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Health professionals' knowledge and attitudes to healthcare-seeking practices and complementary alternative medicine usage in Ugandans with diabetes: a cross-sectional survey
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. MUST, Uganda.
Linköping University.
2017 (English)In: Pan African Medical Journal, E-ISSN 1937-8688, Vol. 28, article id 256Article in journal (Refereed) Published
Abstract [en]

Introduction: Healthcare-seeking behaviour among persons with diabetes has been investigated to a limited extent, and not from professionals' perspective. The aim of the study was to describe healthcare professionals' knowledge, attitudes and practice concerning healthcare-seeking behaviour and the use of complementary and alternative medicine among persons with diabetes. Methods: A cross-sectional, self-administered questionnaire was conducted in western Uganda. Nurses, midwives or nurse assistants 72.2%, physicians 12% and clinical officers 10% volunteered to participate in the study with a total 108 (93% response rate) response rate. Descriptive statistics were used to analyse data with frequencies, percentages and summarized in tables. Results: Most of the healthcare providers perceived more uneducated people to be at risk of developing complications related to diabetes (66.7%) and that most of the patients with diabetes were not knowledgeable about signs and symptoms of diabetes before being diagnosed (75.9%). The main reasons inducing persons with diabetes to seek care outside the health care sector were reported to be seeking a cure for the condition, influence from the popular sector, the accessibility of the place and signs of complications of diabetes related to poor glycaemic control. Healthcare providers had relatively positive attitudes towards using complementary and alternative medicine. Conclusion: Insufficient knowledge about diabetes, compromised healthcare-seeking practices including drug procurement for diabetes seem to be barriers to diabetes management. Patients were thus reported to be burdened with co-morbidities of complications of diabetes related to poor glycaemic control.

Place, publisher, year, edition, pages
AFRICAN FIELD EPIDEMIOLOGY NETWORK-AFENET , 2017. Vol. 28, article id 256
Keywords [en]
Attitudes, complementary and alternative medicine, Diabetes, healthcare providers, healthcare-seeking behaviour, knowledge
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-72117DOI: 10.11604/pamj.2017.28.256.11615ISI: 000425697300001Scopus ID: 2-s2.0-85041418852OAI: oai:DiVA.org:lnu-72117DiVA, id: diva2:1194932
Available from: 2018-04-04 Created: 2018-04-04 Last updated: 2024-07-03Bibliographically approved
In thesis
1. Healthcare-seeking behaviour and management of type 2 diabetes in Uganda: Perspectives of persons with diabetes, traditional healers and healthcare providers
Open this publication in new window or tab >>Healthcare-seeking behaviour and management of type 2 diabetes in Uganda: Perspectives of persons with diabetes, traditional healers and healthcare providers
2017 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Healthcare-seeking behaviour is important as it determines acceptance ofhealthcare and outcomes of chronic conditions, but it has been investigated to alimited extent, and not in developing countries. The overall aim was to explorehow persons with type 2 diabetes seek care to manage diabetes using differenthealthcare providers including the use of complementary alternative medicine andtraditional healers in Uganda. The study design was a combination of quantitativeand qualitative studies to explore and describe healthcare-seeking behaviour. Thethesis included 41 persons with type 2 diabetes, 16 traditional healers, and 108healthcare professionals. Individual semi-structured interviews, focus groupinterviews and self-administered questionnaires were used to collect data. Datawere analysed using qualitative content analysis, qualitative data analysis of focusgroup interviews and descriptive statistics of quantitative data.The preference health service provider for people with diabetes was identified asthe professional health sector. Healthcare was mainly sought, or perceived to besought, among doctors and nurses in the public hospitals. Perceived failure inhealthcare to manage diabetes or its complications led many, particularly women,to seek alternative treatment from complementary alternative medicinepractitioners. Reasons why persons with diabetes switched between differenthealthcare providers were symptoms of diabetes or complications related to poorglycemic control. Patients who sought alternative medicine reported to have beentired of taking western medicine as their condition did not improve or they hopedfor cure. Traditional therapies of patients with diabetes were mainly described asherbal medicine, nutritional products of local fruits and vegetables. Healthcareorganization, treatments costs, patients’ health beliefs, and general conditionseemed to have influenced healthcare-seeking practices.In conclusion, the pattern of care seeking was inconsistent, with a switch betweendifferent healthcare providers under the influence of the popular and folk sectors.Healthcare providers need to develop a well-designed package of diabetes andself-care management education designed to raise awareness about diabetes care atall levels. Nurses and other health professionals need to carry out a comprehensivehealth assessment to identify individuals’ educational needs in order to provideappropriate educational and clinical support, in well-organized diabetes care, tomaintain good health.

Place, publisher, year, edition, pages
Linnaeus University Press, 2017. p. 71
Series
Linnaeus University Dissertations ; 287
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
urn:nbn:se:lnu:diva-108596 (URN)9789188357748 (ISBN)
Available from: 2021-12-15 Created: 2021-12-15 Last updated: 2022-03-17Bibliographically approved

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