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. 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 ma...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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AOSIS
2022-09-01
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| Series: | African Journal of Primary Health Care & Family Medicine |
| Subjects: | |
| Online Access: | https://phcfm.org/index.php/phcfm/article/view/3004 |
| _version_ | 1811205393523671040 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Aimé C. Mwana-wabene |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-12T03:30:50Z |
| format | Article |
| id | doaj.art-135e0b1bac1f4cff9ce24eaa7eee542a |
| institution | Directory Open Access Journal |
| issn | 2071-2928 2071-2936 |
| language | English |
| last_indexed | 2024-04-12T03:30:50Z |
| publishDate | 2022-09-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Primary Health Care & Family Medicine |
| spelling | doaj.art-135e0b1bac1f4cff9ce24eaa7eee542a2022-12-22T03:49:33ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362022-09-01141e1e910.4102/phcfm.v14i1.3004967Choix thérapeutiques des hypertendus et diabétiques en milieu rural : Une étude mixte dans deux zones de santé de l’Est de la République Démocratique du CongoAimé C. Mwana-wabene0Samuel M. Lwamushi1Christian M. Eboma2Pacifique M-B. Lyabayungu3Bonfils Cheruga4Hermès Karemere5Albert T. Mwembo6Ghislain B. Balaluka7Faustin C. Mukalenge8École Régionale de Santé Publique, Faculté de Médecine, Université Catholique de Bukavu, BukavuÉcole Régionale de Santé Publique, Faculté de Médecine, Université Catholique de Bukavu, BukavuÉcole Régionale de Santé Publique, Faculté de Médecine, Université Catholique de Bukavu, BukavuÉcole Régionale de Santé Publique, Faculté de Médecine, Université Catholique de Bukavu, BukavuÉcole Régionale de Santé Publique, Faculté de Médecine, Université Catholique de Bukavu, BukavuEcole Régionale de Santé Publique, Faculté de Médecine, Univesité Catholique de Bukavu, BukavuÉcole Régionale de Santé Publique, Faculté de Médecine, Université de Lubumbashi, Lubumbashi, The Democratic Republic of the Congo; and Renforcement Institutionnel des politiques de Santé basées sur les évidences en R. D. Congo, LubumbashiÉcole Régionale de Santé Publique, Faculté de Médecine, Université Catholique de Bukavu, Bukavu, The Democratic Republic of the Congo; and Renforcement institutionnel des politiques de santé basées sur les évidences en R. D. Congo, BukavuCentre de Connaissances en Santé au Congo, Kinshasa, The Democratic Republic of the Congo; and Ecole de Santé Publique, Faculté de Médecine, Université de Lubumbashi, LubumbashiTherapeutic 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.https://phcfm.org/index.php/phcfm/article/view/3004therapeutic choicesdiabeticshypertensivesrural areassouth kivu. |
| spellingShingle | 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 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 African Journal of Primary Health Care & Family Medicine therapeutic choices diabetics hypertensives rural areas south kivu. |
| 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | choix therapeutiques des hypertendus et diabetiques en milieu rural une etude mixte dans deux zones de sante de l est de la republique democratique du congo |
| topic | therapeutic choices diabetics hypertensives rural areas south kivu. |
| url | https://phcfm.org/index.php/phcfm/article/view/3004 |
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