دورية أكاديمية
Health-seeking behaviour regarding schistosomiasis treatment in the absence of a mass drug administration (MDA) program: the case of endemic communities along Lake Albert in Western Uganda.
| العنوان: | Health-seeking behaviour regarding schistosomiasis treatment in the absence of a mass drug administration (MDA) program: the case of endemic communities along Lake Albert in Western Uganda. |
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| المؤلفون: | Anyolitho MK; Department of Community Health, Faculty of Public Health, Lira University, Lira, Uganda. manyolitho@lirauni.ac.ug.; Department of Human Development and Relational Sciences, Faculty of Interdisciplinary Sciences, Mbarara University of Science and Technology, Mbarara, Uganda. manyolitho@lirauni.ac.ug.; Department of Sociology, Faculty of Social Sciences, University of Antwerp, Antwerp, Belgium. manyolitho@lirauni.ac.ug., Nyakato VN; Department of Human Development and Relational Sciences, Faculty of Interdisciplinary Sciences, Mbarara University of Science and Technology, Mbarara, Uganda., Huyse T; Department of Biology, Royal Museum for Central Africa, Tervuren, Belgium., Poels K; Department of Communication, Faculty of Social Sciences, University of Antwerp, Antwerp, Belgium., Masquillier C; Department of Family Medicine and Population Health - FAMPOP, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.; Centre for Family, Population and Health, Faculty of Social Sciences, University of Antwerp, Antwerp, Belgium. |
| المصدر: | BMC public health [BMC Public Health] 2023 Jun 05; Vol. 23 (1), pp. 1072. Date of Electronic Publication: 2023 Jun 05. |
| نوع المنشور: | Review; Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Schistosomiasis*/drug therapy , Schistosomiasis*/epidemiology , Anthelmintics*/therapeutic use, Humans ; Mass Drug Administration ; Uganda/epidemiology ; Lakes ; Praziquantel/therapeutic use ; Patient Acceptance of Health Care |
| مستخلص: | Introduction: Schistosomiasis poses a serious public health problem and a social challenge affecting over 240 million people, the majority of whom live in sub-Saharan Africa. The World Health Organization (WHO) recommends praziquantel (PZQ) drug treatment through regular mass drug administration (MDA) accompanied by social mobilisation and health education and sensitisation. With social mobilisation and health education and sensitisation, there is bound to be increased demand for the PZQ, especially in the case of endemic communities. However, it is not clear where communities go for PZQ treatment in the absence of PZQ MDA. We explored the health-seeking behaviours regarding schistosomiasis treatment among communities along Lake Albert in Western Uganda when MDA had delayed, to inform a review of the implementation policy for the achievement of the WHO's 2030 target of 75% coverage and uptake. Methods and Materials: We conducted a community-based qualitative study in Kagadi and Ntoroko, an endemic community in January and February 2020. We interviewed 12 individuals: local leaders, village health teams, and health workers, and conducted 28 focus group discussion sessions with 251 purposively selected community members. The audio recordings of the data were transcribed and analyzed using a thematic analysis model. Results: Generally, participants seldom seek medication for schistosomiasis-related signs and symptoms from government hospitals and health centres II, III and IV. Instead, they rely on community volunteers such as VHTs, private facilities, such as clinics and drug shops nearby, or traditional sources (e.g. witch doctors and herbalists). Results show that factors influencing people to seek treatment from sources other than the government are: the absence of PZQ drugs in the government health facility; health workers' negative attitude towards patients; long distances to the government hospitals and health facilities; poor and inaccessible roads; medication-related costs; and negative perceptions of the PZQ drug. Conclusions: Availability and accessibility of PZQ seem to be a big challenge. PZQ uptake is further hampered by health systems and community-related and socio-cultural factors. Thus there is a need to bring schistosomiasis drug treatment and services closer to endemic communities, stock nearby facilities with PZQ and encourage endemic communities to take the drug. Contextualised awareness-raising campaigns are needed to debunk myths and misconceptions surrounding the drug. (© 2023. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Communities; Endemic; Health-seeking behaviour; Lake Albert; Mass drug administration; Praziquantel; Schistosomiasis; Uganda |
| المشرفين على المادة: | 6490C9U457 (Praziquantel) 0 (Anthelmintics) |
| تواريخ الأحداث: | Date Created: 20230605 Date Completed: 20230607 Latest Revision: 20230614 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10240754 |
| DOI: | 10.1186/s12889-023-16020-z |
| PMID: | 37277773 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1471-2458 |
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| DOI: | 10.1186/s12889-023-16020-z |