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Health-care seeking behaviour among persons with diabetes in Uganda study: an interview study
Linnaeus University, Faculty of Health, Social Work and Behavioural Sciences, School of Health and Caring Sciences. (SHV - Tidigare AMER)
Nbarara University of Science and Technology (MUST), Uganda. (SHV)
2011 (English)In: BMC International Health and Human Rights, E-ISSN 1472-698X, Vol. 26, article id 11Article in journal (Refereed) Published
Abstract [en]

The aim of the study was to explore healthcare-seeking behaviour, including use of complementary alternative medicine (CAM) and traditional healers, in Ugandans diagnosed with DM. Further, to study whether gender influenced healthcare-seeking behaviour. A descriptive study with a snowball sample from a community in Uganda was implemented. Semi-structured interviews were held with 16 women and 8 men, aged 25-70. Data were analysed by qualitative content analysis. The results showed that healthcare was mainly sought among doctors and nurses in the professional sector because of severe symptoms related to DM and/or glycaemic control. Females more often focused on follow-up of DM and chronic pain in joints, while males described fewer problems. Among those who felt that healthcare had failed, most had turned to traditional healers in the folk sector for prescription of herbs or food supplements, more so in women than men. Males more often turned to private for-profit clinics while females more often used free governmental institutions. In conclusion, healthcare was mainly sought from nurses and physicians in the professional sector and females used more free-of-charge governmental institutions. Perceived failure in health care to manage DM or related complications led many, particularly women, to seek alternative treatment from CAM practitioners in the folk sector. Living conditions, including healthcare organisation and gender, seemed to influence healthcare seeking, but further studies are needed.

Place, publisher, year, edition, pages
2011. Vol. 26, article id 11
Keywords [en]
Health care seeking behaviour, complimentary alternative medicinre, diabetes mellitus, Uganda.
National Category
Nursing
Research subject
Health and Caring Sciences, Caring Science
Identifiers
URN: urn:nbn:se:lnu:diva-16224DOI: 10.1186/1472-698X-11-11ISI: 000296774200001Scopus ID: 2-s2.0-80053367091OAI: oai:DiVA.org:lnu-16224DiVA, id: diva2:467006
Note

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available from: 2011-12-18 Created: 2011-12-18 Last updated: 2024-01-17Bibliographically 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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Hjelm, Katarina

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