Accessibility of diagnostic and treatment centres for visceral leishmaniasis in Gedaref State, northern Sudan.

Hdl Handle:
http://hdl.handle.net/10144/16794
Title:
Accessibility of diagnostic and treatment centres for visceral leishmaniasis in Gedaref State, northern Sudan.
Authors:
Gerstl, S; Amsalu, R; Ritmeijer, K
Journal:
Tropical Medicine & International Health
Abstract:
OBJECTIVE: To evaluate the accessibility of visceral leishmaniasis (VL) treatment. METHOD: Community-based study using in-depth qualitative interviews and focus group discussions with key informants, as well as quantitative questionnaires with 448 randomly selected heads of households in nine representative villages in three geographical sub-regions. RESULTS: Despite the high incidence of the disease, most people in Gedaref State know little about VL, and help at a treatment centre is usually sought only after traditional remedies and basic allopathic drugs have failed. Factors barring access to treatment are: lack of money for treatment and transport, impassability of roads, work priorities, severe cultural restrictions of women's decision-making power and distance to the next health center. CONCLUSIONS: To provide more VL patients with access to treatment in this highly endemic area, diagnostic and treatment services should be decentralized. Health education would be a useful tool to rationalise people's health-seeking behaviour.
Affiliation:
Médecins Sans Frontières Holland, Amsterdam, The Netherlands. sgerstl@aol.com
Publisher:
Wiley-Blackwell
Issue Date:
Feb-2006
URI:
http://hdl.handle.net/10144/16794
DOI:
10.1111/j.1365-3156.2005.01550.x
PubMed ID:
16451340
Additional Links:
http://www.blackwell-synergy.com/loi/tmi
Language:
en
ISSN:
1360-2276
Appears in Collections:
Leishmaniasis/Kala Azar

Full metadata record

DC FieldValue Language
dc.contributor.authorGerstl, S-
dc.contributor.authorAmsalu, R-
dc.contributor.authorRitmeijer, K-
dc.date.accessioned2008-01-24T15:06:34Z-
dc.date.available2008-01-24T15:06:34Z-
dc.date.issued2006-02-
dc.identifier.citationAccessibility of diagnostic and treatment centres for visceral leishmaniasis in Gedaref State, northern Sudan. 2006, 11 (2):167-75 Trop. Med. Int. Healthen
dc.identifier.issn1360-2276-
dc.identifier.pmid16451340-
dc.identifier.doi10.1111/j.1365-3156.2005.01550.x-
dc.identifier.urihttp://hdl.handle.net/10144/16794-
dc.description.abstractOBJECTIVE: To evaluate the accessibility of visceral leishmaniasis (VL) treatment. METHOD: Community-based study using in-depth qualitative interviews and focus group discussions with key informants, as well as quantitative questionnaires with 448 randomly selected heads of households in nine representative villages in three geographical sub-regions. RESULTS: Despite the high incidence of the disease, most people in Gedaref State know little about VL, and help at a treatment centre is usually sought only after traditional remedies and basic allopathic drugs have failed. Factors barring access to treatment are: lack of money for treatment and transport, impassability of roads, work priorities, severe cultural restrictions of women's decision-making power and distance to the next health center. CONCLUSIONS: To provide more VL patients with access to treatment in this highly endemic area, diagnostic and treatment services should be decentralized. Health education would be a useful tool to rationalise people's health-seeking behaviour.en
dc.language.isoenen
dc.publisherWiley-Blackwell-
dc.relation.urlhttp://www.blackwell-synergy.com/loi/tmi-
dc.rightsArchived on this site with the kind permission of Wiley-Blackwellen
dc.subject.meshCost of Illnessen
dc.subject.meshCultureen
dc.subject.meshEducational Statusen
dc.subject.meshFemaleen
dc.subject.meshHealth Knowledge, Attitudes, Practiceen
dc.subject.meshHealth Services Accessibilityen
dc.subject.meshHumansen
dc.subject.meshIncidenceen
dc.subject.meshLeishmaniasis, Visceralen
dc.subject.meshMaleen
dc.subject.meshNutritional Statusen
dc.subject.meshPatient Acceptance of Health Careen
dc.subject.meshRural Healthen
dc.subject.meshSeasonsen
dc.subject.meshSocioeconomic Factorsen
dc.subject.meshSudanen
dc.subject.meshTransportationen
dc.titleAccessibility of diagnostic and treatment centres for visceral leishmaniasis in Gedaref State, northern Sudan.en
dc.contributor.departmentMédecins Sans Frontières Holland, Amsterdam, The Netherlands. sgerstl@aol.comen
dc.identifier.journalTropical Medicine & International Healthen

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