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Estudio basado en la comunidad sobre el conocimiento, las actitudes y la práctica del modo de transmisión, la prevención y el tratamiento de la úlcera de Buruli en el distrito de Ga, Ghana
Author(s) -
Renzaho Andre M. N.,
Woods Paul V.,
Ackumey Mercy M.,
Harvey Simon K.,
Kotin Jacob
Publication year - 2007
Publication title -
tropical medicine and international health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.056
H-Index - 114
eISSN - 1365-3156
pISSN - 1360-2276
DOI - 10.1111/j.1365-3156.2006.01795.x
Subject(s) - buruli ulcer , transmission (telecommunications) , medicine , socioeconomics , geography , environmental health , sociology , telecommunications , pathology , disease , computer science
Summary Buruli ulcer disease (BUD), a devastating tropical disease caused by Mycobacterium ulcerans , occurs in more than 80% of the administrative districts of Ghana. To elucidate community perceptions and understanding of the aetiology of BUD, attitudes towards Buruli patients and treatment‐seeking behaviours, we conducted a survey with 504 heads of households and seven focus group discussions in Ga West District, Ghana. Although 67% of participants regarded BUD as a health problem, 53% did not know its cause. Sixteen per cent attributed the cause to drinking non‐potable water, 8.1% mentioned poor personal hygiene or dirty surroundings, and 5.5% identified swimming or wading in ponds as a risk factor. About 5.2% thought that witchcraft and curses cause BUD, and 71.8% indicated that BU sufferers first seek treatment from herbalists and only refer to the hospital as a last resort. The main reasons were prospects of prolonged hospital stay, cost of transport, loss of earnings and opportunity associated with parents attending their children's hospitalization over extended period, delays in being attended by medical staff, and not knowing the cause of the disease or required treatment. The level of acceptance of BUD sufferers was high in adults but less so in children. The challenge facing health workers is to break the vicious cycle of poor medical outcomes leading to poor attitudes to hospital treatment in the community. Because herbalists are often the first people consulted by those who contract the disease, they need to be trained in early recognition of the pre‐ulcerative stage of Buruli lesions.