Prevalence of Skin Disease in Rural Tanzania and Factors Influencing the Choice of Health Care, Modern or Traditional

Satimia, Frederick Temba; McBride, Sandy; Leppard, Barbara

doi:10.1001/archderm.134.11.1363

Cited by 67 publications

(65 citation statements)

References 7 publications

(7 reference statements)

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“…The issue of people believing in traditional healing because of their cultural upbringing arises in the study by Pinkoane et al [14] into policy makers' perceptions and attitudes regarding the incorporation of traditional healing into the national health care system in South Africa. Similar findings were also mentioned in the study by Satimia et al [15] that investigated people's choice of modern or traditional health care in rural Tanzania.…”

Section: "I Support Traditional Healers But Not Openly"supporting

confidence: 87%

Health Care Practitioners’ Ambivalence about Traditional Healing: A Critical Reflection on the Findings of Maboe Mokgobi’s Dlitt Et Phil Study

Mg¹

2015

J Perioper Crit Intensive Care Nurs

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This paper deliberates on the findings of a doctoral study that investigated western-trained health care practitioners' views on traditional healing. The paper particularly focuses on the ambivalences that emerged in the responses of health care practitioners when they responded to questions relating to (1) whether they use the services of traditional healers, (2) whether they have knowledge of traditional healing, (3) whether they support traditional healing and (4) whether they would be willing to work with traditional healers in the future. For the benefit of the reader, the paper begins by presenting the executive summary of the DLitt et Phil study whose results are being reflected upon in this paper. The paper tapers off by suggesting that both the western healing and traditional healing systems could learn from each other although western-trained health care practitioners indicated a reluctance to work with traditional healers in the future. When comparing the views of different categories of western-trained health care practitioners, psychiatrists and psychiatric nurses (as compared to general physicians and general nurses) appeared to be the most welcoming of the idea of working with traditional healers in the future.

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Section: "I Support Traditional Healers But Not Openly"supporting

confidence: 87%

Health Care Practitioners’ Ambivalence about Traditional Healing: A Critical Reflection on the Findings of Maboe Mokgobi’s Dlitt Et Phil Study

Mg¹

2015

J Perioper Crit Intensive Care Nurs

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“…22.5% and 18%respectively) 11 -14 . One •fth of the inhabitants affected is a fairly high prevalence for SDs, but it is considerably lower than what has been reported from other developing countries in Asia and Africa 5,6,8,9,10 . This difference might be due to the fact that our study was conducted during a relatively cool season and it is well known that there are large seasonal variations in the incidence of SDs, especially infectious SD, which are more common in tropical and subtropical climate z ones.…”

Section: Discussionmentioning

confidence: 65%

“…I n Africa, reported prevalence •gures vary between 11.7% in Bamako, Mali, to 48% in rural Ethiopia 7,8,9,10 . The published prevalence •gures in children are also high, 32% in Kenya 11 , 34% in Mali 12 , 31.3% in Hong Kong 13 and 38.8% in northern India 14 .…”

mentioning

confidence: 99%

Prevalence of skin diseases and impact on quality of life in hilly region of Nepal

Shrestha¹,

Gurung²,

Rosdahl³

2013

Journal of Institute of Medicine

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Introduction: Skin diseases (SDs) are one of the most common health problems in Nepal. The objectives of this study are to determine the prevalence of SDs and impact on quality of life (QoL) in a rural community in Nepal. Methods: A house-to-house survey was conducted in a community with 3,207 inhabitants, to obtain socio-demographic data and identify individuals with SDs. Free examination and treatment was offered at 4 health camps. Individuals with long-standing SDs were interviewed using the Dermatology Life Quality Index (DLQI). Results: Of 735 individuals attending the health camps, 645 (mean age 24.9 years, range 0.5-90) had one or more SDs. The overall prevalence of SDs was 20.1% (males 18.1%, females 22.5% and children 28.2%). The most common SD categories were eczemas (12.2%), pigment disorders (4.1%), acne (2.7%), urticaria (2.4%) and moles and lumps (1.6%). In the Nepalese culture, the DLQI question on sexuality was too direct so only 9/10 questions were used. In the 75 patients who were interviewed, the mean DLQI score was 10.7 (range 7-19), indicating a large impact on QoL. Conclusions: This population-based study shows that SDs were very common in a rural community in Nepal. The five most common SD categories comprise 77% of all SDs. Targeted training should enable health-care workers to prevent, accurately diagnose and manage these problems on site. An appropriate instrument to measure QoL adjusted to the socio-cultural norms of Nepal has to be developed

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“…Various studies observed that the majority of people with a skin disorder do not seek medical advice, either because they do not see their symptoms as a problem 5 or they self-medicate. 10,52 In Nigeria, 65% of people self-medicate and use a form of herbal remedy.…”

mentioning

confidence: 99%

First-line health care provider performance in the management of common skin diseases using an algorithmic approach as a diagnostic tool in Kano State, Nigeria

Taal¹,

Post²,

Hussaini³

et al. 2015

RRTM

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Skin diseases are common worldwide, though prevalence rates in rural areas are difficult to estimate, and are primarily based on hospital studies rather than community-based studies. Primary health care providers in rural areas often lack sufficient knowledge about skin diseases, which contributes to poor skin management and subsequently causes considerable morbidity. This study looked at the performance of first-line health care providers in the management of common skin disease, using an algorithmic approach with a flowchart with diagnostic steps. As a reference standard, two dermatologists independently validated the diagnoses and treatment choices made by the providers. The performance of the algorithm was calculated in terms of the sensitivity, specificity, positive predictive value (PPV), and negative predictive value for each skin disease of the algorithm. A total of 19 patent medicine vendors and 12 traditional healers from Kano State in Nigeria diagnosed 4,147 patients with suspected skin symptoms. The most common skin disease was tinea capitis (59.2%), and it was found predominantly among boys below 15 years of age. Together, patent medicine vendors and traditional healers had 82% of the cases correctly diagnosed, and in 82% they prescribed the correct treatment. The sensitivities varied for each skin disease from 94.8% for tinea capitis to 7.1% for contact dermatitis. The specificities varied between 87.0% and 98.6%. Except for tinea capitis, lower PPVs were found for the various skin diseases when compared to earlier studies. In spite of the observed low sensitivities and low PPVs for several diseases, the algorithm seems to offer an improvement in management of common skin diseases at the peripheral level. With adaptations in training, further refinement of the algorithm and refresher training, predictive values and sensitivities can be increased.

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Prevalence of Skin Disease in Rural Tanzania and Factors Influencing the Choice of Health Care, Modern or Traditional

Cited by 67 publications

References 7 publications

Health Care Practitioners’ Ambivalence about Traditional Healing: A Critical Reflection on the Findings of Maboe Mokgobi’s Dlitt Et Phil Study

Health Care Practitioners’ Ambivalence about Traditional Healing: A Critical Reflection on the Findings of Maboe Mokgobi’s Dlitt Et Phil Study

Prevalence of skin diseases and impact on quality of life in hilly region of Nepal

First-line health care provider performance in the management of common skin diseases using an algorithmic approach as a diagnostic tool in Kano State, Nigeria

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