Using Qualitative Methods to Explore Lay Explanatory Models, Health-Seeking Behaviours and Self-Care Practices of Podoconiosis Patients in North-West Ethiopia
Identifieur interne : 000944 ( Main/Exploration ); précédent : 000943; suivant : 000945Using Qualitative Methods to Explore Lay Explanatory Models, Health-Seeking Behaviours and Self-Care Practices of Podoconiosis Patients in North-West Ethiopia
Auteurs : Harrison S. Banks [Royaume-Uni] ; Girmay Tsegay [Éthiopie] ; Moges Wubie [Éthiopie] ; Abreham Tamiru [Éthiopie] ; Gail Davey [Royaume-Uni] ; Max Cooper [Royaume-Uni]Source :
- PLoS Neglected Tropical Diseases [ 1935-2727 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte, Adulte d'âge moyen, Autosoins, Comportement en matière de santé, Connaissances, attitudes et pratiques en santé, Culture (sociologie), Femelle, Groupes focalisés, Humains, Mâle, Médecine traditionnelle, Population rurale, Recherche qualitative, Sol, Sujet âgé, Sujet âgé de 80 ans ou plus, Thérapies complémentaires, Thérapies spirituelles, Éléphantiasis (), Éléphantiasis (étiologie), Éthiopie (épidémiologie).
- MESH :
- épidémiologie : Éthiopie.
- étiologie : Éléphantiasis.
- Adulte, Adulte d'âge moyen, Autosoins, Comportement en matière de santé, Connaissances, attitudes et pratiques en santé, Culture (sociologie), Femelle, Groupes focalisés, Humains, Mâle, Médecine traditionnelle, Population rurale, Recherche qualitative, Sol, Sujet âgé, Sujet âgé de 80 ans ou plus, Thérapies complémentaires, Thérapies spirituelles, Éléphantiasis.
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Complementary Therapies, Culture, Elephantiasis (etiology), Elephantiasis (therapy), Ethiopia (epidemiology), Female, Focus Groups, Health Behavior, Health Knowledge, Attitudes, Practice, Humans, Male, Medicine, Traditional, Middle Aged, Qualitative Research, Rural Population, Self Care, Soil, Spiritual Therapies.
- MESH :
- chemical : Soil.
- epidemiology : Ethiopia.
- etiology : Elephantiasis.
- therapy : Elephantiasis.
- Adult, Aged, Aged, 80 and over, Complementary Therapies, Culture, Female, Focus Groups, Health Behavior, Health Knowledge, Attitudes, Practice, Humans, Male, Medicine, Traditional, Middle Aged, Qualitative Research, Rural Population, Self Care, Spiritual Therapies.
Abstract
Podoconiosis (endemic non-filarial elephantiasis) is a chronic, non-infectious disease resulting from exposure of bare feet to red-clay soil in tropical highlands. This study examined lay beliefs about three under-researched aspects of podoconiosis patients’ care: explanatory models, health-seeking behaviours and self-care.
In-depth interviews and focus group discussions were undertaken with 34 participants (19 male, 15 female) between April-May 2015 at podoconiosis treatment centres across East and West Gojjam regions in north-west Ethiopia.
Explanatory models for podoconiosis included contamination from blood, magic, soil or affected individuals. Belief in heredity or divine punishment often delayed clinic attendance. All participants had tried holy water treatment and some, holy soil. Herbal treatments were considered ineffectual, costly and appeared to promote fluid escape. Motivators for clinic attendance were failure of traditional treatments and severe or disabling symptoms. Patients did not report self-treatment with antibiotics. Self-care was hindered by water being unavailable or expensive and patient fatigue.
A pluralistic approach to podoconiosis self-treatment was discovered. Holy water is widely valued, though some patients prefer holy soil. Priests and traditional healers could help promote self-care and “signpost” patients to clinics. Change in behaviour and improving water access is key to self-care.
Url:
DOI: 10.1371/journal.pntd.0004878
PubMed: 27536772
PubMed Central: 4990189
Affiliations:
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Banks</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Brighton and Sussex Medical School, Brighton, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Brighton and Sussex Medical School, Brighton</wicri:regionArea><wicri:noRegion>Brighton</wicri:noRegion></affiliation></author><author><name sortKey="Tsegay, Girmay" sort="Tsegay, Girmay" uniqKey="Tsegay G" first="Girmay" last="Tsegay">Girmay Tsegay</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Debre Markos University, Debre Markos, Ethiopia</addr-line></nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Debre Markos University, Debre Markos</wicri:regionArea><wicri:noRegion>Debre Markos</wicri:noRegion></affiliation></author><author><name sortKey="Wubie, Moges" sort="Wubie, Moges" uniqKey="Wubie M" first="Moges" last="Wubie">Moges Wubie</name><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Debre Markos University, Debre 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and Sussex Medical School, Brighton</wicri:regionArea><wicri:noRegion>Brighton</wicri:noRegion></affiliation></author><author><name sortKey="Cooper, Max" sort="Cooper, Max" uniqKey="Cooper M" first="Max" last="Cooper">Max Cooper</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Brighton and Sussex Medical School, Brighton, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Brighton and Sussex Medical School, Brighton</wicri:regionArea><wicri:noRegion>Brighton</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS Neglected Tropical Diseases</title><idno type="ISSN">1935-2727</idno><idno type="eISSN">1935-2735</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Complementary Therapies</term><term>Culture</term><term>Elephantiasis (etiology)</term><term>Elephantiasis (therapy)</term><term>Ethiopia (epidemiology)</term><term>Female</term><term>Focus Groups</term><term>Health Behavior</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Medicine, Traditional</term><term>Middle Aged</term><term>Qualitative Research</term><term>Rural Population</term><term>Self Care</term><term>Soil</term><term>Spiritual Therapies</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autosoins</term><term>Comportement en matière de santé</term><term>Connaissances, attitudes et pratiques en santé</term><term>Culture (sociologie)</term><term>Femelle</term><term>Groupes focalisés</term><term>Humains</term><term>Mâle</term><term>Médecine traditionnelle</term><term>Population rurale</term><term>Recherche qualitative</term><term>Sol</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Thérapies complémentaires</term><term>Thérapies spirituelles</term><term>Éléphantiasis ()</term><term>Éléphantiasis (étiologie)</term><term>Éthiopie (épidémiologie)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Soil</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Ethiopia</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Elephantiasis</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Elephantiasis</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Éthiopie</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Éléphantiasis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Complementary Therapies</term><term>Culture</term><term>Female</term><term>Focus Groups</term><term>Health Behavior</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Medicine, Traditional</term><term>Middle Aged</term><term>Qualitative Research</term><term>Rural Population</term><term>Self Care</term><term>Spiritual Therapies</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autosoins</term><term>Comportement en matière de santé</term><term>Connaissances, attitudes et pratiques en santé</term><term>Culture (sociologie)</term><term>Femelle</term><term>Groupes focalisés</term><term>Humains</term><term>Mâle</term><term>Médecine traditionnelle</term><term>Population rurale</term><term>Recherche qualitative</term><term>Sol</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Thérapies complémentaires</term><term>Thérapies spirituelles</term><term>Éléphantiasis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title><p>Podoconiosis (endemic non-filarial elephantiasis) is a chronic, non-infectious disease resulting from exposure of bare feet to red-clay soil in tropical highlands. This study examined lay beliefs about three under-researched aspects of podoconiosis patients’ care: explanatory models, health-seeking behaviours and self-care.</p></sec><sec id="sec002"><title>Methods</title><p>In-depth interviews and focus group discussions were undertaken with 34 participants (19 male, 15 female) between April-May 2015 at podoconiosis treatment centres across East and West Gojjam regions in north-west Ethiopia.</p></sec><sec id="sec003"><title>Results</title><p>Explanatory models for podoconiosis included contamination from blood, magic, soil or affected individuals. Belief in heredity or divine punishment often delayed clinic attendance. All participants had tried holy water treatment and some, holy soil. Herbal treatments were considered ineffectual, costly and appeared to promote fluid escape. Motivators for clinic attendance were failure of traditional treatments and severe or disabling symptoms. Patients did not report self-treatment with antibiotics. Self-care was hindered by water being unavailable or expensive and patient fatigue.</p></sec><sec id="sec004"><title>Conclusion</title><p>A pluralistic approach to podoconiosis self-treatment was discovered. Holy water is widely valued, though some patients prefer holy soil. Priests and traditional healers could help promote self-care and “signpost” patients to clinics. Change in behaviour and improving water access is key to self-care.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Molla, Yb" uniqKey="Molla Y">YB Molla</name></author><author><name sortKey="Wardrop, Na" uniqKey="Wardrop N">NA Wardrop</name></author><author><name sortKey="Le Blond, Js" uniqKey="Le Blond J">JS Le Blond</name></author><author><name sortKey="Baxter, P" uniqKey="Baxter P">P Baxter</name></author><author><name sortKey="Newport, M" uniqKey="Newport M">M Newport</name></author><author><name sortKey="Atkinson, P" uniqKey="Atkinson P">P Atkinson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author><author><name sortKey="Gebrehanna, E" uniqKey="Gebrehanna E">E GebreHanna</name></author><author><name sortKey="Adebowale, 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Newport</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bradley, E" uniqKey="Bradley E">E Bradley</name></author><author><name sortKey="Curry, L" uniqKey="Curry L">L Curry</name></author><author><name sortKey="Devers, K" uniqKey="Devers K">K Devers</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="D Vigdor, E" uniqKey="D Vigdor E">E d’Avigdor</name></author><author><name sortKey="Wohlmuth, H" uniqKey="Wohlmuth H">H Wohlmuth</name></author><author><name sortKey="Asfaw, Z" uniqKey="Asfaw Z">Z Asfaw</name></author><author><name sortKey="Awas, T" uniqKey="Awas T">T Awas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Danso Appiah, A" uniqKey="Danso Appiah A">A Danso-Appiah</name></author><author><name sortKey="Stolk, Wa" uniqKey="Stolk W">WA Stolk</name></author><author><name sortKey="Bosompem, Km" uniqKey="Bosompem K">KM Bosompem</name></author><author><name sortKey="Otchere, J" uniqKey="Otchere J">J Otchere</name></author><author><name sortKey="Looman, Cwn" uniqKey="Looman C">CWN Looman</name></author><author><name sortKey="Habbema, Jdf" uniqKey="Habbema J">JDF Habbema</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Green, Ec" uniqKey="Green E">EC Green</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Addis, G" uniqKey="Addis G">G Addis</name></author><author><name sortKey="Abebe, D" uniqKey="Abebe D">D Abebe</name></author><author><name sortKey="Genebo, T" uniqKey="Genebo T">T Genebo</name></author><author><name sortKey="Urga, K" uniqKey="Urga K">K Urga</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kassaye, Kd" uniqKey="Kassaye K">KD Kassaye</name></author><author><name sortKey="Amberbir, A" uniqKey="Amberbir A">A Amberbir</name></author><author><name sortKey="Getachew, B" uniqKey="Getachew B">B Getachew</name></author><author><name sortKey="Mussema, Y" uniqKey="Mussema Y">Y Mussema</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bishaw, M" uniqKey="Bishaw M">M Bishaw</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tolera, G" uniqKey="Tolera G">G Tolera</name></author><author><name sortKey="Wabe, N" uniqKey="Wabe N">N Wabe</name></author><author><name sortKey="Angamo, M" uniqKey="Angamo M">M Angamo</name></author><author><name sortKey="Wega, S" uniqKey="Wega S">S Wega</name></author><author><name sortKey="Dekama, N" uniqKey="Dekama N">N Dekama</name></author><author><name sortKey="Abdella, S" uniqKey="Abdella S">S Abdella</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Abdullahi, Aa" uniqKey="Abdullahi A">AA Abdullahi</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li><li>Éthiopie</li></country></list><tree><country name="Royaume-Uni"><noRegion><name sortKey="Banks, Harrison S" sort="Banks, Harrison S" uniqKey="Banks H" first="Harrison S." last="Banks">Harrison S. Banks</name></noRegion><name sortKey="Cooper, Max" sort="Cooper, Max" uniqKey="Cooper M" first="Max" last="Cooper">Max Cooper</name><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name></country><country name="Éthiopie"><noRegion><name sortKey="Tsegay, Girmay" sort="Tsegay, Girmay" uniqKey="Tsegay G" first="Girmay" last="Tsegay">Girmay Tsegay</name></noRegion><name sortKey="Tamiru, Abreham" sort="Tamiru, Abreham" uniqKey="Tamiru A" first="Abreham" last="Tamiru">Abreham Tamiru</name><name sortKey="Wubie, Moges" sort="Wubie, Moges" uniqKey="Wubie M" first="Moges" last="Wubie">Moges Wubie</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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