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Psychosocial aspects of health seeking behaviours of patients with Buruli ulcer in southern Benin.

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Aujoulat, Isabelle [UCL] Johnson, Christian Zinsou, Claude Guédénon, Augustin Portaels, Françoise

We investigated cultural beliefs and psychosocial factors associated with Buruli ulcer in southern Benin in order to elaborate and deliver appropriate health education messages. We conducted a qualitative study among 130 adults and 30 children in Zou province, a highly endemic region. Focus group interviews of inhabitants, patients and their assistants, health care professionals and traditional healers took place in Dasso, Ouinhi, Sagon and Zagnanado. Drawing sessions followed by individual interviews were organized among school children in Dasso and Sagon. We found that although Buruli ulcer is well known and recognized - even at a very early stage of the disease - and perceived as threatening, most people are reluctant to seek treatment at the health care centre. They are unclear about the origin of the disease (environmental factors or sorcery) and treatment is considered devastating, expensive and ineffective in some cases.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2003
Journal information "Tropical Medicine & International Health" - Vol. 8, no. 8, p. 750-759 (2003)
Peer reviewed yes
Publisher Wiley-Blackwell Publishing Ltd. (Chichester)
issn 1360-2276
e-issn 1365-3156
Publication status Publié
Affiliation UCL - MD/ESP - Ecole de santé publique
MESH Subject Adolescent ; Adult ; Age Factors ; Aged ; Benin ; Child ; Communication ; Culture ; Female ; Focus Groups ; Health Education ; Humans ; Male ; Medicine, African Traditional ; Middle Aged ; Mycobacterium Infections, Atypical - etiology - psychology - therapy ; Mycobacterium ulcerans ; Patient Acceptance of Health Care ; Skin Ulcer - microbiology - psychology - therapy
Keywords Buruli ulcer ; Benin ; Prevention ; Health education ; Beliefs ; Perceptions ; Psychosocial aspects
Links
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Bibliographic reference Aujoulat, Isabelle ; Johnson, Christian ; Zinsou, Claude ; Guédénon, Augustin ; Portaels, Françoise. Psychosocial aspects of health seeking behaviours of patients with Buruli ulcer in southern Benin.. In: Tropical Medicine & International Health, Vol. 8, no. 8, p. 750-759 (2003)
Permanent URL http://hdl.handle.net/2078.1/9525