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Health-care seeking behaviour and the use of traditional medicine among persons with type 2 diabetes in south-western Uganda: a study of focus group interviews
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences. Mbarara University of Science and Technology, Uganda.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Linnaeus University, Faculty of Health and Life Sciences, Department of Health and Caring Sciences.
Linköping University.
2015 (English)In: Pan African Medical Journal, E-ISSN 1937-8688, Vol. 20, p. 1-13, article id 76Article in journal (Refereed) Published
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Text
Abstract [en]

Introduction: Health-care seeking behaviour is important as it determines acceptance of health care and outcomes of chronic conditions but it has been investigated to a limited extent among persons with diabetes in developing countries. The aim of the study was to explore health-care seeking behaviour among persons with type 2 diabetes to understand reasons for using therapies offered by traditional healers.

Methods: Descriptive study using focus-group interviews. Three purposive focus-groups were conducted in 2011 of 10 women and 7 men aged 39–72 years in Uganda. Data were collected through semi-structured interviews and qualitatively analysed according to a method described for focus-groups.

Results: Reasons for seeking help from traditional healers were symptoms related to diabetes such as polydipsia, fatigue and decreased sensitivity in lower limbs. Failure of effect from western medicine was also reported. Treatment was described to be unknown extracts, of locally made products taken as herbs or food, and participants had sought help from different health facilities with the help of relatives and friends.

Conclusion: The pattern of seeking care was inconsistent, with a switch between different health care providers under the influence of the popular and folk sectors. Despite beliefs in using different healthcare providers seeking complementary and alternative medicine, participants still experienced many physical health problems related to diabetes complications. Health professionals need to be aware of the risk of switches between different health care providers, and develop strategies to initiate health promotion interventions to include in the care actors of significance to the patient from the popular, folk and professional sectors, to maintain continuity of effective diabetes care. © Katarina Hjelm et al.

Place, publisher, year, edition, pages
2015. Vol. 20, p. 1-13, article id 76
Keywords [en]
Complementary alternative medicine, Diabetes mellitus, Health-care seeking behaviour, Nursing, Traditional healers, Uganda
National Category
Nursing
Research subject
Health and Caring Sciences, Nursing
Identifiers
URN: urn:nbn:se:lnu:diva-54883DOI: 10.11604/pamj.2015.20.76.5497ISI: 000376482100001PubMedID: 26090034Scopus ID: 2-s2.0-84925353285OAI: oai:DiVA.org:lnu-54883DiVA, id: diva2:951719
Available from: 2016-08-10 Created: 2016-07-22 Last updated: 2023-07-07Bibliographically 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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Atwine, FortunateHultsjö, SallyAlbin, Björn

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