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

 
 
Field Value
 
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
 
Creator Mwana-wabene, Aimé C. Lwamushi, Samuel M. Eboma, Christian M. Lyab, Pacifique M-B. Cheruga, Bonfils Karemere, Hermès Mwembo, Albert T. Balaluka, Ghislain B. Mukalenge, Faustin C.
 
Subject Soins de santé primaires; pratique générale Therapeutic choices; diabetics; hypertensives; rural areas; South Kivu.
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.
 
Publisher AOSIS
 
Contributor Renforcement Institutionnel des politiques de Santé basées sur les Evidences en R.D.Congo (RIPSEC-RDC)
Date 2022-09-29
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Recherche mixte
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v14i1.3004
 
Source African Journal of Primary Health Care & Family Medicine; Vol 14, No 1 (2022); 9 pages 2071-2936 2071-2928
 
Language eng
 
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https://phcfm.org/index.php/phcfm/article/view/3004/5684 https://phcfm.org/index.php/phcfm/article/view/3004/5685 https://phcfm.org/index.php/phcfm/article/view/3004/5686 https://phcfm.org/index.php/phcfm/article/view/3004/5687
 
Coverage Afrique 2018 —
Rights Copyright (c) 2022 Aimé C. Mwana-wabene, Samuel M. Lwamushi, Christian M. Eboma, Pacifique M-B. Lyab, Bonfils Cheruga, Hermès Karemere, Albert T. Mwembo, Ghislain B. Balaluka, Faustin C. Mukalenge https://creativecommons.org/licenses/by/4.0
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