| Literature DB >> 25908392 |
Sarah O'Neill1,2, Charlotte Gryseels3, Susan Dierickx4, Julia Mwesigwa5, Joseph Okebe6,7, Umberto d'Alessandro8,9,10, Koen Peeters Grietens11,12,13.
Abstract
BACKGROUND: As the disease burden in the Gambia has reduced considerably over the last decade, heterogeneity in malaria transmission has become more marked, with infected but asymptomatic individuals maintaining the reservoir. The identification, timely diagnosis and treatment of malaria-infected individuals are crucial to further reduce or eliminate the human parasite reservoir. This ethnographic study focused on the relationship between local beliefs of the cause of malaria and treatment itineraries of suspected cases.Entities:
Mesh:
Year: 2015 PMID: 25908392 PMCID: PMC4408602 DOI: 10.1186/s12936-015-0687-2
Source DB: PubMed Journal: Malar J ISSN: 1475-2875 Impact factor: 2.979
Quotes illustrating perceptions of different disease categories
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| Young woman, farmer; Fula, Sahre Sillere |
| R: They are different. | |
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| R: Malaria is caused by mosquitoes whilst | |
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| R: We only know that when maize starts growing, that is the time people get sick with | |
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| R: No I don’t. | |
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| Young woman, farmer; Fula, Sahre Sillere |
| R: They are different. | |
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| R: | |
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| Young man, teacher; Fula Sahre Sillere |
| R: For | |
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| R: No I don’t really know what causes them but I know it affects people after the rainy season. |
Quotes illustrating perceived symptoms of attacks
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| For the | Middle-aged man, Imam; Wolof, Boiram |
| They can make an individual to fall unconscious, if it wants to disturb you most it makes you collapse totally. Some will go to the marabouts and take things to take bath, all those are ways of protecting oneself against the | Middle-aged woman, farmer; Fula, Keneba |
| They ( | Young woman, farmer; Mandinka, Niji |
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| Middle-aged woman, farmer; Mandinka Niji |
| R: It has different signs; some will get unconscious, and will start doing some other dubious things. Then people will start saying that let us try the traditional means to see whether the person has been attacked by the ‘bad wind’. | |
| What the | Old man, retired; Mandinka Niji |
| They ( | Middle-aged woman, farmer; Mandinka, Niji |
Quotes illustrating perceived symptoms of witchcraft ( ) attack
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| When you are being attacked by witchcraft, it gives you rib pain and eats all the organs that are in the stomach’ | Young woman, housework; Fula, Boiram |
| For some people, if a | Young woman, housework; Mandinka, Niji |
| For the | Old man, retired; Mandinka, Niji |
| Those sicknesses are there. If someone is being attacked by | Middle-aged man, herder; Fula Sahre Gella |
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| Middle-aged woman, farmer; Fula, Sahre Gella |
| R: For us here, so many children get affected and one of my children is among them. Once two | |
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| R: He was always trembling and sometimes collapsed until we poured some water on him. |
Quotes illustrating perceived optimal treatments for malaria
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| Malaria should not be treated through the traditional line. The medical treatment is the most effective method because they will examine my body and give me medications to take. | Young woman, housework; Mandinka, Niji |
| The only way that I recommend is the clinical treatment. If my child gets infected I rush him to the clinic and with the help of God, it will get okay within a short period of time even before the medicine gets finished. | Elderly woman, farmer; Mandinka, Niji |
| I prefer the clinical method of treatment because they are the ones who can be able to see and diagnose a disease that I cannot myself. When they examine my body they know exactly what part of my body is infected. Because the traditional way of treatment cannot help you enough to know what you are actually suffering from. | Young Man, business; Mandinka, Kulluh Kouleh |
| The pharmacy is very expensive so that we normally do not go because we do not have money. So if we do not have the money we use our traditional medicines like leaves and herbs. | Middle aged woman, farmer; Fula, Sahre Sillere |
| If those are the causes ( | Young woman, farmer; Mandinka, Niji |
| When one is sick with | Elderly man, retired herder; Fula, Sahre Sillere |
| Sometimes people come here with herbs, put them in water, boil it and ask you to drink it. Or they will also take you to the hospital, test your blood, so when you have malaria they will give you the required treatment. | Young man, teacher; Fula, Sahre Sillere |