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Accessibility of diagnostic and treatment centres for visceral leishmaniasis in Gedaref State, northern Sudan.

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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
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
dc.identifier 1360-2276
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
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.
dc.language en
dc.publisher Wiley-Blackwell
dc.relation http://www.blackwell-synergy.com/loi/tmi
dc.rights Archived on this site with the kind permission of Wiley-Blackwell
dc.title Accessibility of diagnostic and treatment centres for visceral leishmaniasis in Gedaref State, northern Sudan.


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