Factors related to discontinued clinic attendance by patients with podoconiosis in southern Ethiopia: a qualitative study
Identifieur interne : 004305 ( Main/Exploration ); précédent : 004304; suivant : 004306Factors related to discontinued clinic attendance by patients with podoconiosis in southern Ethiopia: a qualitative study
Auteurs : Abebayehu Tora [Éthiopie] ; Gail Davey [Royaume-Uni] ; Getnet Tadele [Éthiopie]Source :
- BMC Public Health [ 1471-2458 ] ; 2012.
Descripteurs français
- KwdFr :
- Accessibilité des services de santé, Adolescent, Adulte, Adulte d'âge moyen, Connaissances, attitudes et pratiques en santé, Consultation médicale (utilisation), Facteurs de risque, Femelle, Groupes focalisés, Humains, Jeune adulte, Mâle, Observance thérapeutique (), Recherche qualitative, Stéréotypage, Sujet âgé, Éléphantiasis (), Éléphantiasis (psychologie), Éthiopie, Études transversales.
- MESH :
- psychologie : Éléphantiasis.
- utilisation : Consultation médicale.
- Accessibilité des services de santé, Adolescent, Adulte, Adulte d'âge moyen, Connaissances, attitudes et pratiques en santé, Facteurs de risque, Femelle, Groupes focalisés, Humains, Jeune adulte, Mâle, Observance thérapeutique, Recherche qualitative, Stéréotypage, Sujet âgé, Éléphantiasis, Éthiopie, Études transversales.
- Wicri :
- geographic : Éthiopie.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Cross-Sectional Studies, Elephantiasis (psychology), Elephantiasis (therapy), Ethiopia, Female, Focus Groups, Health Knowledge, Attitudes, Practice, Health Services Accessibility, Humans, Male, Middle Aged, Office Visits (utilization), Patient Compliance (statistics & numerical data), Qualitative Research, Risk Factors, Stereotyping, Young Adult.
- MESH :
- geographic : Ethiopia.
- psychology : Elephantiasis.
- statistics & numerical data : Patient Compliance.
- therapy : Elephantiasis.
- utilization : Office Visits.
- Adolescent, Adult, Aged, Cross-Sectional Studies, Female, Focus Groups, Health Knowledge, Attitudes, Practice, Health Services Accessibility, Humans, Male, Middle Aged, Qualitative Research, Risk Factors, Stereotyping, Young Adult.
Abstract
Podoconiosis is a lymphoedema of non-infectious cause which results in long-term ill health in affected individuals. Simple, effective treatment is available in certain parts of Ethiopia, but evidence indicates that not all patients continue collecting treatment supplies from clinic sites once started. We used qualitative techniques to explore factors related to discontinued attendance at outreach clinics of a non-government organization in southern Ethiopia.
A cross-sectional qualitative study was conducted in four clinic sites through unstructured in-depth interviews, key informant interviews and focus group discussions with the involvement of 88 study subjects.
Discontinuation of clinic visits is common among podoconiosis patients. The reasons were: remoteness from the clinic sites, unrealistic expectation of ‘special’ aid, worry about increasing stigma, illness and misconceptions about treatment.
Several of these factors are remediable through community and individual information and education. Appropriate routes to deliver this information must be identified. Certain factors (such as distance to clinic sites and stigma) require substantial expansion of services or liaison with village-level government health services.
Url:
DOI: 10.1186/1471-2458-12-902
PubMed: 23095311
PubMed Central: 3503806
Affiliations:
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Le document en format XML
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Sodo</wicri:regionArea><wicri:noRegion>Sodo</wicri:noRegion></affiliation></author><author><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name><affiliation wicri:level="4"><nlm:aff id="I2">Brighton and Sussex Medical school, University of Sussex, Sussex, UK</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Brighton and Sussex Medical school, University of Sussex, Sussex</wicri:regionArea><orgName type="university">Université du Sussex</orgName><placeName><settlement type="city">Brighton</settlement><settlement type="town">Falmer</settlement><region type="nation">Angleterre</region><region nuts="2" type="region">Sussex de l'Est</region></placeName></affiliation></author><author><name sortKey="Tadele, Getnet" sort="Tadele, Getnet" uniqKey="Tadele G" first="Getnet" last="Tadele">Getnet Tadele</name><affiliation wicri:level="1"><nlm:aff id="I3">Department of Sociology, Addis Ababa University, Addis Ababa, Ethiopia</nlm:aff><country xml:lang="fr">Éthiopie</country><wicri:regionArea>Department of Sociology, Addis Ababa University, Addis Ababa</wicri:regionArea><wicri:noRegion>Addis Ababa</wicri:noRegion></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Elephantiasis (psychology)</term><term>Elephantiasis (therapy)</term><term>Ethiopia</term><term>Female</term><term>Focus Groups</term><term>Health Knowledge, Attitudes, Practice</term><term>Health Services Accessibility</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Office Visits (utilization)</term><term>Patient Compliance (statistics & numerical data)</term><term>Qualitative Research</term><term>Risk Factors</term><term>Stereotyping</term><term>Young Adult</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Connaissances, attitudes et pratiques en santé</term><term>Consultation médicale (utilisation)</term><term>Facteurs de risque</term><term>Femelle</term><term>Groupes focalisés</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Observance thérapeutique ()</term><term>Recherche qualitative</term><term>Stéréotypage</term><term>Sujet âgé</term><term>Éléphantiasis ()</term><term>Éléphantiasis (psychologie)</term><term>Éthiopie</term><term>Études transversales</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ethiopia</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Éléphantiasis</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Elephantiasis</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Patient Compliance</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Elephantiasis</term></keywords><keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Consultation médicale</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Office Visits</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Cross-Sectional Studies</term><term>Female</term><term>Focus Groups</term><term>Health Knowledge, Attitudes, Practice</term><term>Health Services Accessibility</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Qualitative Research</term><term>Risk Factors</term><term>Stereotyping</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Accessibilité des services de santé</term><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Connaissances, attitudes et pratiques en santé</term><term>Facteurs de risque</term><term>Femelle</term><term>Groupes focalisés</term><term>Humains</term><term>Jeune adulte</term><term>Mâle</term><term>Observance thérapeutique</term><term>Recherche qualitative</term><term>Stéréotypage</term><term>Sujet âgé</term><term>Éléphantiasis</term><term>Éthiopie</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Éthiopie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Podoconiosis is a lymphoedema of non-infectious cause which results in long-term ill health in affected individuals. Simple, effective treatment is available in certain parts of Ethiopia, but evidence indicates that not all patients continue collecting treatment supplies from clinic sites once started. We used qualitative techniques to explore factors related to discontinued attendance at outreach clinics of a non-government organization in southern Ethiopia.</p></sec><sec><title>Methods</title><p>A cross-sectional qualitative study was conducted in four clinic sites through unstructured in-depth interviews, key informant interviews and focus group discussions with the involvement of 88 study subjects.</p></sec><sec><title>Results</title><p>Discontinuation of clinic visits is common among podoconiosis patients. The reasons were: remoteness from the clinic sites, unrealistic expectation of ‘special’ aid, worry about increasing stigma, illness and misconceptions about treatment.</p></sec><sec><title>Conclusions</title><p>Several of these factors are remediable through community and individual information and education. Appropriate routes to deliver this information must be identified. Certain factors (such as distance to clinic sites and stigma) require substantial expansion of services or liaison with village-level government health services.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Price, Ew" uniqKey="Price E">EW Price</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Price, Ew" uniqKey="Price E">EW Price</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Price, Ew" uniqKey="Price E">EW Price</name></author><author><name sortKey="Henderson, Wj" uniqKey="Henderson W">WJ Henderson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Price, Ew" uniqKey="Price E">EW Price</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Desta, K" uniqKey="Desta K">K Desta</name></author><author><name sortKey="Ashine, M" uniqKey="Ashine M">M Ashine</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tekola, F" uniqKey="Tekola F">F Tekola</name></author><author><name sortKey="Haile Mariam, D" uniqKey="Haile Mariam D">D Haile Mariam</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author><author><name sortKey="Tekola, F" uniqKey="Tekola F">F Tekola</name></author><author><name sortKey="Newport, J" uniqKey="Newport J">J Newport</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author><author><name sortKey="Burridge, E" uniqKey="Burridge E">E Burridge</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sikorski, C" uniqKey="Sikorski C">C Sikorski</name></author><author><name sortKey="Ashine, M" uniqKey="Ashine M">M Ashine</name></author><author><name sortKey="Zeleke, Z" uniqKey="Zeleke Z">Z Zeleke</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tekola, F" uniqKey="Tekola F">F Tekola</name></author><author><name sortKey="Ayele, Z" uniqKey="Ayele Z">Z Ayele</name></author><author><name sortKey="Hailemariam, D" uniqKey="Hailemariam D">D HaileMariam</name></author><author><name sortKey="Fuller, C" uniqKey="Fuller C">C Fuller</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wood, B" uniqKey="Wood B">B Wood</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rodgers, Pt" uniqKey="Rodgers P">PT Rodgers</name></author><author><name sortKey="Ruffin, Dm" uniqKey="Ruffin D">DM Ruffin</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Roura, M" uniqKey="Roura M">M Roura</name></author><author><name sortKey="Busza, J" uniqKey="Busza J">J Busza</name></author><author><name sortKey="Wringe, A" uniqKey="Wringe A">A Wringe</name></author><author><name sortKey="Mbata, D" uniqKey="Mbata D">D Mbata</name></author><author><name sortKey="Urassa, M" uniqKey="Urassa M">M Urassa</name></author><author><name sortKey="Zaba, B" uniqKey="Zaba B">B Zaba</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Amberbir, A" uniqKey="Amberbir A">A Amberbir</name></author><author><name sortKey="Woldemichael, K" uniqKey="Woldemichael K">K Woldemichael</name></author><author><name sortKey="Getachew, S" uniqKey="Getachew S">S Getachew</name></author><author><name sortKey="Girma, B" uniqKey="Girma B">B Girma</name></author><author><name sortKey="Deribe, K" uniqKey="Deribe K">K Deribe</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reda, A" uniqKey="Reda A">A Reda</name></author><author><name sortKey="Biadgilign, S" uniqKey="Biadgilign S">S Biadgilign</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fielding, D" uniqKey="Fielding D">D Fielding</name></author><author><name sortKey="Duff, A" uniqKey="Duff A">A Duff</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tekola, F" uniqKey="Tekola F">F Tekola</name></author><author><name sortKey="Bull, Sj" uniqKey="Bull S">SJ Bull</name></author><author><name sortKey="Farsides, B" uniqKey="Farsides B">B Farsides</name></author><author><name sortKey="Newport, Mj" uniqKey="Newport M">MJ Newport</name></author><author><name sortKey="Adeyemo, A" uniqKey="Adeyemo A">A Adeyemo</name></author><author><name sortKey="Rotimi, Cn" uniqKey="Rotimi C">CN Rotimi</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Murri, R" uniqKey="Murri R">R Murri</name></author><author><name sortKey="Ammassari, A" uniqKey="Ammassari A">A Ammassari</name></author><author><name sortKey="Luca, Ad" uniqKey="Luca A">AD Luca</name></author><author><name sortKey="Cingolani, A" uniqKey="Cingolani A">A Cingolani</name></author><author><name sortKey="Marconi, P" uniqKey="Marconi P">P Marconi</name></author><author><name sortKey="Albert, W" uniqKey="Albert W">W Albert</name></author><author><name sortKey="Antinori, A" uniqKey="Antinori A">A Antinori</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Akogun, Ob" uniqKey="Akogun O">OB Akogun</name></author><author><name sortKey="Badaki, Ja" uniqKey="Badaki J">JA Badaki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wamae, N" uniqKey="Wamae N">N Wamae</name></author><author><name sortKey="Njenga, Sm" uniqKey="Njenga S">SM Njenga</name></author><author><name sortKey="Kisingu, Wm" uniqKey="Kisingu W">WM Kisingu</name></author><author><name sortKey="Muthigani, Pw" uniqKey="Muthigani P">PW Muthigani</name></author><author><name sortKey="Kiiru, K" uniqKey="Kiiru K">K Kiiru</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tora, A" uniqKey="Tora A">A Tora</name></author><author><name sortKey="Davey, G" uniqKey="Davey G">G Davey</name></author><author><name sortKey="Tadele, G" uniqKey="Tadele G">G Tadele</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Perera, M" uniqKey="Perera M">M Perera</name></author><author><name sortKey="Whitehead, M" uniqKey="Whitehead M">M Whitehead</name></author><author><name sortKey="Molyneux, D" uniqKey="Molyneux D">D Molyneux</name></author><author><name sortKey="Weerasooriya, M" uniqKey="Weerasooriya M">M Weerasooriya</name></author><author><name sortKey="Gunatilleke, G" uniqKey="Gunatilleke G">G Gunatilleke</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Royaume-Uni</li><li>Éthiopie</li></country><region><li>Angleterre</li><li>Sussex de l'Est</li></region><settlement><li>Brighton</li><li>Falmer</li></settlement><orgName><li>Université du Sussex</li></orgName></list><tree><country name="Éthiopie"><noRegion><name sortKey="Tora, Abebayehu" sort="Tora, Abebayehu" uniqKey="Tora A" first="Abebayehu" last="Tora">Abebayehu Tora</name></noRegion><name sortKey="Tadele, Getnet" sort="Tadele, Getnet" uniqKey="Tadele G" first="Getnet" last="Tadele">Getnet Tadele</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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