[Choix thérapeutiques des hypertendus et diabétiques en milieu rural : Une étude mixte dans deux zones de santé de l'Est de la République Démocratique du Congo].
Afr J Prim Health Care Fam Med
; 14(1): e1-e9, 2022 Sep 29.
Article
em Fr
| MEDLINE
| ID: mdl-36226934
ABSTRACT
Therapeutic choices of hypertensive and diabetics in rural areas A mixed study in two health zones in the East of the Democratic Republic of Congo. BACKGROUND:
One third of patients in the Democratic Republic of Congo (DRC) do not use the formal health system to access healthcare.AIM:
In this manuscript we analyse the therapeutic decisions of hypertensive and diabetic patients in rural eastern DRC and the reasons for these decisions.SETTING:
The study was conduct in two health zones (HZ) in South Kivu (Bagira and Walungu), DRC.METHODS:
A mixed-methods convergent study was conducted from November 2018 to December 2018. Quantitative data were collected using a questionnaire and qualitative data were collected using focus groups. The quantitative data were analysed using descriptive statistics and a Fischer exact test, while the qualitative data were analysed using thematic analysis.RESULTS:
Out of 382 subjects declaring a chronic pathology, hypertensives and diabetics represented 21.5% and 7.9%, respectively. Health facilities were the first therapeutic choice of the chronically affected persons. The alternative therapeutic choices found were the use of prayer rooms, consultation with traditional healers and self-medication. Poverty, ignorance, the pharmaceutical business, and the socio-cultural dimension of the disease are the main causes of alternative therapeutic choices for hypertensives and diabetics.CONCLUSION:
To ensure appropriate care for patients with chronic diseases in rural areas, it is important to establish a bridge of regulated collaboration between the formal and informal health sector.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Hipertensão
Tipo de estudo:
Qualitative_research
Limite:
Humans
País/Região como assunto:
Africa
Idioma:
Fr
Revista:
Afr J Prim Health Care Fam Med
Ano de publicação:
2022
Tipo de documento:
Article