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Cutaneous leishmaniasis in Guatemala: people's knowledge, concepts and practices
B A Arana1, N R Rizzo, T R Navin
1Medical Entomology Research and Training Unit, Guatemala City, Guatemala. baaz@cdc.gov
Annals of Tropical Medicine and Parasitology
|February 24, 2001
Summary
Residents in endemic Guatemalan communities possess significant knowledge of cutaneous leishmaniasis (CL) symptoms and believe treatment is essential. Radio and community leaders are effective information channels for this neglected tropical disease.
Area of Science:
- Medical Anthropology
- Infectious Diseases
- Public Health
Background:
- Cutaneous leishmaniasis (CL) is a significant public health concern in rural Guatemala.
- Understanding community knowledge and perceptions is crucial for effective disease control strategies.
Purpose of the Study:
- To assess knowledge, concepts, and practices related to CL in endemic rural Guatemalan communities.
- To identify preferred treatment options and information communication channels for CL.
Main Methods:
- Survey of 425 household heads in ten rural Guatemalan communities.
- Qualitative analysis of disease concepts using free lists and paired comparisons.
- Assessment of knowledge regarding CL lesions and treatment options.
Main Results:
- High accuracy (96.7%) in describing CL lesions among respondents.
- CL recognized as a distinct skin condition, separate from other diseases.
- Over half (55%) knew of meglumine antimonate (Glucantime); treatment necessity universally acknowledged.
- Radio and community leaders identified as effective information channels.
Conclusions:
- Guatemalan rural communities demonstrate substantial awareness of cutaneous leishmaniasis.
- Targeted communication strategies utilizing radio and local leaders can enhance CL management.
- Further research into community-based interventions is warranted for endemic areas.