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- Title
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.
- Authors
Mwana-wabene, Aimé C.; Lwamushi, Samuel M.; Eboma, Christian M.; Lyab, Pacifique M-B.; Cheruga, Bonfils; Karemere, Hermès; Mwembo, Albert T.; Balaluka, Ghislain B.; Mukalenge, Faustin C.
- 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.
- Subjects
CONGO (Democratic Republic); HEALTH facilities; CHRONICALLY ill; INFORMAL sector; THEMATIC analysis; HEALERS
- Publication
African Journal of Primary Health Care & Family Medicine, 2022, Vol 14, Issue 1, p1
- ISSN
2071-2928
- Publication type
Article
- DOI
10.4102/phcfm.v14i1.3004