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    Apr 17, 2021
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    Sociocultural and Structural Factors Contributing to Delays in Treatment for Children with Severe Malaria: A Qualitative Study in Southwestern Uganda

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    Name:
    Sundararajan et al - 2015 - ...
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    Authors
    Sundararajan, Radhika
    Mwanga-Amumpaire, Juliet
    Adrama, Harriet
    Tumuhairwe, Jackline
    Mbabazi, Sheilla
    Mworozi, Kenneth
    Carroll, Ryan
    Bangsberg, David
    Boum, Yap
    Ware, Norma C
    Issue Date
    2015-03-23
    
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    Journal
    The American Journal of Tropical Medicine and Hygiene
    Abstract
    Malaria is a leading cause of pediatric mortality, and Uganda has the highest incidences in the world. Increased morbidity and mortality are associated with delays to care. This qualitative study sought to characterize barriers to prompt allopathic care for children hospitalized with severe malaria in the endemic region of southwestern Uganda. Minimally structured, qualitative interviews were conducted with guardians of children admitted to a regional hospital with severe malaria. Using an inductive and content analytic approach, transcripts were analyzed to identify and define categories that explain delayed care. These categories represented two broad themes: sociocultural and structural factors. Sociocultural factors were 1) interviewee's distinctions of "traditional" versus "hospital" illnesses, which were mutually exclusive and 2) generational conflict, where deference to one's elders, who recommended traditional medicine, was expected. Structural factors were 1) inadequate distribution of health-care resources, 2) impoverishment limiting escalation of care, and 3) financial impact of illness on household economies. These factors perpetuate a cycle of illness, debt, and poverty consistent with a model of structural violence. Our findings inform a number of potential interventions that could alleviate the burden of this preventable, but often fatal, illness. Such interventions could be beneficial in similarly endemic, low-resource settings.
    Publisher
    American Society of Tropical Medicine and Hygiene
    URI
    http://hdl.handle.net/10144/550560
    DOI
    10.4269/ajtmh.14-0784
    PubMed ID
    25802438
    Additional Links
    http://www.ajtmh.org
    Language
    en
    ISSN
    1476-1645
    ae974a485f413a2113503eed53cd6c53
    10.4269/ajtmh.14-0784
    Scopus Count
    Collections
    Malaria

    entitlement

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