Social Science Contributions to BU Focused Health Service Research in West-Africa

Nichter, Mark

doi:10.1007/978-3-030-11114-4_15

Cited by 10 publications

(8 citation statements)

References 49 publications

(80 reference statements)

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“…Thus, not trying traditional medicine first might lead to a waste of resources, if only allopathic treatment is used and is ineffective. When the patient recovers after traditional treatment, before or in concert with allopathic treatment, dual causality of the illness is presumed [ 44 , 45 ].…”

Section: Discussionmentioning

confidence: 99%

Getting to the Emergency Department in time: Interviews with patients and their caregivers on the challenges to emergency care utilization in rural Uganda

Pickering

Dreifuss²,

Ndyamwijuka³

et al. 2022

PLoS ONE

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Objectives Karoli Lwanga Hospital and Global Emergency Care, a 501(c)(3) nongovernmental organization, operate an Emergency Department (ED) in Uganda’s rural Rukungiri District. Despite available emergency care (EC), preventable death and disability persist due to delayed patient presentations. This study seeks to understand the emergency care seeking behavior of community members utilizing the established ED. Methods We purposefully sampled and interviewed patients and caregivers presenting to the ED more than 12 hours after onset of chief complaint in January-March 2017 to include various ages, genders, and complaints. Semistructured interviews addressing actions taken before seeking EC and delays to presentation once the need for EC was recognized were conducted until a diverse sample and theoretical saturation were obtained. An interdisciplinary and multicultural research team conducted thematic analysis based on descriptive phenomenology. Results The 50 ED patients for whom care was sought (mean age 33) had approximately even distribution of gender, as well as occupation (none, subsistence farmers and small business owner). Interviews were conducted with 13 ED patients and 37 caregivers, on the behalf of patients when unavailable. The median duration of patients’ chief complaint on ED presentation was 5.5 days. On average, participants identified severe symptoms necessitating EC 1 day before presentation. Four themes of treatment delay before and after severity were recognized were identified: 1) Cultural factors and limited knowledge of emergency signs and initial actions to take; 2) Use of local health facilities despite perception of inadequate services; 3) Lack of resources to cover the anticipated cost of obtaining EC; 4) Inadequate transportation options. Conclusions Interventions are warranted to address each of the four major reasons for treatment delay. The next stage of formative research will generate intervention strategies and assess the opportunities and challenges to implementation with community and health system stakeholders.

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Section: Discussionmentioning

confidence: 99%

Getting to the Emergency Department in time: Interviews with patients and their caregivers on the challenges to emergency care utilization in rural Uganda

Pickering

Dreifuss²,

Ndyamwijuka³

et al. 2022

PLoS ONE

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“…13 Alternative care-seeking preferences may be driven, at least in part, by mistrust of public health facilities, so involving other care providers (e.g., traditional healers) in programme activities, such as community meetings and case follow-up, can be very beneficial, if done with care. 14 It is important that CBS programmes employ multiple or parallel engagement strategies and do not rely solely on official channels.…”

Section: Lessons For Community Engagementmentioning

confidence: 99%

Key Considerations: Community-Based Surveillance in Public Health

Palmer¹,

Duclos²

2023

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Recent large-scale epidemics and pandemics have demonstrated the importance of engaging communities as partners in preventing, detecting and responding to public health emergencies. Community-based surveillance (CBS), which relies on communities to report public health information, can be an important part of effective, inclusive and accountable responses to humanitarian and public health emergencies, as well as long-term disease control. This brief offers key considerations for CBS programming to guide policymakers, public health officials, civil society organisations, health workers, researchers, advocates, and others interested in health surveillance. It is based on a rapid review of CBS guidance and social science literature. It was written by Jennifer Palmer and Diane Duclos (both London School of Hygiene & Tropical Medicine, LSHTM) with contributions by Mariam Sharif (École des Hautes Études en Sciences Sociales, EHESS). It was reviewed by Ruwan Ratnayake (LSHTM), Maysoon Dahab (LSHTM) and Luisa Enria (LSHTM). This brief is the responsibility of the Social Science in Humanitarian Action Platform (SSHAP).

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“…People's perception of using plant medicine for treating BU can enhance our understanding and control of the disease. Often traditional healers are the first point of call when people contract BU in Ghana, Benin, Cameroon and beyond, and they use different kinds of methods including the application of herbal medicine [ 108 ].The rural folks seeking herbal treatment share the perception that spirits and witchcraft cause BU, and the combination of treatments such as placating spirits, prayer, and the application of herbal medicine might effectively cure the disease [ 108 ]. Some also use plant medicine because they believe they will heal quickly [ 80 ].…”

Section: Social Perceptions Of the Use Of Plants For Bu Treatment In ...mentioning

confidence: 99%

Buruli ulcer in Africa: Geographical distribution, ecology, risk factors, diagnosis, and indigenous plant treatment options – A comprehensive review

Osei-Owusu,

Aidoo,

Eshun

et al. 2023

Heliyon

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Social Science Contributions to BU Focused Health Service Research in West-Africa

Cited by 10 publications

References 49 publications

Getting to the Emergency Department in time: Interviews with patients and their caregivers on the challenges to emergency care utilization in rural Uganda

Getting to the Emergency Department in time: Interviews with patients and their caregivers on the challenges to emergency care utilization in rural Uganda

Key Considerations: Community-Based Surveillance in Public Health

Buruli ulcer in Africa: Geographical distribution, ecology, risk factors, diagnosis, and indigenous plant treatment options – A comprehensive review

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