dc.contributor |
Médecins Sans Frontières Holland, Amsterdam, The Netherlands. sgerstl@aol.com |
|
dc.creator |
Gerstl, S |
|
dc.creator |
Amsalu, R |
|
dc.creator |
Ritmeijer, K |
|
dc.date |
2006-02 |
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dc.date.accessioned |
2017-01-31T07:09:06Z |
|
dc.date.available |
2017-01-31T07:09:06Z |
|
dc.identifier |
Accessibility of diagnostic and treatment centres for visceral leishmaniasis in Gedaref State, northern Sudan. 2006, 11 (2):167-75 Trop. Med. Int. Health |
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dc.identifier |
1360-2276 |
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dc.identifier |
16451340 |
|
dc.identifier |
10.1111/j.1365-3156.2005.01550.x |
|
dc.identifier |
http://hdl.handle.net/10144/16794 |
|
dc.identifier |
http://fieldresearch.msf.org/msf/handle/10144/16794 |
|
dc.identifier |
Tropical Medicine & International Health |
|
dc.identifier.uri |
http://dspace.mediu.edu.my:8181/xmlui/handle/10144/16794 |
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dc.description |
OBJECTIVE: To evaluate the accessibility of visceral leishmaniasis (VL) treatment. METHOD: Community-based study using in-depth qualitative interviews and focus group discussions with key informants, as well as quantitative questionnaires with 448 randomly selected heads of households in nine representative villages in three geographical sub-regions. RESULTS: Despite the high incidence of the disease, most people in Gedaref State know little about VL, and help at a treatment centre is usually sought only after traditional remedies and basic allopathic drugs have failed. Factors barring access to treatment are: lack of money for treatment and transport, impassability of roads, work priorities, severe cultural restrictions of women's decision-making power and distance to the next health center. CONCLUSIONS: To provide more VL patients with access to treatment in this highly endemic area, diagnostic and treatment services should be decentralized. Health education would be a useful tool to rationalise people's health-seeking behaviour. |
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dc.language |
en |
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dc.publisher |
Wiley-Blackwell |
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dc.relation |
http://www.blackwell-synergy.com/loi/tmi |
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dc.rights |
Archived on this site with the kind permission of Wiley-Blackwell |
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dc.title |
Accessibility of diagnostic and treatment centres for visceral leishmaniasis in Gedaref State, northern Sudan. |
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