Schistosomiasis-related perceptions, attitudes and treatment-seeking practices in Magu district, Tanzania: Public health implications

Schistosomiasis-related perceptions, attitudes and treatment-seeking practices in Magu district, Tanzania: Public health implications
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DOI:
10.1017/s0021932003006114
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发表时间:
2004-01-01
影响因子:
1.5
通讯作者:
Aagaard-Hansen, J
Aagaard-Hansen, J
中科院分区:
法学3区
文献类型:
--
作者:
Mwanga, JR;Magnussen, P;Aagaard-Hansen, J

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在维多利亚湖沿岸坦桑尼亚农村马古地区的瓦苏库马人中进行了一项关于对血吸虫病的认知、态度和寻求治疗做法的研究,那里血吸虫和曼氏血吸虫感染是地方病。本研究采用深入访谈、焦点小组讨论和问卷调查的方法,对成人和小学生进行了调查。感知到的症状和原因与生物医学观点不符,许多受访者认为血吸虫病是一种可耻的疾病。政府卫生保健机构缺乏诊断和治疗服务是很普遍的,但生物医学卫生保健服务机构愿意与传统治疗师合作。向地区卫生管理小组提出的建议是:应加强生物医学和传统卫生保健提供者之间的合作,并应提高政府设施对血吸虫病的诊断和治疗能力。应与当地社区合作制定文化相容的健康教育方案。
A study on perceptions, attitudes and treatment-seeking practices related to schistosomiasis was conducted among the Wasukuma in the rural Magu district of Tanzania at the shore of Lake Victoria where Schistosoma haematobium and mansoni infections are endemic. The study applied in-depth interviews, focus group discussions and a questionnaire survey among adults and primary school children. The perceived symptoms and causes were incongruous with the biomedical perspective and a number of respondents found schistosomiasis to be a shameful disease. Lack of diagnostic and curative services at the government health care facilities was common, but there was a willingness from the biomedical health care services to collaborate with the traditional healers. Recommendations to the District Health Management Team were: that collaboration between biomedical and traditional health care providers should be strengthened and that the government facilities' diagnostic and curative capacity with regard to schistosomiasis should be upgraded. Culturally compatible health education programmes should be developed in collaboration with the local community.