Chronic Diseases in North-West Tanzania and Southern Uganda. Public Perceptions of Terminologies, Aetiologies, Symptoms and Preferred Management.

<h4>Background</h4>Research has shown that health system utilization is low for chronic diseases (CDs) other than HIV. We describe the knowledge and perceptions of CDs identified from rural and urban communities in north-west Tanzania and southern Uganda.<h4>Methods</h4>Data...

Full description

Saved in:
Bibliographic Details
Main Authors: Soori Nnko, Dominic Bukenya, Bazil Balthazar Kavishe, Samuel Biraro, Robert Peck, Saidi Kapiga, Heiner Grosskurth, Janet Seeley
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0142194
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849726577937481728
author Soori Nnko
Dominic Bukenya
Bazil Balthazar Kavishe
Samuel Biraro
Robert Peck
Saidi Kapiga
Heiner Grosskurth
Janet Seeley
author_facet Soori Nnko
Dominic Bukenya
Bazil Balthazar Kavishe
Samuel Biraro
Robert Peck
Saidi Kapiga
Heiner Grosskurth
Janet Seeley
author_sort Soori Nnko
collection DOAJ
description <h4>Background</h4>Research has shown that health system utilization is low for chronic diseases (CDs) other than HIV. We describe the knowledge and perceptions of CDs identified from rural and urban communities in north-west Tanzania and southern Uganda.<h4>Methods</h4>Data were collected through a quantitative population survey, a quantitative health facility survey and focus group discussions (FGDs) and in-depth interviews (IDIs) in subgroups of population survey participants. The main focus of this paper is the findings from the FGDs and IDIs.<h4>Results</h4>We conducted 24 FGDs, involving approximately 180 adult participants and IDIs with 116 participants (≥18 years). CDs studied included: asthma/chronic obstructive lung disease (COPD), diabetes, epilepsy, hypertension, cardiac failure and HIV- related disease. The understanding of most chronic conditions involved a combination of biomedical information, gleaned from health facility visits, local people who had suffered from a complaint or knew others who had and beliefs drawn from information shared in the community. The biomedical contribution shows some understanding of the aetiology of a condition and the management of that condition. However, local beliefs for certain conditions (such as epilepsy) suggest that biomedical treatment may be futile and therefore work counter to biomedical prescriptions for management.<h4>Conclusion</h4>Current perceptions of selected CDs may represent a barrier that prevents people from adopting efficacious health and treatment seeking behaviours. Interventions to improve this situation must include efforts to improve the quality of existing health services, so that people can access relevant, reliable and trustworthy services.
format Article
id doaj-art-39f65687bb174c03bbf068b08426e17b
institution DOAJ
issn 1932-6203
language English
publishDate 2015-01-01
publisher Public Library of Science (PLoS)
record_format Article
series PLoS ONE
spelling doaj-art-39f65687bb174c03bbf068b08426e17b2025-08-20T03:10:07ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-011011e014219410.1371/journal.pone.0142194Chronic Diseases in North-West Tanzania and Southern Uganda. Public Perceptions of Terminologies, Aetiologies, Symptoms and Preferred Management.Soori NnkoDominic BukenyaBazil Balthazar KavisheSamuel BiraroRobert PeckSaidi KapigaHeiner GrosskurthJanet Seeley<h4>Background</h4>Research has shown that health system utilization is low for chronic diseases (CDs) other than HIV. We describe the knowledge and perceptions of CDs identified from rural and urban communities in north-west Tanzania and southern Uganda.<h4>Methods</h4>Data were collected through a quantitative population survey, a quantitative health facility survey and focus group discussions (FGDs) and in-depth interviews (IDIs) in subgroups of population survey participants. The main focus of this paper is the findings from the FGDs and IDIs.<h4>Results</h4>We conducted 24 FGDs, involving approximately 180 adult participants and IDIs with 116 participants (≥18 years). CDs studied included: asthma/chronic obstructive lung disease (COPD), diabetes, epilepsy, hypertension, cardiac failure and HIV- related disease. The understanding of most chronic conditions involved a combination of biomedical information, gleaned from health facility visits, local people who had suffered from a complaint or knew others who had and beliefs drawn from information shared in the community. The biomedical contribution shows some understanding of the aetiology of a condition and the management of that condition. However, local beliefs for certain conditions (such as epilepsy) suggest that biomedical treatment may be futile and therefore work counter to biomedical prescriptions for management.<h4>Conclusion</h4>Current perceptions of selected CDs may represent a barrier that prevents people from adopting efficacious health and treatment seeking behaviours. Interventions to improve this situation must include efforts to improve the quality of existing health services, so that people can access relevant, reliable and trustworthy services.https://doi.org/10.1371/journal.pone.0142194
spellingShingle Soori Nnko
Dominic Bukenya
Bazil Balthazar Kavishe
Samuel Biraro
Robert Peck
Saidi Kapiga
Heiner Grosskurth
Janet Seeley
Chronic Diseases in North-West Tanzania and Southern Uganda. Public Perceptions of Terminologies, Aetiologies, Symptoms and Preferred Management.
PLoS ONE
title Chronic Diseases in North-West Tanzania and Southern Uganda. Public Perceptions of Terminologies, Aetiologies, Symptoms and Preferred Management.
title_full Chronic Diseases in North-West Tanzania and Southern Uganda. Public Perceptions of Terminologies, Aetiologies, Symptoms and Preferred Management.
title_fullStr Chronic Diseases in North-West Tanzania and Southern Uganda. Public Perceptions of Terminologies, Aetiologies, Symptoms and Preferred Management.
title_full_unstemmed Chronic Diseases in North-West Tanzania and Southern Uganda. Public Perceptions of Terminologies, Aetiologies, Symptoms and Preferred Management.
title_short Chronic Diseases in North-West Tanzania and Southern Uganda. Public Perceptions of Terminologies, Aetiologies, Symptoms and Preferred Management.
title_sort chronic diseases in north west tanzania and southern uganda public perceptions of terminologies aetiologies symptoms and preferred management
url https://doi.org/10.1371/journal.pone.0142194
work_keys_str_mv AT soorinnko chronicdiseasesinnorthwesttanzaniaandsouthernugandapublicperceptionsofterminologiesaetiologiessymptomsandpreferredmanagement
AT dominicbukenya chronicdiseasesinnorthwesttanzaniaandsouthernugandapublicperceptionsofterminologiesaetiologiessymptomsandpreferredmanagement
AT bazilbalthazarkavishe chronicdiseasesinnorthwesttanzaniaandsouthernugandapublicperceptionsofterminologiesaetiologiessymptomsandpreferredmanagement
AT samuelbiraro chronicdiseasesinnorthwesttanzaniaandsouthernugandapublicperceptionsofterminologiesaetiologiessymptomsandpreferredmanagement
AT robertpeck chronicdiseasesinnorthwesttanzaniaandsouthernugandapublicperceptionsofterminologiesaetiologiessymptomsandpreferredmanagement
AT saidikapiga chronicdiseasesinnorthwesttanzaniaandsouthernugandapublicperceptionsofterminologiesaetiologiessymptomsandpreferredmanagement
AT heinergrosskurth chronicdiseasesinnorthwesttanzaniaandsouthernugandapublicperceptionsofterminologiesaetiologiessymptomsandpreferredmanagement
AT janetseeley chronicdiseasesinnorthwesttanzaniaandsouthernugandapublicperceptionsofterminologiesaetiologiessymptomsandpreferredmanagement