Pulled in or pushed out? Understanding the complexities of motivation for alternative therapies use in Ghana
Identifieur interne : 000071 ( Pmc/Checkpoint ); précédent : 000070; suivant : 000072Pulled in or pushed out? Understanding the complexities of motivation for alternative therapies use in Ghana
Auteurs : Razak Mohammed Gyasi [Ghana] ; Felix Asante [Ghana] ; Joseph Yaw Yeboah [Ghana] ; Kabila Abass [Ghana] ; Charlotte Monica Mensah [Ghana] ; Lawrencia Pokuah Siaw [Ghana]Source :
- International Journal of Qualitative Studies on Health and Well-being [ 1748-2623 ] ; 2016.
Abstract
The impact of strong cultural beliefs on specific reasons for traditional medicine (TRM) use among individuals and populations has long been advanced in health care and spatio-medical literature. Yet, little has been done in Ghana and the Ashanti Region in particular to bring out the precise “pull” and “push” relative influences on TRM utilization. With a qualitative research approach involving rural and urban character, the study explored health beliefs and motivations for TRM use in Kumasi Metropolis and Sekyere South District, Ghana. The study draws on data from 36 in-depth interviews with adults, selected through theoretical sampling. We used the
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DOI: 10.3402/qhw.v11.29667
PubMed: 27018431
PubMed Central: 4808739
Affiliations:
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Understanding the complexities of motivation for alternative therapies use in Ghana</title><author><name sortKey="Gyasi, Razak Mohammed" sort="Gyasi, Razak Mohammed" uniqKey="Gyasi R" first="Razak Mohammed" last="Gyasi">Razak Mohammed Gyasi</name><affiliation><nlm:aff id="AF0001">Department of Sociology and Social Policy, Lingnan University, Tuen Mun, New Territories, Hong Kong SAR</nlm:aff><wicri:noCountry code="subfield">Hong Kong SAR</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Asante, Felix" sort="Asante, Felix" uniqKey="Asante F" first="Felix" last="Asante">Felix Asante</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Yeboah, Joseph Yaw" sort="Yeboah, Joseph Yaw" uniqKey="Yeboah J" first="Joseph Yaw" last="Yeboah">Joseph Yaw Yeboah</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Abass, Kabila" sort="Abass, Kabila" uniqKey="Abass K" first="Kabila" last="Abass">Kabila Abass</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Mensah, Charlotte Monica" sort="Mensah, Charlotte Monica" uniqKey="Mensah C" first="Charlotte Monica" last="Mensah">Charlotte Monica Mensah</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Siaw, Lawrencia Pokuah" sort="Siaw, Lawrencia Pokuah" uniqKey="Siaw L" first="Lawrencia Pokuah" last="Siaw">Lawrencia Pokuah Siaw</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27018431</idno><idno type="pmc">4808739</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808739</idno><idno type="RBID">PMC:4808739</idno><idno type="doi">10.3402/qhw.v11.29667</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000048</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000048</idno><idno type="wicri:Area/Pmc/Curation">000048</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000048</idno><idno type="wicri:Area/Pmc/Checkpoint">000071</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000071</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Pulled in or pushed out? Understanding the complexities of motivation for alternative therapies use in Ghana</title><author><name sortKey="Gyasi, Razak Mohammed" sort="Gyasi, Razak Mohammed" uniqKey="Gyasi R" first="Razak Mohammed" last="Gyasi">Razak Mohammed Gyasi</name><affiliation><nlm:aff id="AF0001">Department of Sociology and Social Policy, Lingnan University, Tuen Mun, New Territories, Hong Kong SAR</nlm:aff><wicri:noCountry code="subfield">Hong Kong SAR</wicri:noCountry></affiliation><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Asante, Felix" sort="Asante, Felix" uniqKey="Asante F" first="Felix" last="Asante">Felix Asante</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Yeboah, Joseph Yaw" sort="Yeboah, Joseph Yaw" uniqKey="Yeboah J" first="Joseph Yaw" last="Yeboah">Joseph Yaw Yeboah</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Abass, Kabila" sort="Abass, Kabila" uniqKey="Abass K" first="Kabila" last="Abass">Kabila Abass</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Mensah, Charlotte Monica" sort="Mensah, Charlotte Monica" uniqKey="Mensah C" first="Charlotte Monica" last="Mensah">Charlotte Monica Mensah</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author><author><name sortKey="Siaw, Lawrencia Pokuah" sort="Siaw, Lawrencia Pokuah" uniqKey="Siaw L" first="Lawrencia Pokuah" last="Siaw">Lawrencia Pokuah Siaw</name><affiliation wicri:level="1"><nlm:aff id="AF0002">Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi</wicri:regionArea><wicri:noRegion>Kumasi</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Journal of Qualitative Studies on Health and Well-being</title><idno type="ISSN">1748-2623</idno><idno type="eISSN">1748-2631</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The impact of strong cultural beliefs on specific reasons for traditional medicine (TRM) use among individuals and populations has long been advanced in health care and spatio-medical literature. Yet, little has been done in Ghana and the Ashanti Region in particular to bring out the precise “pull” and “push” relative influences on TRM utilization. With a qualitative research approach involving rural and urban character, the study explored health beliefs and motivations for TRM use in Kumasi Metropolis and Sekyere South District, Ghana. The study draws on data from 36 in-depth interviews with adults, selected through theoretical sampling. We used the <italic>a posteriori</italic> inductive reduction model to derive broad themes and subthemes. The “pull factors”—perceived benefits in TRM use <italic>vis-à-vis</italic> the “push factors”—perceived poor services of the biomedical treatments contributed to the growing trends in TRM use. The result however indicates that the “pull factors,” <italic>viz</italic>.—personal health beliefs, desire to take control of one's health, perceived efficacy, and safety of various modalities of TRM—were stronger in shaping TRM use. Poor access to conventional medicine accounted for the differences in TRM use between rural and urban areas. Understanding the treatment and health-seeking behaviour of a cultural-related group is critical for developing and sustaining traditional therapy in Ghana.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Adams, J" uniqKey="Adams J">J Adams</name></author><author><name sortKey="Sibbritt, D" uniqKey="Sibbritt D">D Sibbritt</name></author><author><name sortKey="Lui, C" uniqKey="Lui C">C Lui</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Addo, V N" uniqKey="Addo V">V. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Qual Stud Health Well-being</journal-id><journal-id journal-id-type="iso-abbrev">Int J Qual Stud Health Well-being</journal-id><journal-id journal-id-type="publisher-id">QHW</journal-id><journal-title-group><journal-title>International Journal of Qualitative Studies on Health and Well-being</journal-title></journal-title-group><issn pub-type="ppub">1748-2623</issn><issn pub-type="epub">1748-2631</issn><publisher><publisher-name>Co-Action Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27018431</article-id><article-id pub-id-type="pmc">4808739</article-id><article-id pub-id-type="publisher-id">29667</article-id><article-id pub-id-type="doi">10.3402/qhw.v11.29667</article-id><article-categories><subj-group subj-group-type="heading"><subject>Empirical/Theoretical Study</subject></subj-group></article-categories><title-group><article-title>Pulled in or pushed out? Understanding the complexities of motivation for alternative therapies use in Ghana</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Gyasi</surname><given-names>Razak Mohammed</given-names></name><degrees>PhD Candidate</degrees><xref ref-type="aff" rid="AF0001">1</xref><xref ref-type="aff" rid="AF0002">2</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Asante</surname><given-names>Felix</given-names></name><degrees>MPhil</degrees><xref ref-type="aff" rid="AF0002">2</xref></contrib><contrib contrib-type="author"><name><surname>Yeboah</surname><given-names>Joseph Yaw</given-names></name><degrees>MA</degrees><xref ref-type="aff" rid="AF0002">2</xref></contrib><contrib contrib-type="author"><name><surname>Abass</surname><given-names>Kabila</given-names></name><degrees>MPhil</degrees><xref ref-type="aff" rid="AF0002">2</xref></contrib><contrib contrib-type="author"><name><surname>Mensah</surname><given-names>Charlotte Monica</given-names></name><degrees>PhD</degrees><xref ref-type="aff" rid="AF0002">2</xref></contrib><contrib contrib-type="author"><name><surname>Siaw</surname><given-names>Lawrencia Pokuah</given-names></name><degrees>MPhil</degrees><xref ref-type="aff" rid="AF0002">2</xref></contrib></contrib-group><aff id="AF0001"><label>1</label>Department of Sociology and Social Policy, Lingnan University, Tuen Mun, New Territories, Hong Kong SAR</aff><aff id="AF0002"><label>2</label>Department of Geography and Rural Development, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana</aff><author-notes><corresp id="cor1"><label>*</label>Correspondence: R. M. Gyasi, Department of Sociology and Social Policy, Lingnan University, Tuen Mun, New Territories, Hong Kong SAR. E-mail: <email xlink:href="razak.mgyasi@gmail.com">razak.mgyasi@gmail.com</email></corresp><fn><p>Responsible Editor: Ptlene Minick, Georgia State University, United States.</p></fn></author-notes><pub-date pub-type="epub"><day>24</day><month>3</month><year>2016</year></pub-date><pub-date pub-type="collection"><year>2016</year></pub-date><volume>11</volume><elocation-id content-type="doi">10.3402/qhw.v11.29667</elocation-id><history><date date-type="accepted"><day>28</day><month>10</month><year>2015</year></date></history><permissions><copyright-statement>© 2016 R. M. Gyasi et al.</copyright-statement><copyright-year>2016</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license.</license-p></license></permissions><abstract><p>The impact of strong cultural beliefs on specific reasons for traditional medicine (TRM) use among individuals and populations has long been advanced in health care and spatio-medical literature. Yet, little has been done in Ghana and the Ashanti Region in particular to bring out the precise “pull” and “push” relative influences on TRM utilization. With a qualitative research approach involving rural and urban character, the study explored health beliefs and motivations for TRM use in Kumasi Metropolis and Sekyere South District, Ghana. The study draws on data from 36 in-depth interviews with adults, selected through theoretical sampling. We used the <italic>a posteriori</italic> inductive reduction model to derive broad themes and subthemes. The “pull factors”—perceived benefits in TRM use <italic>vis-à-vis</italic> the “push factors”—perceived poor services of the biomedical treatments contributed to the growing trends in TRM use. The result however indicates that the “pull factors,” <italic>viz</italic>.—personal health beliefs, desire to take control of one's health, perceived efficacy, and safety of various modalities of TRM—were stronger in shaping TRM use. Poor access to conventional medicine accounted for the differences in TRM use between rural and urban areas. Understanding the treatment and health-seeking behaviour of a cultural-related group is critical for developing and sustaining traditional therapy in Ghana.</p></abstract><kwd-group><kwd>a posteriori</kwd><kwd>Ashanti Region</kwd><kwd>cultural belief</kwd><kwd>health-seeking behaviour</kwd><kwd>pull factors</kwd><kwd>traditional medicine</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Ghana</li></country></list><tree><country name="Ghana"><noRegion><name sortKey="Gyasi, Razak Mohammed" sort="Gyasi, Razak Mohammed" uniqKey="Gyasi R" first="Razak Mohammed" last="Gyasi">Razak Mohammed Gyasi</name></noRegion><name sortKey="Abass, Kabila" sort="Abass, Kabila" uniqKey="Abass K" first="Kabila" last="Abass">Kabila Abass</name><name sortKey="Asante, Felix" sort="Asante, Felix" uniqKey="Asante F" first="Felix" last="Asante">Felix Asante</name><name sortKey="Mensah, Charlotte Monica" sort="Mensah, Charlotte Monica" uniqKey="Mensah C" first="Charlotte Monica" last="Mensah">Charlotte Monica Mensah</name><name sortKey="Siaw, Lawrencia Pokuah" sort="Siaw, Lawrencia Pokuah" uniqKey="Siaw L" first="Lawrencia Pokuah" last="Siaw">Lawrencia Pokuah Siaw</name><name sortKey="Yeboah, Joseph Yaw" sort="Yeboah, Joseph Yaw" uniqKey="Yeboah J" first="Joseph Yaw" last="Yeboah">Joseph Yaw Yeboah</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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