Health seeking behaviour for Buruli Ulcer disease in the Obom sub-district of the Ga south Municipality of Ghana


Health seeking behaviour for Buruli Ulcer disease in the Obom sub-district of the Ga south Municipality of Ghana


Eric Koka

Department of Sociology and Anthropology, University of Cape Coast, Cape Coast, Ghana


International Research Journal of Public Health-2D code

The current biomedical Buruli ulcer case management strategies emphasise the importance of early reporting and appropriate medical treatment of nodules before they ulcerate and give rise to deformities and disabilities. However, there are a wide range of factors that influence health seeking behaviour for Buruli ulcer case management. The purpose of the study was to determine health seeking behaviour for Buruli ulcer by affected persons and their families. This was a descriptive study involving both qualitative and quantitative data collection. Thirty (30) in-depth interviews were conducted for Buruli ulcer patients and their corresponding caregivers on barriers and facilitators to health seeking. Three (3) Focus Group Discussions (FGDs) were also conducted among elderly community members. Survey questionnaire interviews were conducted with 300 community respondents in Ga, Akan and Ewe languages in the study area. Systematic sampling was used to select 300 respondents for the survey. The study revealed that most respondents (41.0%) would resort to self-medication as their first treatment option when infected with Buruli ulcer. However, the health seeking of self-medication before seeking biomedical treatment was alarming since it leads to delays in reporting. This is a serious public health concern since delay in reporting could lead to category three lesions.


Keywords: Buruli Ulcer; Health seeking behaviour; treatment; health care utilization; Ghana

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How to cite this article:
Eric Koka. Health seeking behaviour for Buruli Ulcer disease in the Obom sub-district of the Ga south Municipality of Ghana. International Research Journal of Public Health, 2020; 4:43. DOI: 10.28933/irjph-2020-02-1205


References

1. Ackumey, M. M., Kwakye-Maclean, C., Ampadu, E. O., de Savigny, D., & Weiss, M. G. (2011). Health services for Buruli ulcer control: lessons from a field study in Ghana. PLoS Neglected Tropical Diseases, 5(6), e1187.
2. Adamba, C., & Owus, A. Y. (2011). Burden of Buruli ulcer: how affected households in a Ghanaian District Cope. African Study Monographs, 32(1), 1–23.
3. Ahorlu, C. K., Koka, E., & Yeboah-Manu, D. (2014). Social Interventions for Buruli Ulcer Control in Obom Sub-District of Ghana. Towards Effective Disease Control in Ghana: Research and Policy Implications: Volume 2 Other Infectious Diseases and Health Systems, 2, 5.
4. Ahorlu, C. K., Koka, E., Yeboah-Manu, D., Lamptey, I., & Ampadu, E. (2013). Enhancing Buruli ulcer control in Ghana through social interventions: a case study from the Obom sub-district. BMC Public Health, 13(1), 59.
5. Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: does it matter? Journal of Health and Social Behavior, 1–10.
6. Asiedu, K., & Etuaful, S. (1998). Socioeconomic implications of Buruli ulcer in Ghana: a three-year review. The American Journal of Tropical Medicine and Hygiene, 59(6), 1015–1022.
7. Aujoulat, I., Johnson, C., Zinsou, C., Guédénon, A., & Portaels, F. (2003). Psychosocial aspects of health seeking behaviours of patients with Buruli ulcer in southern Benin. Tropical Medicine & International Health, 8(8), 750–759.
8. Awusabo-Asare, K., & Anarfi, J. K. (1997). Health-seeking behaviour of persons with HIV/AIDS in Ghana. Health Transition Review, 243–256.
9. Ghana Statistical Service. (2010). Population and Housing Census.
10. Grietens, K. P., Boock, A. U., Peeters, H., Hausmann-Muela, S., Toomer, E., & Ribera, J. M. (2008). “It is me who endures but my family that suffers”: social isolation as a consequence of the household cost burden of Buruli ulcer free of charge hospital treatment. PLoS Neglected Tropical Diseases, 2(10), e321.
11. Grietens, K. P., Toomer, E., Boock, A. U., Hausmann-Muela, S., Peeters, H., Kanobana, K., Ribera, J. M. (2012). What role do traditional beliefs play in treatment seeking and delay for Buruli ulcer disease? insights from a mixed methods study in Cameroon. PloS One, 7(5), e36954.
12. Kargbo-Labour, I. J. (2010). Community Perception and Knowledge of Buruli Ulcer in the Ga West Municipality Area. University of Ghana. Retrieved from http://ugspace.ug.edu.gh/handle/123456789/5155
13. Kibadi, K., Boelaert, M., Fraga, A. G., Kayinua, M., Longatto-Filho, A., Minuku, J.-B. (2010). Response to treatment in a prospective cohort of patients with large ulcerated lesions suspected to be Buruli ulcer (Mycobacterium ulcerans disease). PLoS Neglected Tropical Diseases, 4(7), e736.
14. Kibadi, K., Boelaert, M., Kayinua, M., Minuku, J.-B., Muyembe-Tamfum, J.-J., Portaels, F., & Lefevre, P. (2009). Therapeutic itineraries of patients with ulcerated forms of Mycobacterium ulcerans (Buruli ulcer) disease in a rural health zone in the Democratic Republic of Congo. Tropical Medicine & International Health, 14(9), 1110–1116.
15. Koka, E., Yeboah-Manu, D., Okyere, D., Adongo, P. B., & Ahorlu, C. K. (2016). Cultural Understanding of Wounds, Buruli Ulcers and Their Management at the Obom Sub-district of the Ga South Municipality of the Greater Accra Region of Ghana. PLoS Negl Trop Dis, 10(7).
16. Koka, E. (2018). Community Knowledge and Perceptions about Buruli Ulcers in Obom Sub-District of the Ga South Municipality in the Greater Accra Region of Ghana. Advances in Applied Sociology, 8 , 621-645. https://doi.org/10.4236/aasoci.2018.89037
17. Kroeger, A. (1983) Anthropological and socio-medical health care research in developing countries. Social Science & Medicine, 17:147-161.
18. Lönnroth, K., Linh, P. D., & Diwan, V. K. (2001). Utilization of private and public health-care providers for tuberculosis symptoms in Ho Chi Minh City, Vietnam. Health Policy and Planning, 16(1), 47–54.
19. MacCallum, P., Tolhurst, J. C., Buckle, G., & Sissons, H. A. (1948). A new mycobacterial infection in man. The Journal of Pathology and Bacteriology, 60(1), 93–122.
20. Ministry of Health, Ghana. (2012). Half – Year Report.
21. Nienhuis, W. A., Stienstra, Y., Thompson, W. A., Awuah, P. C., Abass, K. M., & Tuah, W. (2010). Antimicrobial treatment for early, limited Mycobacterium ulcerans infection: a randomised controlled trial. The Lancet, 375(9715), 664–672.
22. Nsungwa-Sabiiti, J., Källander, K., Nsabagasani, X., Namusisi, K., Pariyo, G., Johansson, A., Tomson, G. & Peterson, S. (2004). Local fever illness classifications: implications for home management of malaria strategies. Tropical Medicine & International Health, 9: 1191–1199. doi: 10.1111/j.1365-3156.2004.01319.x
23. Organization, W. H. (2000). Buruli ulcer: Mycobacterium ulcerans infection. World Health Organization.
24. Organization, W. H. (2001). Buruli Ulcer: Fact Sheet No. 199. Geneva: WHO.
25. Organization, W. H. (2008). Buruli ulcer: progress report, 2004–2008. Wkly Epidemiol Rec, 83(17), 145–154.
26. Organization, W. H. (2009). Neglected tropical diseases, hidden successes, emerging opportunities. Retrieved from http://apps.who.int/iris/handle/10665/44214
27. Organization, W. H. (2010). Working to overcome the global impact of neglected tropical diseases: first WHO report on neglected tropical diseases. Retrieved from http://apps.who.int/iris/handle/10665/44440
28. Renzaho, A., Woods, P. V., Ackumey, M. M., Harvey, S. K., & Kotin, J. (2007). Community-based study on knowledge, attitude and practice on the mode of transmission, prevention and treatment of the Buruli ulcer in Ga West District, Ghana. Tropical Medicine & International Health, 12(3), 445–458.
29. Steen, T. W., & Mazonde, G. N. (1999). Ngaka ya setswana, ngaka ya sekgoa or both? Health seeking behaviour in Batswana with pulmonary tuberculosis. Social Science & Medicine, 48(2), 163–172.
30. Stienstra, Y., Dijkstra, P. U., Guedenon, A., Johnson, R. C., Ampadu, E. O., & Mensah, T. (2004). DEVELOPMENT OF A QUESTIONNAIRE ASSESSING BURULI ULCER–INDUCED FUNCTIONAL LIMITATION. The American Journal of Tropical Medicine and Hygiene, 70(3), 318–322.
31. Stienstra, Y., van der Graaf, W. T., Asamoa, K., & van der Werf, T. S. (2002). Beliefs and attitudes toward Buruli ulcer in Ghana. The American Journal of Tropical Medicine and Hygiene, 67(2), 207–213.
32. Stienstra, Y., Van Der Graaf, W. T. A., Te Meerman, G. J., The, T. H., De Leij, L. F., & Van der Werf, T. S. (2001). Susceptibility to development of Mycobacterium ulcerans disease: review of possible risk factors. Tropical Medicine & International Health, 6(7), 554–562.
33. Yeboah-Manu, D., Bodmer, T., Mensah-Quainoo, E., Owusu, S., Ofori-Adjei, D., & Pluschke, G. (2004). Evaluation of decontamination methods and growth media for primary isolation of Mycobacterium ulcerans from surgical specimens. Journal of Clinical Microbiology, 42(12), 5875–5876.
34. Yeboah-Manu, D., Kpeli, G. S., Ruf, M.-T., Asan-Ampah, K., Quenin-Fosu, K., & Owusu-Mireku, E. (2013). Secondary bacterial infections of Buruli ulcer lesions before and after chemotherapy with streptomycin and rifampicin. PLoS Neglected Tropical Diseases, 7(5), e2191.