دورية أكاديمية
Coping with ill-health: health care facility, chemist or medicinal plants? Health-seeking behaviour in a Kenyan wetland
| العنوان: | Coping with ill-health: health care facility, chemist or medicinal plants? Health-seeking behaviour in a Kenyan wetland |
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| المؤلفون: | Anthonj, Carmen, Giovannini, Peter, Kistemann, Thomas |
| المصدر: | BMC International Health and Human Rights, 19(18) |
| سنة النشر: | 2019 |
| المجموعة: | Carolina Digital Repository (UNC - University of North Carolina) |
| مصطلحات موضوعية: | Cultural context of health, Health behaviour, Period prevalence, Traditional medicine, Health risk perceptions, Pastoralists, Sustainable livelihoods framework |
| جغرافية الموضوع: | Kenya |
| الوصف: | Background: Sub-Saharan African wetlands, settlement areas to growing populations, expose their users to diseases as necessary health infrastructure remains underdeveloped. Methods: Mixed methods were adopted to assess the health-seeking behaviour of different exposure groups (farmers, pastoralists, service sector workers) in a Kenyan wetland community. Based on a cross-sectional survey (n = 400), syndromic surveillance was linked to health-seeking event analysis. In-depth interviews with community members (n = 20) and experts (n = 8) enabled the integration of healthcare user and provider perspectives. Results: Health-seeking behaviour in the wetland was determined by physical/infrastructural, natural/environmental, financial/socioeconomic and social/demographic factors, as well as human/cultural aspects such as traditional preferences rooted in health beliefs. Community members had different strategies of coping with ill-health and few symptoms remained untreated. Whether via a health care facility admission, the visit of a chemist, or the intake of pharmaceuticals or medicinal plants: treatment was usually applied either via a healthcare service provider or by the community members themselves. An undersupply of easy-to-reach healthcare options was detected, and healthcare services were not available and accessible to all. The widely-practiced self-treatment of symptoms, e.g. by use of local medicinal plants, mirrors both potential healthcare gaps and cultural preferences of wetland communities. Conclusions: Integrated into an overall health-promoting wetland management approach, widely accepted (cultural) realities of health-seeking behaviours could complement health sector service provision and help ensure healthy lives and promote well-being for all in wetlands. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | https://doi.org/10.17615/eybg-my96Test; https://cdr.lib.unc.edu/downloads/qn59q833m?file=thumbnailTest; https://cdr.lib.unc.edu/downloads/qn59q833mTest |
| DOI: | 10.17615/eybg-my96 |
| الإتاحة: | https://doi.org/10.17615/eybg-my96Test https://cdr.lib.unc.edu/downloads/qn59q833m?file=thumbnailTest https://cdr.lib.unc.edu/downloads/qn59q833mTest |
| حقوق: | http://rightsstatements.org/vocab/InC/1.0Test/ |
| رقم الانضمام: | edsbas.8F8D52A6 |
| قاعدة البيانات: | BASE |
| DOI: | 10.17615/eybg-my96 |
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