Understanding Lay Perspectives: Care Options for STD Treatment in Lusaka, Zambia

Msiska, R; Nangawe, Eli; Mulenga, Doreen; Sichone, Moses; Kamanga, J; Kwapa, Pascal

doi:10.1093/heapol/12.3.248

Cited by 23 publications

(17 citation statements)

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“…The reasons cited for not seeking care from public facilities were similar to that reported from literature such as lack of privacy, lack of drugs, long waiting time, and insistence on bringing the sex partner. [34789]…”

Section: Discussionmentioning

confidence: 99%

Healthcare-seeking preferences of patients with sexually transmitted infection attending a tertiary care center in South Kerala

Jayapalan

2016

Indian J Sex Transm Dis

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Background:Sexually transmitted infections (STIs) are a major public health problem in developing countries. These diseases are associated with increased risk of transmission of human immunodeficiency virus as well as adverse outcomes on pregnancy and reproductive health. Sexual behavior and healthcare-seeking behavior are identified as the true risk factors of STIs.Methods:Hospital-based cross-sectional study design was adopted. Eighty-five STI patients were studied regarding the inappropriate treatment-seeking behavior, the nature of the first point of contact with the health care, the appropriateness of treatment and the concerns of the patient regarding the services rendered by government health-care facilities.Results:Among the 85 patients studied, 55.3% were males and 44.7% were females. Inappropriate treatment-seeking behavior was seen in 29.8% of males and 36.8% of females. About 59.6% of males and 81.6% of females sought appropriate treatment from modern medicine practitioners before attending our institution. Only 7.1% of males and 3.2% of females received appropriate treatment. The government sector was the choice of treatment for 46.4% males and 93.5% females and this difference was statistically significant (P = 0.00081). Lack of free medicines, issues of confidentiality, and privacy were the major service-related issues in the public sector.Conclusion:Appropriate treatment at the first point of contact with the health system is an important measure to prevent further transmission and development of complications. Health providers from both private and public sector should be given frequent periodic training regarding syndromic management of STIs and the training should stress on the need for risk reduction and condom promotion messages along with medical management. Program planners should take necessary steps to ensure adequate and continuous supply of free drugs and tackle issues of confidentiality and privacy.

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Section: Discussionmentioning

confidence: 99%

Healthcare-seeking preferences of patients with sexually transmitted infection attending a tertiary care center in South Kerala

Jayapalan

2016

Indian J Sex Transm Dis

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“…Insecure health systems undermine the physical and mental health of service users: see, for example, Allotey and Reidpath on the way nurses conflate poor medical knowledge and erroneous social knowledge on epilepsy in their diagnosis, thereby legitimizing the stigmatization of people with epilepsy, or Campbell and colleagues on how overworked, underpaid and demoralized nurses inadvertently or deliberately project their frustrations onto patients. All three facets of the poverty-(mental) health relation are widely reported in the African literature (see de-Graft Aikins, 2005;Msiska et al, 1997;Sanders et al, 2005).…”

Section: The Papersmentioning

confidence: 99%

Health, Disease and Healthcare in Africa

Aikins

Marks

2007

J Health Psychol

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This editorial introduction to 'Health, disease and healthcare in Africa' addresses some of the key issues for health psychology in the continent. African populations face a health crisis driven by a double burden of disease, a nutrition transition, war and conflict, and poverty. Health systems are under-funded and underresourced. Research suggests that the most prevalent diseases in Africa are preventable and treatable, and that most deaths are avoidable. Health practices and systems that may aid equitable, cost-effective and sustainable healthcare exist but remain untapped. We advocate a reflective, action-oriented health psychology that challenges social injustice and racism, and develops strategies that promote more just and healthy societies.

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“…According to King and Homsy (1997), traditional healers provide client-centred, personalized health care that is culturally appropriate and tailored to meet the needs and expectations of the client by paying special attention to the social and spiritual concerns of the client. Msiska et al (1997) noted that rural patients are more dependent on medicinal remedies from traditional healers for the treatment of reproductive ailments for a number of reasons, such as the lack of access to modern medical facilities and hesitancy to relate their illnesses to unfamiliar doctors. Research shows that a wide range of reproductive ailments from across the world are being treated by medicinal plants.…”

Section: Introductionmentioning

confidence: 99%

Herbal medicines used by Bapedi traditional healers to treat reproductive ailments in the Limpopo Province, South Africa

Semenya

Maroyi

Potgieter³

et al. 2013

Afr. J. Trad. Compl. Alt. Med.

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The current study focussed on documenting the ethnobotanical knowledge of herbal medicines used by the Bapedi traditional healers to treat reproductive ailments in the Limpopo Province, South Africa. Fifty one healers from 17 municipalities covering Capricorn, Sekhukhune and Waterberg districts of the Limpopo Province were interviewed between January and July 2011. Semi-structured interviews, observations and guided field surveys with the healers were employed. Thirty-six medicinal plant species belonging to 35 genera and 20 families were documented. The most used species were Zanthoxylum humile (25.5%), Catha edulis (21.6%), Ozoroa sphaerocarpa (15.7%), Hypoxis hemerocallidea (13.7%), Hypoxis obtusa (11.7%), Gomphocarpus fruticosus subsp. fruticosus and Gymnosporia senegalensis (9.8% each). The dominant growth forms among the reported medicinal plants were herbs (39%), followed by shrubs and trees with 33% and 28%, respectively. The preferred plant parts were roots (63.9%), followed by bark (13.9%), whole plant (11.1%), tubers (8.3%), bulbs (5.6%), fruits, leaves, stems and twigs (2.8% each). The majority of the species were used to treat gender specific reproductive ailments; while a minority were used for treating reproductive ailments of both genders. Twenty-two species (61.1%) are supported by reports of similar uses in other countries or have proven biological activity. This study illustrates that Bapedi traditional healers possess remarkable knowledge on medicinal plants used for treating and managing reproductive ailments.

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Understanding Lay Perspectives: Care Options for STD Treatment in Lusaka, Zambia

Cited by 23 publications

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Healthcare-seeking preferences of patients with sexually transmitted infection attending a tertiary care center in South Kerala

Healthcare-seeking preferences of patients with sexually transmitted infection attending a tertiary care center in South Kerala

Health, Disease and Healthcare in Africa

Herbal medicines used by Bapedi traditional healers to treat reproductive ailments in the Limpopo Province, South Africa

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