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

Autor: Aimé C. Mwana-wabene, Samuel M. Lwamushi, Christian M. Eboma, Pacifique M-B. Lyabayungu, Bonfils Cheruga, Hermès Karemere, Albert T. Mwembo, Ghislain B. Balaluka, Faustin C. Mukalenge
Jazyk: English<br />French
Rok vydání: 2022
Předmět:
Zdroj: African Journal of Primary Health Care & Family Medicine, Vol 14, Iss 1, Pp e1-e9 (2022)
Druh dokumentu: article
ISSN: 2071-2928
2071-2936
DOI: 10.4102/phcfm.v14i1.3004
Popis: 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.
Databáze: Directory of Open Access Journals
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