Back to search
Publication

Using qualitative methods to explore lay explanatory models, health-seeking behaviours and self-care practices of podoconiosis Patients in North-West Ethiopia.

Abstract

BACKGROUND: Podoconiosis (endemic non-filarial elephantiasis) is a chronic, non-infectious disease resulting from exposure of bare feet to red-clay soil in tropical highlands. This study examined lay beliefs about three under-researched aspects of podoconiosis patients' care: explanatory models, health-seeking behaviours and self-care.

METHODS: In-depth interviews and focus group discussions were undertaken with 34 participants (19 male, 15 female) between April-May 2015 at podoconiosis treatment centres across East and West Gojjam regions in north-west Ethiopia.

RESULTS: Explanatory models for podoconiosis included contamination from blood, magic, soil or affected individuals. Belief in heredity or divine punishment often delayed clinic attendance. All participants had tried holy water treatment and some, holy soil. Herbal treatments were considered ineffectual, costly and appeared to promote fluid escape. Motivators for clinic attendance were failure of traditional treatments and severe or disabling symptoms. Patients did not report self-treatment with antibiotics. Self-care was hindered by water being unavailable or expensive and patient fatigue.

CONCLUSION: A pluralistic approach to podoconiosis self-treatment was discovered. Holy water is widely valued, though some patients prefer holy soil. Priests and traditional healers could help promote self-care and "signpost" patients to clinics. Change in behaviour and improving water access is key to self-care.

More information

Type
Journal Article
Author
Banks HS
Tsegay G
Wubie M
Tamiru A
Davey G
Cooper M
Year of Publication
2016
Journal
PLoS neglected tropical diseases
Volume
10
Issue
8
Number of Pages
e0004878
Language
eng
ISSN Number
1935-2735
DOI
10.1371/journal.pntd.0004878
Alternate Journal
PLoS Negl Trop Dis
Publication Language
eng