Lymphatic filariasis related perceptions and practices on the coast of Ghana: implications for prevention and control.
Identifieur interne : 004623 ( PubMed/Checkpoint ); précédent : 004622; suivant : 004624Lymphatic filariasis related perceptions and practices on the coast of Ghana: implications for prevention and control.
Auteurs : C K Ahorlu [Ghana] ; S K Dunyo ; K A Koram ; F K Nkrumah ; J. Aagaard-Hansen ; P E SimonsenSource :
- Acta tropica [ 0001-706X ] ; 1999.
Descripteurs français
- KwdFr :
- MESH :
- traitement médicamenteux : Filariose lymphatique.
- étiologie : Filariose lymphatique.
- Connaissances, attitudes et pratiques en santé, Femelle, Filariose lymphatique, Ghana, Humains, Mâle, Santé en zone rurale, Éducation pour la santé.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- MESH :
- geographic : Ghana.
- drug therapy : Elephantiasis, Filarial.
- etiology : Elephantiasis, Filarial.
- prevention & control : Elephantiasis, Filarial.
- transmission : Elephantiasis, Filarial.
- Female, Health Education, Health Knowledge, Attitudes, Practice, Humans, Male, Rural Health.
Abstract
A qualitative study to investigate lymphatic filariasis related perceptions and practices that may be relevant for the design of appropriate health education and control programmes was conducted in four endemic villages in coastal Ghana. The villagers were aware of the common manifestations of filariasis, such as adenolymphangitis (ADL), lymphoedema, elephantiasis and hydrocele, which were specifically described with local terminology. ADL attacks were identified as the most dreaded health problem in the communities, and elephantiasis and hydrocele also ranked high in importance among reported diseases. Generally the respondents did not accept the mosquito theory of transmission, but they believed in other physical, and in spiritual and hereditary causes. Hydrocele was considered to have no link to the other disease manifestations. The manifestations were most often treated with herbal preparations which were used orally, smeared on affected parts or given as enema. In some cases the affected parts were scarified before herbal preparations were applied. The manifestations affected the work output of its victims and subjected them to hardships such as teasing, unsuitability for marriage, sexual dysfunction and divorce. Although the etiology was seen as different, the local perception of the developmental process of elephantiasis closely paralleled that of the biomedical understanding. It is suggested that this coincidence is used as an entry point for health education, to advance a broader biomedical knowledge on etiology, transmission and treatment options, and thereby to ensure co-operation of the target populations in the control of this complex disease.
PubMed: 10546843
Affiliations:
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Aagaard-Hansen</name></author><author><name sortKey="Simonsen, P E" sort="Simonsen, P E" uniqKey="Simonsen P" first="P E" last="Simonsen">P E Simonsen</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1999">1999</date><idno type="RBID">pubmed:10546843</idno><idno type="pmid">10546843</idno><idno type="wicri:Area/PubMed/Corpus">004B81</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">004B81</idno><idno type="wicri:Area/PubMed/Curation">004B81</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">004B81</idno><idno type="wicri:Area/PubMed/Checkpoint">004B81</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">004B81</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Lymphatic filariasis related perceptions and practices on the coast of Ghana: implications for prevention and control.</title><author><name sortKey="Ahorlu, C K" sort="Ahorlu, C K" uniqKey="Ahorlu C" first="C K" last="Ahorlu">C K Ahorlu</name><affiliation wicri:level="4"><nlm:affiliation>Noguchi Memorial Institute for Medical Research, University of Ghana, Legon.</nlm:affiliation><orgName type="university">Université du Ghana</orgName><country>Ghana</country><placeName><settlement type="city">Accra</settlement><settlement type="town">Legon (Ghana)</settlement><region type="region">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Dunyo, S K" sort="Dunyo, S K" uniqKey="Dunyo S" first="S K" last="Dunyo">S K Dunyo</name></author><author><name sortKey="Koram, K A" sort="Koram, K A" uniqKey="Koram K" first="K A" last="Koram">K A Koram</name></author><author><name sortKey="Nkrumah, F K" sort="Nkrumah, F K" uniqKey="Nkrumah F" first="F K" last="Nkrumah">F K Nkrumah</name></author><author><name sortKey="Aagaard Hansen, J" sort="Aagaard Hansen, J" uniqKey="Aagaard Hansen J" first="J" last="Aagaard-Hansen">J. Aagaard-Hansen</name></author><author><name sortKey="Simonsen, P E" sort="Simonsen, P E" uniqKey="Simonsen P" first="P E" last="Simonsen">P E Simonsen</name></author></analytic><series><title level="j">Acta tropica</title><idno type="ISSN">0001-706X</idno><imprint><date when="1999" type="published">1999</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Elephantiasis, Filarial (drug therapy)</term><term>Elephantiasis, Filarial (etiology)</term><term>Elephantiasis, Filarial (prevention & control)</term><term>Elephantiasis, Filarial (transmission)</term><term>Female</term><term>Ghana</term><term>Health Education</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Rural Health</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Connaissances, attitudes et pratiques en santé</term><term>Femelle</term><term>Filariose lymphatique ()</term><term>Filariose lymphatique (traitement médicamenteux)</term><term>Filariose lymphatique (transmission)</term><term>Filariose lymphatique (étiologie)</term><term>Ghana</term><term>Humains</term><term>Mâle</term><term>Santé en zone rurale</term><term>Éducation pour la santé</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Filariose lymphatique</term></keywords><keywords scheme="MESH" qualifier="transmission" xml:lang="en"><term>Elephantiasis, Filarial</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Filariose lymphatique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Female</term><term>Health Education</term><term>Health Knowledge, Attitudes, Practice</term><term>Humans</term><term>Male</term><term>Rural Health</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Connaissances, attitudes et pratiques en santé</term><term>Femelle</term><term>Filariose lymphatique</term><term>Ghana</term><term>Humains</term><term>Mâle</term><term>Santé en zone rurale</term><term>Éducation pour la santé</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A qualitative study to investigate lymphatic filariasis related perceptions and practices that may be relevant for the design of appropriate health education and control programmes was conducted in four endemic villages in coastal Ghana. The villagers were aware of the common manifestations of filariasis, such as adenolymphangitis (ADL), lymphoedema, elephantiasis and hydrocele, which were specifically described with local terminology. ADL attacks were identified as the most dreaded health problem in the communities, and elephantiasis and hydrocele also ranked high in importance among reported diseases. Generally the respondents did not accept the mosquito theory of transmission, but they believed in other physical, and in spiritual and hereditary causes. Hydrocele was considered to have no link to the other disease manifestations. The manifestations were most often treated with herbal preparations which were used orally, smeared on affected parts or given as enema. In some cases the affected parts were scarified before herbal preparations were applied. The manifestations affected the work output of its victims and subjected them to hardships such as teasing, unsuitability for marriage, sexual dysfunction and divorce. Although the etiology was seen as different, the local perception of the developmental process of elephantiasis closely paralleled that of the biomedical understanding. It is suggested that this coincidence is used as an entry point for health education, to advance a broader biomedical knowledge on etiology, transmission and treatment options, and thereby to ensure co-operation of the target populations in the control of this complex disease.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">10546843</PMID><DateCreated><Year>1999</Year><Month>12</Month><Day>02</Day></DateCreated><DateCompleted><Year>1999</Year><Month>12</Month><Day>02</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0001-706X</ISSN><JournalIssue CitedMedium="Print"><Volume>73</Volume><Issue>3</Issue><PubDate><Year>1999</Year><Month>Oct</Month><Day>15</Day></PubDate></JournalIssue><Title>Acta tropica</Title><ISOAbbreviation>Acta Trop.</ISOAbbreviation></Journal><ArticleTitle>Lymphatic filariasis related perceptions and practices on the coast of Ghana: implications for prevention and control.</ArticleTitle><Pagination><MedlinePgn>251-61</MedlinePgn></Pagination><Abstract><AbstractText>A qualitative study to investigate lymphatic filariasis related perceptions and practices that may be relevant for the design of appropriate health education and control programmes was conducted in four endemic villages in coastal Ghana. The villagers were aware of the common manifestations of filariasis, such as adenolymphangitis (ADL), lymphoedema, elephantiasis and hydrocele, which were specifically described with local terminology. ADL attacks were identified as the most dreaded health problem in the communities, and elephantiasis and hydrocele also ranked high in importance among reported diseases. Generally the respondents did not accept the mosquito theory of transmission, but they believed in other physical, and in spiritual and hereditary causes. Hydrocele was considered to have no link to the other disease manifestations. The manifestations were most often treated with herbal preparations which were used orally, smeared on affected parts or given as enema. In some cases the affected parts were scarified before herbal preparations were applied. The manifestations affected the work output of its victims and subjected them to hardships such as teasing, unsuitability for marriage, sexual dysfunction and divorce. Although the etiology was seen as different, the local perception of the developmental process of elephantiasis closely paralleled that of the biomedical understanding. It is suggested that this coincidence is used as an entry point for health education, to advance a broader biomedical knowledge on etiology, transmission and treatment options, and thereby to ensure co-operation of the target populations in the control of this complex disease.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ahorlu</LastName><ForeName>C K</ForeName><Initials>CK</Initials><AffiliationInfo><Affiliation>Noguchi Memorial Institute for Medical Research, University of Ghana, Legon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dunyo</LastName><ForeName>S K</ForeName><Initials>SK</Initials></Author><Author ValidYN="Y"><LastName>Koram</LastName><ForeName>K A</ForeName><Initials>KA</Initials></Author><Author ValidYN="Y"><LastName>Nkrumah</LastName><ForeName>F K</ForeName><Initials>FK</Initials></Author><Author ValidYN="Y"><LastName>Aagaard-Hansen</LastName><ForeName>J</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Simonsen</LastName><ForeName>P E</ForeName><Initials>PE</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Netherlands</Country><MedlineTA>Acta Trop</MedlineTA><NlmUniqueID>0370374</NlmUniqueID><ISSNLinking>0001-706X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D004605" MajorTopicYN="N">Elephantiasis, Filarial</DescriptorName><QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName><QualifierName UI="Q000635" MajorTopicYN="N">transmission</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N" Type="Geographic">Ghana</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006266" MajorTopicYN="N">Health Education</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="Y">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012423" MajorTopicYN="N">Rural Health</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1999</Year><Month>11</Month><Day>5</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1999</Year><Month>11</Month><Day>5</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1999</Year><Month>11</Month><Day>5</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">10546843</ArticleId><ArticleId IdType="pii">S0001706X99000376</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Ghana</li></country><region><li>Région du Grand Accra</li></region><settlement><li>Accra</li><li>Legon (Ghana)</li></settlement><orgName><li>Université du Ghana</li></orgName></list><tree><noCountry><name sortKey="Aagaard Hansen, J" sort="Aagaard Hansen, J" uniqKey="Aagaard Hansen J" first="J" last="Aagaard-Hansen">J. Aagaard-Hansen</name><name sortKey="Dunyo, S K" sort="Dunyo, S K" uniqKey="Dunyo S" first="S K" last="Dunyo">S K Dunyo</name><name sortKey="Koram, K A" sort="Koram, K A" uniqKey="Koram K" first="K A" last="Koram">K A Koram</name><name sortKey="Nkrumah, F K" sort="Nkrumah, F K" uniqKey="Nkrumah F" first="F K" last="Nkrumah">F K Nkrumah</name><name sortKey="Simonsen, P E" sort="Simonsen, P E" uniqKey="Simonsen P" first="P E" last="Simonsen">P E Simonsen</name></noCountry><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Ahorlu, C K" sort="Ahorlu, C K" uniqKey="Ahorlu C" first="C K" last="Ahorlu">C K Ahorlu</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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