Management of epilepsy in Laos: Perceptions of healthcare professionals from Vientiane Capital province and traditional healers in Southern Laos

Autor: Somchit Vorachit, Vimalay Souvong, Thidachanh Soukhasem, Sonesimmaly Sannikone, Farid Boumediene, Emilie Auditeau, Mayoura Bounlu, Phetvongsinh Chivorakoun, Pierre-Marie Preux
Přispěvatelé: Neuroépidémiologie Tropicale (NET), Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM)-CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM), Institut de la Francophonie pour la Médecine Tropicale (IFMT), Service de l'Information Médicale et de l'Évaluation [CHU Limoges] (SIME), CHU Limoges, Laboratoire de Biostatistique et d'Informatique Médicale, Université de Limoges (UNILIM)
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Traditional and Complementary Medicine, Vol 11, Iss 1, Pp 46-52 (2021)
Journal of Traditional and Complementary Medicine
Journal of Traditional and Complementary Medicine, 2020, 11 (1), pp.46-52. ⟨10.1016/j.jtcme.2019.12.003⟩
ISSN: 2225-4110
DOI: 10.1016/j.jtcme.2019.12.003⟩
Popis: Background and aim Traditional practices are deeply rooted in Lao people’s perceptions and beliefs about health and illness. The objective of the study was to understand the perceptions of healthcare professionals and traditional healers regarding the management of epilepsy in Laos, and their reciprocal views. Experimental procedure An observational study was carried out in two areas of Laos from February to May 2017. Semi directive questionnaires were used to collect quantitative and qualitative data. Semiotic square was carried out to highlight relationships between attitudes of traditional healers and healthcare professionals. For quantitative approach, the proportions were reported, and the test used was Fisher’s test for nominal variables. The mean and standard deviation expressed the continuous variables and the Student’s t-test was used. Results and conclusion Epilepsy was cited by 90.9% of traditional healers as a convulsive disease with saliva or urine, and herbal medicines were predominantly used (86.4%) to treat it. Few healthcare professionals (26.5%) pointed out that they knew remedies to treat epilepsy other than antiepileptic drugs (AEDs), and 76.5% of healthcare professionals mentioned that epilepsy was a disease which only AEDs could treat. On the other hand, 54.5% of traditional healers confirmed a traditional remedy could cure completely epilepsy through long-term use. Ninety percent of traditional healers said the collaboration with healthcare professionals was a good idea and 44.1% of the healthcare professionals group said was complicated. The combination of these medicines for the management of epilepsy needs to be adapted to Lao’s medical context.
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Highlights of the findings and novelties • Understanding the perceptions and reciprocal views of care providers. • Study the combination of traditional and conventional medicine for epilepsy. • Public health policies: integration of traditional medicine in the care of patients.
Databáze: OpenAIRE