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Using Qualitative Methods to Explore Lay Explanatory Models, Health-Seeking Behaviours and Self-Care Practices of Podoconiosis Patients in North-West Ethiopia.

Identifieur interne : 000665 ( PubMed/Corpus ); précédent : 000664; suivant : 000666

Using 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 ; Girmay Tsegay ; Moges Wubie ; Abreham Tamiru ; Gail Davey ; Max Cooper

Source :

RBID : pubmed:27536772

English descriptors

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.

DOI: 10.1371/journal.pntd.0004878
PubMed: 27536772

Links to Exploration step

pubmed:27536772

Le document en format XML

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<div type="abstract" xml:lang="en">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.</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">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.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">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.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">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.</AbstractText>
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