02035nas a2200409   4500000000100000008004100001653001500042653003800057653002700095653004500122653001600167653003400183653000900217653001100226653002100237653001700258653001100275653001200286653001800298653001000316653001000326653000900336653001600345653001000361653001500371100001500386700001400401700001300415700001700428700001500445245010300460856007700563300001000640490000600650520095500656022001401611       2003                            d10aSkin Ulcer10aPatient Acceptance of Health Care10aMycobacterium ulcerans10aMycobacterium Infections, Nontuberculous10aMiddle Aged10aMedicine, African Traditional10aMale10aHumans10aHealth Education10aFocus Groups10aFemale10aCulture10aCommunication10aChild10aBenin10aAged10aAge Factors10aAdult10aAdolescent1 aAujoulat I1 aJohnson C1 aZinsou C1 aGuédénon A1 aPortaels F00aPsychosocial aspects of health seeking behaviours of patients with Buruli ulcer in southern Benin.  uhttp://onlinelibrary.wiley.com/doi/10.1046/j.1365-3156.2003.01089.x/epdf  a750-90 v83 a<p>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.</p>
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