马达加斯加马达加斯加Miandrivazo地区的麻风感知和健康寻求行为
Hanitriniaina Rasolofozafy1, Maya Ronse2, Lovasoa Mbolamanana Joseph Andrianiriana1
1National Leprosy Program, Antananarivo, Madagascar.
在马达加斯加,晚期诊断麻风病与社会文化信仰和污名有关. 解决社区的看法和提高健康意识对于更好地获得麻风护理至关重要.
科学领域:
- 全球健康 全球健康
- 医学人类学 医学人类学
- 公共卫生 公共卫生
背景情况:
- 麻风在低收入和中等收入国家带来了重大的健康和社会挑战.
- 晚诊导致残疾,而耻辱导致社会排斥.
研究的目的:
- 探索影响马达加斯加麻风诊断和护理获取的社会文化因素.
- 调查社区对麻风的看法和表现.
主要方法:
- 马达加斯加Miandrivazo地区的定性民族学研究.
- 涉及的患者,家庭,治疗师,卫生工作者和社区成员.
- 对收集的数据进行主题分析.
主要成果:
- 麻风病往往是晚期诊断的,并有明显的并发症,并被认为是神秘的惩罚.
- 患者寻求传统治疗师,自我治疗和生物医学服务的护理,通常是在与治疗师进行初步咨询后.
- 寻求护理的决定受到疾病的看法,成本和对耻辱的恐惧的影响.
结论:
- 社会文化因素对于改善麻风诊断和护理准入至关重要.
- 缺乏意识和耻辱是护理的主要障碍.
- 在面临挑战的卫生系统中,解决这些因素至关重要.
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