranga o ngā kupenga patu pepeke roa-roa i roto i te ārai i te malaria. 23 He nui te mate malaria i ngā rohe mania o te Rohe o West Arsi, ā, he iti noa ngā raraunga mō te whakamahinga o ngā kupenga patu pepeke roa-roa i roto i te whare me te hapori. Nō reira, ko te whāinga o tēnei rangahau he aromatawai i te whānui o te whakamahinga o ngā kupenga patu pepeke roa-roa me ngā āhuatanga e pā ana ki roto i ngā whare i West Arsi County, Oromia Region, te tonga-mā-uru o Etiopia.
I whakahaerehia he rangahau ā-hapori i te 1 ki te 30 o Mei 2023 i te Rohe o Arsi ki te Hauāuru. Kei te Rohe o Oromia i te tonga o Etiopia te Rohe o Arsi ki te Hauāuru, 250 kiromita mai i Addis Ababa. Ko te taupori o te rohe he 2,926,749, arā, 1,434,107 tāne me 1,492,642 wāhine. I te Rohe o Arsi ki te Hauāuru, e 963,102 tāngata i roto i ngā rohe e ono me te tāone kotahi e noho ana i roto i te mōrearea nui ki te malaria; heoi, e iwa ngā rohe kāore he malaria. E 352 ngā kāinga o te Rohe o Arsi ki te Hauāuru, 136 o ēnei e pāngia ana e te malaria. O ngā pou hauora e 356, 143 he pou whakahaere malaria, ā, e 85 ngā pokapū hauora, 32 o ēnei kei roto i ngā rohe e pāngia ana e te malaria. E toru i roto i te rima ngā hōhipera e rongoā ana i ngā tūroro malaria. He awa me ngā wāhi whakamakuku kei te rohe e tika ana mō te whakatipu namu. I te tau 2021, i tohatohahia e 312,224 ngā patu pepeke roa-ora ki te rohe hei urupare āwhati, ā, i tohatohahia e te tuarua o ngā puranga o te 150,949 ngā patu pepeke roa-ora i te tau 2022-26.
I whakaarohia ko te taupori pūtake ko ngā whare katoa i te rohe o Alsi ki te Hauāuru me te hunga e noho ana i te rohe i te wā o te rangahau.
I tīpakohia matapōkeretia te taupori rangahau mai i ngā whare katoa i whai mana i te rohe o Alsi ki te Hauāuru, tae atu ki te hunga e noho ana i ngā rohe he nui te mōrearea ki te malaria i te wā o te rangahau.
I whakaurua ki te rangahau ngā whare katoa kei roto i ngā kāinga kua tohua o te Rohe o West Alsi, ā, e noho ana i te rohe rangahau neke atu i te ono marama.
Ko ngā whare kāore i whiwhi i ngā LLIN i te wā tohatoha, me te hunga kāore i kaha ki te whakautu mai nā te ngoikore o te whakarongo me te kōrero, i tangohia atu i te rangahau.
I tatauhia te rahi o te tauira mō te whāinga tuarua o ngā āhuatanga e pā ana ki te whakamahinga LLIN i runga i te tātai ōwehenga taupori mā te whakamahi i te pūmanawa rorohiko tatauranga Epi info putanga 7. Mēnā he 95% CI, he 80% te mana, ā, he 61.1% te reiti putanga i roto i te rōpū kāore i pāngia, i tangohia te whakaaro mai i tētahi rangahau i whakahaerehia i waenganui o Īnia13 mā te whakamahi i ngā upoko whare kāore i te mātauranga hei taurangi āhuatanga, me te OR o te 1.25. Mā te whakamahi i ngā whakaaro o runga ake nei me te whakataurite i ngā taurangi me ngā tau nui, i whakaarohia te taurangi "upoko whare kāore i te mātauranga" mō te whakatau rahi tauira whakamutunga, nā te mea i whakaratohia he rahi tauira nui o te 2808 tāngata.
I tohaina te rahi o te tauira kia rite ki te maha o ngā whare i ia kāinga, ā, e 2808 ngā whare i tīpakohia mai i ngā kāinga mā te whakamahi i te tikanga tauira matapōkere ngāwari. I tangohia te tapeke o ngā whare i ia kāinga mai i te Pūnaha Mōhiohio Hauora o te Kāinga (CHIS). I tīpakohia te whānau tuatahi mā te rota. Mena i kati te kāinga o te kaiuru o te rangahau i te wā o te kohikohinga raraunga, e rua ngā uiuinga whai muri i whakahaerehia, ā, i kiia tēnei he kore whakautu.
Ko ngā taurangi motuhake ko ngā āhuatanga pāpori taupori (tau, tūnga marena, whakapono, mātauranga, mahi, rahi o te whānau, wāhi noho, iwi me te moni whiwhi ia marama), taumata mōhiotanga me ngā taurangi e pā ana ki te whakamahinga roa o ngā kupenga patu pepeke.
Tekau mā toru ngā pātai i pātaihia ki ngā whare mō te mōhiotanga ki te whakamahinga o ngā patu pepeke roa-ora. Kotahi te tohu i hoatu ki te whakautu tika, ā, kotahi te tohu i hoatu ki te whakautu hē. I muri i te whakarapopototanga o te kaute a ia kaiuru, ka tatauhia he kaute toharite, ā, ko ngā kaiuru he kaute kei runga ake i te toharite i kiia he "mōhiotanga pai" ā, ko ngā kaiuru he kaute kei raro iho i te toharite i kiia he "kore" te mōhiotanga ki te whakamahinga o ngā patu pepeke roa-ora.
I kohia ngā raraunga mā te whakamahi i ngā pātai hanganga i tukuna kanohi ki te kanohi e te kaiuiui, ā, i tangohia mai i ngā tuhinga maha2,3,7,19. I whakaurua ki te rangahau ngā āhuatanga pāpori-taupori, ngā āhuatanga taiao me te mōhiotanga o ngā kaiuru ki te whakamahinga o ISIS. I kohia ngā raraunga mai i te 28 tāngata i te wāhi wera o te malaria, i waho o ō rātou wāhi kohikohi raraunga, ā, i tirotirohia ia rā e te 7 tohunga malaria mai i ngā whare hauora.
I whakaritea te pātai i te reo Pākehā, ā, i whakamāoritia ki te reo o te rohe (Afan Oromo), kātahi ka whakamāoritia anō ki te reo Pākehā hei tirotiro i te ōritetanga. I whakamātauria i mua te pātai ki te 5% o te tauira (135) i waho o te whare hauora o te rangahau. Whai muri i te whakamātautau i mua, i whakarerekētia te pātai kia mārama ai, kia māmā ake ai hoki te whakatakoto kupu. I whakahaerehia ngā tirotiro horoi raraunga, te whakaoti, te whānuitanga me te arorau i ia wā, hei whakarite i te kounga o ngā raraunga i mua i te whakaurunga raraunga. Whai muri i te tirotiro ki te kaiwhakahaere, i tangohia ngā raraunga katoa kāore i oti, kāore hoki i te ōrite i roto i ngā raraunga. I whiwhi ngā kaikohi raraunga me ngā kaiwhakahaere i tētahi whakangungu kotahi te rā mō te pehea me te aha ngā mōhiohio hei kohikohi. I aroturukihia e te kairangahau ngā kaikohi raraunga me ngā kaiwhakahaere hei whakarite i te kounga o ngā raraunga i te wā e kohikohi ana i ngā raraunga.
I tirohia ngā raraunga mō te tika me te ōritetanga, kātahi ka whakakōwaea, ka whakaurua ki te Epi-info putanga 7, kātahi ka horoia, ka tātarihia mā te whakamahi i te SPSS putanga 25. I whakamahia ngā tatauranga whakaahuatanga pēnei i ngā auau, ngā ōwehenga, me ngā kauwhata hei whakaatu i ngā hua. I tatauhia ngā tātaritanga taurite rua-taurangi, ā, i tīpakohia ngā taurangi-rua me ngā uara p iti iho i te 0.25 i roto i te tauira taurangi-rua hei whakauru ki te tauira maha-taurangi. I whakamāramahia te tauira whakamutunga mā te whakamahi i ngā ōwehenga ōrite kua whakatikatikaina, ngā wā whakawhirinaki 95%, me ngā uara p < 0.05 hei whakatau i te hononga i waenga i te putanga me ngā taurangi motuhake. I whakamatautauria te maha-taurangi mā te whakamahi i te hapa paerewa (SE), he iti iho i te 2 i roto i tēnei rangahau. I whakamahia te whakamātautau pai-o-te-taunga a Hosmer me Lemeshow hei whakamātautau i te taunga o te tauira, ā, ko te uara p o te whakamātautau a Hosmer me Lemeshow i roto i tēnei rangahau ko te 0.746.
I mua i te whakahaerenga o te rangahau, i whiwhi whakaaetanga matatika mai i te Komiti Matatika Hauora o te Rohe o West Elsea i runga anō i te Whakapuakitanga o Helsinki. Whai muri i te whakamārama i te kaupapa o te rangahau, i whiwhi reta whakaaetanga mana mai i ngā tari hauora o te rohe me te tāone kua tohua. I whakamōhiotia ngā kaiuru o te rangahau mō te kaupapa o te rangahau, te noho muna, me te tūmataitinga. I whiwhi whakaaetanga ā-waha mai i ngā kaiuru o te rangahau i mua i te tukanga kohikohi raraunga tuturu. Kāore i tuhia ngā ingoa o ngā kaiwhakautu, engari i tohaina he waehere ki ia kaiwhakautu hei pupuri i te noho muna.
I roto i ngā kaiwhakautu, ko te nuinga (2738, 98.8%) kua rongo mō te whakamahinga o ngā patu pepeke roa-ora. Mō te pūtake o ngā mōhiohio mō te whakamahinga o ngā patu pepeke roa-ora, ko te nuinga o ngā kaiwhakautu 2202 (71.1%) i whiwhi mai i ā rātou kaiwhakarato hauora. Tata ki te katoa o ngā kaiwhakautu 2735 (99.9%) i mōhio ka taea te whakatika i ngā patu pepeke roa-ora kua pakaru. Tata ki te katoa o ngā kaiuru 2614 (95.5%) i mōhio ki ngā patu pepeke roa-ora nā te mea ka taea e rātou te ārai i te malaria. Ko te nuinga o ngā whare 2529 (91.5%) he mōhiotanga pai mō ngā patu pepeke roa-ora. Ko te toharite o te mōhiotanga o te whare mō te whakamahinga o ngā patu pepeke roa-ora he 7.77 me te paerewa rerekētanga o te ± 0.91 (Ripanga 2).
I roto i te tātaritanga takirua o ngā āhuatanga e pā ana ki te whakamahinga kupenga namu mō te wā roa, ko ngā taurangi pēnei i te ira tangata o te kaiwhakautu, te wāhi noho, te rahi o te whānau, te tūnga mātauranga, te tūnga marena, te mahi a te kaiwhakautu, te maha o ngā rūma motuhake i roto i te whare, te mōhiotanga ki ngā kupenga namu roa, te wāhi i hokona ai ngā kupenga namu roa, te roa o te whakamahinga kupenga namu roa, me te maha o ngā kupenga namu i roto i te whare i honoa ki te whakamahinga kupenga namu roa. Whai muri i te whakatikatika mō ngā āhuatanga whakapoauau, ko ngā taurangi katoa me te uara-p < 0.25 i roto i te tātaritanga takirua i whakaurua ki roto i te tātaritanga whakatauira logistic maha-taurangi.
Ko te whāinga o tēnei rangahau he aromatawai i te whakamahinga o ngā kupenga patu pepeke roa-roa me ngā āhuatanga e pā ana ki tēnei i roto i ngā whare i te Rohe o Arsi ki te Hauāuru, Etiopia. I kitea i roto i te rangahau ko ngā āhuatanga e pā ana ki te whakamahinga o ngā kupenga patu pepeke roa-roa ko te ira wahine o ngā kaiwhakautu, te maha o ngā rūma motuhake i roto i te whare, te roa o te wā e hiahiatia ana hei whakakapi i ngā kupenga patu pepeke roa-roa, me te taumata mōhiotanga o ngā kaiwhakautu, he hononga nui ēnei ki te whakamahinga o ngā kupenga patu pepeke roa-roa.
Tērā pea nā te rerekētanga o te rahi o te tauira, te taupori rangahau, te whakatakotoranga rangahau ā-rohe, me te tūnga ōhanga-ōhanga te take o tēnei rerekētanga. I tēnei wā, i Etiopia, kei te whakatinanahia e te Manatū Hauora ngā wawaotanga maha hei whakaiti i te taumahatanga o te malaria mā te whakauru i ngā wawaotanga ārai malaria ki roto i ngā kaupapa tiaki hauora tuatahi, ka taea te āwhina ki te whakaiti i ngā mate me ngā matenga e pā ana ki te malaria.
I whakaatuhia e ngā hua o tēnei rangahau he nui ake te tūponotanga o ngā upoko whare wahine ki te whakamahi i ngā patu pepeke roa-ora i ngā tāne. He rite tonu tēnei kitenga ki ngā rangahau i mahia i te Rohe o Ilugalan5, te Rohe o Raya Alamata33 me te Tāone o Arbaminchi34, Etiopia, i whakaatu ai he nui ake te tūponotanga o ngā wāhine ki te whakamahi i ngā patu pepeke roa-ora i ngā tāne. Tērā pea he hua tēnei nō te tikanga tuku iho o te hapori Etiopia e whakanui ana i ngā wāhine i ngā tāne, ā, ina noho ngā wāhine hei upoko whare, he iti noa te pēhanga o ngā tāne ki te whakatau ki te whakamahi i ngā patu pepeke roa-ora. I tua atu, i mahia te rangahau i tētahi rohe tuawhenua, i reira pea ka nui ake te whakaute o ngā tikanga ahurea me ngā mahi a te hapori ki ngā wāhine hapu, ā, ka hoatu ki a rātou te kaupapa matua ki te whakamahi i ngā patu pepeke roa-ora hei ārai i te mate malaria.
I whakaatuhia e tētahi atu kitenga o te rangahau he hononga nui te maha o ngā rūma motuhake i roto i ngā kāinga o ngā kaiuru ki te whakamahinga o ngā kupenga namu pakari. I whakaūhia tēnei kitenga e ngā rangahau i ngā rohe o East Belessa7, Garan5, Adama21 me Bahir Dar20. Tērā pea nā te mea ko ngā whare he iti ake ngā rūma motuhake i roto i te whare ka nui ake te tūponotanga ki te whakamahi i ngā kupenga namu pakari, ko ngā whare he nui ake ngā rūma motuhake i roto i te whare me te nui ake o ngā mema o te whānau ka nui ake te tūponotanga ki te whakamahi i ngā kupenga namu pakari, ka hua ake pea he korenga o ngā kupenga namu i roto i ngā rūma motuhake katoa.
He hononga nui te wā i whakakapia ai ngā kupenga patu pepeke roa-roa ki te whakamahinga o ngā kupenga patu pepeke roa-roa i roto i te whare. Ko te hunga i whakakapi i ngā kupenga patu pepeke roa-roa tae noa ki te toru tau ki muri, he nui ake te tūponotanga ki te whakamahi i ngā kupenga patu pepeke roa-roa i te hunga i whakakapia i raro iho i te toru tau ki muri. He rite tēnei kitenga ki ngā rangahau i mahia i te tāone o Arbaminchi, Etiopia34 me te raki-mā-uru o Etiopia20. Tērā pea nā te mea ko ngā whare whai wāhi ki te hoko kupenga namu hou hei whakakapi i ngā mea tawhito, he nui ake te tūponotanga ki te whakamahi i ngā kupenga patu pepeke roa-roa i roto i ngā mema o te whare, e mākona ana pea, e hihiri ana hoki ki te whakamahi i ngā kupenga namu hou hei ārai i te malaria.
I whakaatuhia e tētahi atu kitenga o tēnei rangahau ko ngā whare he nui te mōhiotanga mō ngā patu pepeke roa te ora, e whā ngā wā ka nui ake te tūponotanga ki te whakamahi i ngā patu pepeke roa te ora, ki te whakataurite ki ngā whare he iti te mōhiotanga. He rite anō hoki tēnei kitenga ki ngā rangahau i mahia i Hawassa me te tonga-mā-uru o Etiopia18,22. Ka taea te whakamārama i tēnei mā te mea ka piki ake te mōhiotanga me te māramatanga o te whare mō ngā tikanga ārai i te tuku, ngā āhuatanga mōrearea, te kaha me ngā mahi ārai mate takitahi, ka piki ake te tūponotanga ki te whakamahi i ngā mahi ārai. Hei tāpiri, ko te mōhiotanga pai me te tirohanga pai ki ngā tikanga ārai malaria ka akiaki i te mahi whakamahi i ngā patu pepeke roa te ora. Nō reira, ko ngā wawaotanga whakarerekētanga whanonga e whai ana ki te whakatenatena i te piri ki ngā kaupapa ārai malaria i waenga i ngā mema o te whare mā te whakatairanga i ngā āhuatanga pāpori-ahurea me te mātauranga whānui.
I whakamahia e tēnei rangahau he hoahoa whakawhiti-wāhanga, ā, kāore i whakaaturia ngā whanaungatanga take. Tērā pea i puta he whakaaro whakamaumahara. Mā te kitenga i ngā kupenga moenga e whakaū ana ko te pūrongo o ngā putanga o ētahi atu rangahau (hei tauira, te whakamahinga o te kupenga moenga o te pō o mua, te auau o te horoinga kupenga moenga, me te whiwhinga moni toharite) e ahu mai ana i ngā pūrongo whaiaro, e pāngia ana e te whakaaro urupare.
He iti te whakamahinga whānui o ngā kupenga roa-ora i rongoatia ki ngā patu pepeke i roto i ngā whare, ki te whakataurite ki te paerewa ā-motu o Etiopia (≥ 85). I kitea i roto i te rangahau ko te auau o te whakamahinga o ngā kupenga roa-ora i rongoatia ki ngā patu pepeke i pāngia nuitia e te mea he wahine te upoko o te whare, e hia ngā rūma motuhake i roto i te whare, te roa o te wā i pau ki te whakakapi i tētahi kupenga roa-ora i rongoatia ki ngā patu pepeke, me te mōhiotanga o ngā kaiwhakautu. Nō reira, me mahi te Mana Hauora o te Rohe o West Arsi me ngā kaipupuri whai pānga ki te whakanui ake i te whakamahinga o ngā kupenga roa-ora i rongoatia ki ngā patu pepeke i te taumata whare mā te hora i ngā mōhiohio me te whakangungu tika, tae atu ki te whakawhitiwhiti kōrero tonu mō te huringa whanonga hei whakanui ake i te whakamahinga o ngā kupenga roa-ora i rongoatia ki ngā patu pepeke. Whakakaha ake i te whakangungu o ngā tūao, ngā hanganga hapori, me ngā kaiārahi whakapono mō te whakamahinga tika o ngā kupenga roa-ora i rongoatia ki ngā patu pepeke i te taumata whare.
Kei te wātea mai i te kaituhi e pā ana ngā raraunga katoa i kohia mai, i tātaritatia rānei i te wā o te rangahau, mēnā he tika te tono.
Wā tuku: Maehe-07-2025