The role of traditional healers in the diagnosis and management of Burkitt lymphoma in Cameroon: understanding the challenges and moving forward
Identifieur interne : 000113 ( Main/Exploration ); précédent : 000112; suivant : 000114The role of traditional healers in the diagnosis and management of Burkitt lymphoma in Cameroon: understanding the challenges and moving forward
Auteurs : Glenn M. Afungchwi ; Peter B. Hesseling [Afrique du Sud] ; Elena J. LadasSource :
- BMC Complementary and Alternative Medicine [ 1472-6882 ] ; 2017.
Abstract
Burkittlymphoma(BL) is the most common childhood cancer in Cameroon with a reported incidence of 3 per 100,000 children under 15 years in the Northwest region. Treatment at three Baptist mission hospitals has a recorded cure rate of over 50%. Traditional medicine(TM) is recognized by the national health system, but its scope is undefined and entraps children with BL. The aim of this study was to investigate the attitudes and practices of parents and traditional healers (TH) towards TM in children with BL in order to develop recommendations for an integrative approach and improved access to life-saving treatment for children with BL.
This is a descriptive case series of children diagnosed with BL treated at Banso, Mbingo, and Mutengene Baptist Hospitals between 2003 and 2014. A questionnaire was used to obtain the following information: demographic information, religion, the rate of use of TM, reasons why guardians chose to use TM, the diagnoses made by the TH, treatment offered, and the type of payment requested, based on the accounts of patient caregivers. Data was analyzed using Center for Disease Control Epi Info 7.
Three hundred eighty-seven questionnaires were completed by parents/guardians. 55% had consulted a TH, of whom 76.1% consulted the TH as first choice. Common diagnoses provided by TH included liver problem, abscess, witchcraft, poison, hernia, side pain, mushroom in the belly and toothache. Methods of management included massage, cuts, concoctions, and incantations. The fee for these services included chickens, farm tools, and cash ranging from 200FCFA (0.4USD) to 100,000FCFA(200USD). The choice of TM was based on accessibility, failed clinic/hospital attendance, recommendation of relatives, and belief in TM.
TH are involved in BL management in Cameroon. TH are ignorant about BL, resulting in non-referral, and thus delay in diagnosis and treatment. Collaboration with TH could reduce late diagnosis and improve cure rates of BL and other childhood cancers.
Url:
DOI: 10.1186/s12906-017-1719-y
PubMed: 28399870
PubMed Central: 5387296
Affiliations:
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Hesseling</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.11956.3a</institution-id><institution>Department of paediatrics and child health, Tygerberg children’s Hospital,</institution><institution>Stellenbosch University,</institution></institution-wrap>Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Cape Town</wicri:regionArea></affiliation></author><author><name sortKey="Ladas, Elena J" sort="Ladas, Elena J" uniqKey="Ladas E" first="Elena J." last="Ladas">Elena J. Ladas</name><affiliation><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.21729.3f</institution-id><institution>Division of Pediatric Hematology/Oncology/Stem Cell Transplant and Institute of Human Nutrition,</institution><institution>Columbia University Medical Centre,</institution></institution-wrap>3959 Broadway, New York, New York CHN 10-06A USA</nlm:aff><wicri:noCountry code="subfield">New York CHN 10-06A USA</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28399870</idno><idno type="pmc">5387296</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5387296</idno><idno type="RBID">PMC:5387296</idno><idno type="doi">10.1186/s12906-017-1719-y</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">000566</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000566</idno><idno type="wicri:Area/Pmc/Curation">000565</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000565</idno><idno type="wicri:Area/Pmc/Checkpoint">000034</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000034</idno><idno type="wicri:Area/Ncbi/Merge">004035</idno><idno type="wicri:Area/Ncbi/Curation">004035</idno><idno type="wicri:Area/Ncbi/Checkpoint">004035</idno><idno type="wicri:Area/Main/Merge">000113</idno><idno type="wicri:Area/Main/Curation">000113</idno><idno type="wicri:Area/Main/Exploration">000113</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The role of traditional healers in the diagnosis and management of Burkitt lymphoma in Cameroon: understanding the challenges and moving forward</title><author><name sortKey="Afungchwi, Glenn M" sort="Afungchwi, Glenn M" uniqKey="Afungchwi G" first="Glenn M." last="Afungchwi">Glenn M. Afungchwi</name><affiliation><nlm:aff id="Aff1">Banso Baptist Hospital, Bui Division, Northwest region, Kumbo, Republic of Cameroon</nlm:aff><wicri:noCountry code="subfield">Republic of Cameroon</wicri:noCountry></affiliation></author><author><name sortKey="Hesseling, Peter B" sort="Hesseling, Peter B" uniqKey="Hesseling P" first="Peter B." last="Hesseling">Peter B. Hesseling</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="GRID">grid.11956.3a</institution-id><institution>Department of paediatrics and child health, Tygerberg children’s Hospital,</institution><institution>Stellenbosch University,</institution></institution-wrap>Cape Town, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Cape Town</wicri:regionArea></affiliation></author><author><name sortKey="Ladas, Elena J" sort="Ladas, Elena J" uniqKey="Ladas E" first="Elena J." last="Ladas">Elena J. Ladas</name><affiliation><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="GRID">grid.21729.3f</institution-id><institution>Division of Pediatric Hematology/Oncology/Stem Cell Transplant and Institute of Human Nutrition,</institution><institution>Columbia University Medical Centre,</institution></institution-wrap>3959 Broadway, New York, New York CHN 10-06A USA</nlm:aff><wicri:noCountry code="subfield">New York CHN 10-06A USA</wicri:noCountry></affiliation></author></analytic><series><title level="j">BMC Complementary and Alternative Medicine</title><idno type="eISSN">1472-6882</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Burkittlymphoma(BL) is the most common childhood cancer in Cameroon with a reported incidence of 3 per 100,000 children under 15 years in the Northwest region. Treatment at three Baptist mission hospitals has a recorded cure rate of over 50%. Traditional medicine(TM) is recognized by the national health system, but its scope is undefined and entraps children with BL. The aim of this study was to investigate the attitudes and practices of parents and traditional healers (TH) towards TM in children with BL in order to develop recommendations for an integrative approach and improved access to life-saving treatment for children with BL.</p></sec><sec><title>Methods</title><p>This is a descriptive case series of children diagnosed with BL treated at Banso, Mbingo, and Mutengene Baptist Hospitals between 2003 and 2014. A questionnaire was used to obtain the following information: demographic information, religion, the rate of use of TM, reasons why guardians chose to use TM, the diagnoses made by the TH, treatment offered, and the type of payment requested, based on the accounts of patient caregivers. Data was analyzed using Center for Disease Control Epi Info 7.</p></sec><sec><title>Results</title><p>Three hundred eighty-seven questionnaires were completed by parents/guardians. 55% had consulted a TH, of whom 76.1% consulted the TH as first choice. Common diagnoses provided by TH included liver problem, abscess, witchcraft, poison, hernia, side pain, mushroom in the belly and toothache. Methods of management included massage, cuts, concoctions, and incantations. The fee for these services included chickens, farm tools, and cash ranging from 200FCFA (0.4USD) to 100,000FCFA(200USD). The choice of TM was based on accessibility, failed clinic/hospital attendance, recommendation of relatives, and belief in TM.</p></sec><sec><title>Conclusions</title><p>TH are involved in BL management in Cameroon. TH are ignorant about BL, resulting in non-referral, and thus delay in diagnosis and treatment. Collaboration with TH could reduce late diagnosis and improve cure rates of BL and other childhood cancers.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Enow Orock, Ge" uniqKey="Enow Orock G">GE Enow-Orock</name></author><author><name sortKey="Pondy, A" uniqKey="Pondy A">A Pondy</name></author><author><name sortKey="Doumbe, P" uniqKey="Doumbe P">P Doumbe</name></author><author><name sortKey="Koki, N" uniqKey="Koki N">N Koki</name></author><author><name sortKey="Lemerle, J" uniqKey="Lemerle J">J Lemerle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lemerle, J" uniqKey="Lemerle J">J Lemerle</name></author><author><name sortKey="Fouzia, Ma" uniqKey="Fouzia M">MA Fouzia</name></author><author><name sortKey="Harif, M" uniqKey="Harif M">M Harif</name></author><author><name sortKey="Kogum, E" uniqKey="Kogum E">E Kogum</name></author><author><name sortKey="Ladjadj, Y" uniqKey="Ladjadj Y">Y 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Challinor</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Homsy, J" uniqKey="Homsy J">J Homsy</name></author><author><name sortKey="King, R" uniqKey="King R">R King</name></author><author><name sortKey="Balaba, D" uniqKey="Balaba D">D Balaba</name></author><author><name sortKey="Kabatesia, D" uniqKey="Kabatesia D">D Kabatesia</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Afrique du Sud</li></country></list><tree><noCountry><name sortKey="Afungchwi, Glenn M" sort="Afungchwi, Glenn M" uniqKey="Afungchwi G" first="Glenn M." last="Afungchwi">Glenn M. Afungchwi</name><name sortKey="Ladas, Elena J" sort="Ladas, Elena J" uniqKey="Ladas E" first="Elena J." last="Ladas">Elena J. Ladas</name></noCountry><country name="Afrique du Sud"><noRegion><name sortKey="Hesseling, Peter B" sort="Hesseling, Peter B" uniqKey="Hesseling P" first="Peter B." last="Hesseling">Peter B. Hesseling</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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