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 / 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
Afr. j. prim. health care fam. med. (Online)
; 14(1)2022. figures, tables
Article
in Fr
| AIM
| ID: biblio-1396524
Responsible library:
CG1.1
ABSTRACT
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.Key words
Full text:
1
Database:
AIM
Main subject:
Delivery of Health Care
/
Diabetes Mellitus
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Diagnosis
/
Treatment Adherence and Compliance
/
Hypertension
Type of study:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
/
Sysrev_observational_studies
Aspects:
Determinantes_sociais_saude
/
Implementation_research
Limits:
Female
/
Humans
/
Male
Language:
Fr
Journal:
Afr. j. prim. health care fam. med. (Online)
Year:
2022
Document type:
Article