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Determinants of health-seeking behaviour for schistosomiasis-related symptoms in the context of integrating schistosomiasis control within the regular health services in Ghana

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dc.contributor.author Danso-Appiah, A. en_US
dc.contributor.author de Vlas, S. J. en_US
dc.contributor.author Bosompem, K. M. en_US
dc.contributor.author Habbema, J. D. F. en_US
dc.date.accessioned 2007-12-06T14:33:22Z
dc.date.available 2007-12-06T14:33:22Z
dc.date.issued 2004 en_US
dc.identifier.issn 1360-2276 en_US
dc.identifier.doi http://dx.doi.org/10.1111/j.1365-3156.2004.01267.x
dc.identifier.other ITG-P2B en_US
dc.identifier.other PARAS en_US
dc.identifier.other U-SCHISTO en_US
dc.identifier.other JIF en_US
dc.identifier.other DOI en_US
dc.identifier.other FTB en_US
dc.identifier.other ABSTRACT en_US
dc.identifier.uri http://hdl.handle.net/10390/118
dc.description.abstract Morbidity control of schistosomiasis through integration within existing health care delivery systems is considered a potentially sustainable and cost-effective approach. We conducted a questionnaire-based field study in a Ghanaian village endemic for both urinary and intestinal schistosomiasis to determine whether infected individuals self-reported to health centres or clinics and to identify factors that influenced their decision to seek health care. A total of 317 subjects were interviewed about having signs and symptoms suggestive of schistosomiasis: blood in urine, painful urination, blood in stool/bloody diarrhoea, abdominal pain, diarrhoea, swollen abdomen and fatigue within 1 month of the day of the interview. Fever (for malaria) was included as a disease of high debility for comparison. Around 70% with blood in urine or painful urination did not seek health care, whilst diarrhoea, blood in stool, abdominal pain and fever usually led to action (mainly self-medication, with allopathic drugs being used four to five times more often than herbal treatment). On average 20% of schistosomiasis-related signs and symptoms were reported to health facilities either as the first option or second and third alternative by some of those that self-medicated. A few of those who visited a clinic or health centre as first option still self-medicated afterwards. Children under 10 years and adults were more likely to seek health care than teenagers. Also, females were more likely to visit a health facility than males of the same age groups. Socio-economic status and duration of symptoms did not appear to affect health-seeking behaviour. 'Do not have the money' (43%) and 'Not serious enough' (41%) were the commonest reasons for not visiting a clinic, reported more frequently by lower and higher socio-economic classes, respectively, for both urinary or intestinal schistosomiasis. The regular health service shows some potential in passive control of schistosomiasis as some, but far too few, people visit a health facility as first or second option.
dc.language English en_US
dc.publisher Blackwell Publishing
dc.subject Helminthic diseases en_US
dc.subject Schistosomiasis en_US
dc.subject Health care seeking behavior en_US
dc.subject Determinants en_US
dc.subject Integrated control en_US
dc.subject Ghana en_US
dc.subject Africa, West en_US
dc.title Determinants of health-seeking behaviour for schistosomiasis-related symptoms in the context of integrating schistosomiasis control within the regular health services in Ghana en_US
dc.type Article en_US
dc.citation.jtitle Tropical Medicine and International Health en_US
dc.citation.volume 9 en_US
dc.citation.pages 784-794 en_US
dc.publisher.place Oxford
dc.publisher.place The definitive version is available at www3.interscience.wiley.com
dc.identifier.pmid http://www.ncbi.nlm.nih.gov/pubmed/15228488
dc.citation.jabbreviation Trop Med Int Health en_US


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