Barriers to access and re-attendance for treatment of podoconiosis: a qualitative study in northern Ethiopia

Tsegay, Girmay, Wubie, Moges, Degu, Genet, Tamiru, Abreham, Cooper, Max and Davey, Gail (2015) Barriers to access and re-attendance for treatment of podoconiosis: a qualitative study in northern Ethiopia. International Health, 7 (4). pp. 285-292. ISSN 1876-3413

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Abstract

BACKGROUND

Podoconiosis is a chronic non-infectious lymphoedema affecting individuals exposed to red clay soil in endemic areas. Evidence from International Orthodox Christian Charities (IOCC) treatment centres' registers suggests that a significant proportion of registered patients with podoconiosis fail to re-attend for treatment, putting them at risk of worsening disability associated with the lymphoedema and attacks of acute adenolymphangitis. The aim of this study was to explore barriers to access and re-attendance of patients with podoconiosis in northern Ethiopia.

METHODS

A cross-sectional qualitative study was conducted at three IOCC treatment sites from February to April 2013. Twenty-eight patients and three project leaders took part in in-depth interviews. Three focus group discussions were undertaken with 22 patients, patient association leaders and project staff members.

RESULTS

Barriers to access and to continued attendance at treatment centres were recognized by all participant groups. The following reasons were reported: lay beliefs about the disease's causation and presentation, occupational, geographic and financial barriers, stigma and conflicting expectations of treatment services.

CONCLUSIONS

This study illustrates the multiple, step-wise barriers to accessing treatment faced by podoconiosis patients. These factors are dynamic, frequently interact and result from competing social and economic priorities.

Item Type: Article
Keywords: Continuity of care, East and West Gojam Zone, Ethiopia, Podoconiosis
Schools and Departments: Brighton and Sussex Medical School > Brighton and Sussex Medical School
Brighton and Sussex Medical School > Global Health and Infection
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine > RA0440 Study and teaching. Research
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine > RA0771 Rural health and hygiene. Rural health services
R Medicine > RA Public aspects of medicine > RA0791 Medical geography. Medical climatology and meteorology
R Medicine > RA Public aspects of medicine > RA0960 Medical centres. Hospitals. Dispensaries. Clinics Including ambulance service, nursing homes, hospices
Depositing User: Gharib Murbe
Date Deposited: 19 Feb 2015 13:04
Last Modified: 02 Aug 2017 16:21
URI: http://sro.sussex.ac.uk/id/eprint/52995
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