TY - JOUR KW - Skin Ulcer KW - Patient Acceptance of Health Care KW - Mycobacterium ulcerans KW - Mycobacterium Infections, Nontuberculous KW - Middle Aged KW - Medicine, African Traditional KW - Male KW - Humans KW - Health Education KW - Focus Groups KW - Female KW - Culture KW - Communication KW - Child KW - Benin KW - Aged KW - Age Factors KW - Adult KW - Adolescent AU - Aujoulat I AU - Johnson C AU - Zinsou C AU - Guédénon A AU - Portaels F AB -

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.

BT - Tropical medicine & international health : TM & IH C1 -

http://www.ncbi.nlm.nih.gov/pubmed/12869098?dopt=Abstract

DO - 10.1046/j.1365-3156.2003.01089.x IS - 8 J2 - Trop. Med. Int. Health LA - eng N2 -

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.

PY - 2003 SP - 750 EP - 9 T2 - Tropical medicine & international health : TM & IH TI - Psychosocial aspects of health seeking behaviours of patients with Buruli ulcer in southern Benin. UR - http://onlinelibrary.wiley.com/doi/10.1046/j.1365-3156.2003.01089.x/epdf VL - 8 SN - 1360-2276 ER -