Barriers to access and re-attendance for treatment of podoconiosis: a qualitative study in northern Ethiopia.
Identifieur interne : 006E86 ( Ncbi/Merge ); précédent : 006E85; suivant : 006E87Barriers to access and re-attendance for treatment of podoconiosis: a qualitative study in northern Ethiopia.
Auteurs : Girmay Tsegay [Oman] ; Moges Wubie [Éthiopie] ; Genet Degu [Éthiopie] ; Abreham Tamiru [Éthiopie] ; Max Cooper [Royaume-Uni] ; Gail Davey [Royaume-Uni]Source :
- International health [ 1876-3405 ] ; 2015.
Descripteurs français
- KwdFr :
- Acceptation des soins par le patient, Accessibilité des services de santé, Adulte, Adulte d'âge moyen, Connaissances, attitudes et pratiques en santé, Facteurs socioéconomiques, Femelle, Groupes focalisés, Humains, Jeune adulte, Lymphangite (), Lymphangite (étiologie), Lymphoedème (), Lymphoedème (étiologie), Mâle, Recherche qualitative, Stigmate social, Sujet âgé, Éléphantiasis (), Éléphantiasis (anatomopathologie), Éthiopie, Études transversales.
- MESH :
- anatomopathologie : Éléphantiasis.
- étiologie : Lymphangite, Lymphoedème.
- Acceptation des soins par le patient, Accessibilité des services de santé, Adulte, Adulte d'âge moyen, Connaissances, attitudes et pratiques en santé, Facteurs socioéconomiques, Femelle, Groupes focalisés, Humains, Jeune adulte, Lymphangite, Lymphoedème, Mâle, Recherche qualitative, Stigmate social, Sujet âgé, Éléphantiasis, Éthiopie, Études transversales.
- Wicri :
- geographic : Éthiopie.
English descriptors
- KwdEn :
- Adult, Aged, Cross-Sectional Studies, Elephantiasis (pathology), Elephantiasis (therapy), Ethiopia, Female, Focus Groups, Health Knowledge, Attitudes, Practice, Health Services Accessibility, Humans, Lymphangitis (etiology), Lymphangitis (prevention & control), Lymphedema (etiology), Lymphedema (prevention & control), Male, Middle Aged, Patient Acceptance of Health Care, Qualitative Research, Social Stigma, Socioeconomic Factors, Young Adult.
- MESH :
- geographic : Ethiopia.
- etiology : Lymphangitis, Lymphedema.
- pathology : Elephantiasis.
- prevention & control : Lymphangitis, Lymphedema.
- therapy : Elephantiasis.
- Adult, Aged, Cross-Sectional Studies, Female, Focus Groups, Health Knowledge, Attitudes, Practice, Health Services Accessibility, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Qualitative Research, Social Stigma, Socioeconomic Factors, Young Adult.
Abstract
Podoconiosis is a chronic non-infectious lymphoedema affecting individuals exposed to red clay soil in endemic areas. Evidence from International Orthodox Christian Charities (IOCC) treatment centers' registers suggests that a significant proportion of registered patients with podoconiosis fail to re-attend for treatment, putting them at risk of worsening disability associated with the lymphoedema and attacks of acute adenolymphangitis. The aim of this study was to explore barriers to access and re-attendance of patients with podoconiosis in northern Ethiopia.
DOI: 10.1093/inthealth/ihu085
PubMed: 25540135
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santé</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Connaissances, attitudes et pratiques en santé</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Groupes focalisés</term><term>Humains</term><term>Jeune adulte</term><term>Lymphangite</term><term>Lymphoedème</term><term>Mâle</term><term>Recherche qualitative</term><term>Stigmate social</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">Podoconiosis is a chronic non-infectious lymphoedema affecting individuals exposed to red clay soil in endemic areas. Evidence from International Orthodox Christian Charities (IOCC) treatment centers' registers suggests that a significant proportion of registered patients with podoconiosis fail to re-attend for treatment, putting them at risk of worsening disability associated with the lymphoedema and attacks of acute adenolymphangitis. The aim of this study was to explore barriers to access and re-attendance of patients with podoconiosis in northern Ethiopia.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25540135</PMID><DateCreated><Year>2015</Year><Month>07</Month><Day>07</Day></DateCreated><DateCompleted><Year>2016</Year><Month>06</Month><Day>20</Day></DateCompleted><DateRevised><Year>2017</Year><Month>09</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1876-3405</ISSN><JournalIssue CitedMedium="Internet"><Volume>7</Volume><Issue>4</Issue><PubDate><Year>2015</Year><Month>Jul</Month></PubDate></JournalIssue><Title>International health</Title><ISOAbbreviation>Int Health</ISOAbbreviation></Journal><ArticleTitle>Barriers to access and re-attendance for treatment of podoconiosis: a qualitative study in northern Ethiopia.</ArticleTitle><Pagination><MedlinePgn>285-92</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1093/inthealth/ihu085</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Podoconiosis is a chronic non-infectious lymphoedema affecting individuals exposed to red clay soil in endemic areas. Evidence from International Orthodox Christian Charities (IOCC) treatment centers' registers suggests that a significant proportion of registered patients with podoconiosis fail to re-attend for treatment, putting them at risk of worsening disability associated with the lymphoedema and attacks of acute adenolymphangitis. The aim of this study was to explore barriers to access and re-attendance of patients with podoconiosis in northern Ethiopia.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A cross-sectional qualitative study was conducted at three IOCC treatment sites from February to April 2013. Twenty-eight patients and three project leaders took part in in-depth interviews. Three focus group discussions were undertaken with 22 patients, patient association leaders and project staff members.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Barriers to access and to continued attendance at treatment centers were recognized by all participant groups. The following reasons were reported: lay beliefs about the disease's causation and presentation, occupational, geographic and financial barriers, stigma and conflicting expectations of treatment services.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study illustrates the multiple, step-wise barriers to accessing treatment faced by podoconiosis patients. These factors are dynamic, frequently interact and result from competing social and economic priorities.</AbstractText><CopyrightInformation>© The Author 2014. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tsegay</LastName><ForeName>Girmay</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia girmshe@gmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Wubie</LastName><ForeName>Moges</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Degu</LastName><ForeName>Genet</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tamiru</LastName><ForeName>Abreham</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>International Orthodox Christian Charities, Debre Markos, Ethiopia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cooper</LastName><ForeName>Max</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Brighton and Sussex Medical School, Brighton, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Davey</LastName><ForeName>Gail</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Brighton and Sussex Medical School, Brighton, UK.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>WT100715</GrantID><Agency>Wellcome Trust</Agency><Country>United Kingdom</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>12</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Int Health</MedlineTA><NlmUniqueID>101517095</NlmUniqueID><ISSNLinking>1876-3405</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004604" MajorTopicYN="N">Elephantiasis</DescriptorName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005002" MajorTopicYN="N" Type="Geographic">Ethiopia</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017144" MajorTopicYN="N">Focus Groups</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="Y">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006297" MajorTopicYN="Y">Health Services Accessibility</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008205" MajorTopicYN="N">Lymphangitis</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="N">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010342" MajorTopicYN="Y">Patient Acceptance of Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D036301" MajorTopicYN="N">Qualitative Research</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D057545" MajorTopicYN="N">Social Stigma</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Continuity of care</Keyword><Keyword MajorTopicYN="N">East and West Gojam Zone</Keyword><Keyword MajorTopicYN="N">Ethiopia</Keyword><Keyword MajorTopicYN="N">Podoconiosis</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>02</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>09</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>12</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>12</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>6</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25540135</ArticleId><ArticleId IdType="pii">ihu085</ArticleId><ArticleId IdType="doi">10.1093/inthealth/ihu085</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Oman</li><li>Royaume-Uni</li><li>Éthiopie</li></country></list><tree><country name="Oman"><noRegion><name sortKey="Tsegay, Girmay" sort="Tsegay, Girmay" uniqKey="Tsegay G" first="Girmay" last="Tsegay">Girmay Tsegay</name></noRegion></country><country name="Éthiopie"><noRegion><name sortKey="Wubie, Moges" sort="Wubie, Moges" uniqKey="Wubie M" first="Moges" last="Wubie">Moges Wubie</name></noRegion><name sortKey="Degu, Genet" sort="Degu, Genet" uniqKey="Degu G" first="Genet" last="Degu">Genet Degu</name><name sortKey="Tamiru, Abreham" sort="Tamiru, Abreham" uniqKey="Tamiru A" first="Abreham" last="Tamiru">Abreham Tamiru</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Cooper, Max" sort="Cooper, Max" uniqKey="Cooper M" first="Max" last="Cooper">Max Cooper</name></noRegion><name sortKey="Davey, Gail" sort="Davey, Gail" uniqKey="Davey G" first="Gail" last="Davey">Gail Davey</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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