A Community Based Study on the Mode of Transmission, Prevention and Treatment of Buruli Ulcers in Southwest Cameroon: Knowledge, Attitude and Practices
Buruli ulcer (BU) is a neglected tropical disease affecting the skin, tissues and in some cases the bones, caused by the environmental pathogen Mycobacterium ulcerans (M. ulcerans). Its mode of transmission is still elusive. Delayed treatment may cause irreversible disabilities with consequent socia...
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| description | Buruli ulcer (BU) is a neglected tropical disease affecting the skin, tissues and in some cases the bones, caused by the environmental pathogen Mycobacterium ulcerans (M. ulcerans). Its mode of transmission is still elusive. Delayed treatment may cause irreversible disabilities with consequent social and economic impacts on the victim. Socio-cultural beliefs, practices and attitudes in endemic communities have been shown to influence timely treatment causing disease management, prevention and control a great challenge. An assessment of these factors in endemic localities is important in designing successful intervention strategies. Considering this, we assessed the knowledge, attitude and practices regarding BU in three endemic localities in the South West region, Cameroon to highlight existing misconceptions that need to be addressed to enhance prompt treatment and facilitate effective prevention and control.
A cross-sectional study was executed in three BU endemic health districts. Using qualitative and quantitative approaches we surveyed 320 randomly selected household heads, interviewed BU patients and conducted three focus group discussions (FGDs) to obtain information on awareness, beliefs, treatment, and attitudes towards victims. The influence of socio-demographic factors on these variables was investigated.
Respondents (84.4%) had a good knowledge of BU though only 65% considered it a health problem while 49.4% believed it is contagious. Socio-demographic factors significantly (P |
| doi_str_mv | 10.1371/journal.pone.0156463 |
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A cross-sectional study was executed in three BU endemic health districts. Using qualitative and quantitative approaches we surveyed 320 randomly selected household heads, interviewed BU patients and conducted three focus group discussions (FGDs) to obtain information on awareness, beliefs, treatment, and attitudes towards victims. The influence of socio-demographic factors on these variables was investigated.
Respondents (84.4%) had a good knowledge of BU though only 65% considered it a health problem while 49.4% believed it is contagious. Socio-demographic factors significantly (P<0.05) influenced awareness of BU, knowledge and practice on treatment and attitudes towards victims. Although the majority of respondents stated the hospital as the place for appropriate treatment, FGDs and some BU victims preferred witchdoctors/herbalists and prayers, and considered the hospital as the last option. We documented beliefs about the disease which could delay treatment.
Though we are reporting a high level of knowledge of BU, there exist fallacies about BU and negative attitudes towards victims in communities studied. Efforts towards disease eradication must first of all target these misconceptions.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0156463</identifier><identifier>PMID: 27227429</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Analysis ; Attitude to Health ; Attitudes ; Beliefs, opinions and attitudes ; Bones ; Buruli ulcer ; Buruli Ulcer - epidemiology ; Buruli Ulcer - prevention & control ; Buruli Ulcer - psychology ; Cameroon - epidemiology ; Care and treatment ; Community-Based Participatory Research ; Control methods ; Cross-Sectional Studies ; Delivery of Health Care ; Demographic variables ; Demographics ; Diagnosis ; Disabilities ; Disease control ; Disease prevention ; Disease transmission ; Economic impact ; Female ; Humans ; Immunization ; Infections ; Male ; Medical treatment ; Medicine and Health Sciences ; Middle Aged ; Mycobacterium ulcerans ; Parasitology ; Pathogens ; Patient Education as Topic ; People and Places ; Prevention ; Risk factors ; Skin ; Skin diseases ; Social aspects ; Social Sciences ; Socioeconomic Factors ; Tuberculosis ; Ulcers</subject><ispartof>PloS one, 2016-05, Vol.11 (5), p.e0156463-e0156463</ispartof><rights>COPYRIGHT 2016 Public Library of Science</rights><rights>2016 Akoachere et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2016 Akoachere et al 2016 Akoachere et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-ddf886daa1a4d8589566c0964526363e1d12ede95080f8b623f23e769639b8333</citedby><cites>FETCH-LOGICAL-c692t-ddf886daa1a4d8589566c0964526363e1d12ede95080f8b623f23e769639b8333</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4881961/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4881961/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,724,777,781,861,882,2096,2915,23847,27905,27906,53772,53774,79349,79350</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27227429$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Neyrolles, Olivier</contributor><creatorcontrib>Akoachere, Jane-Francis K T</creatorcontrib><creatorcontrib>Nsai, Frankline S</creatorcontrib><creatorcontrib>Ndip, Roland N</creatorcontrib><title>A Community Based Study on the Mode of Transmission, Prevention and Treatment of Buruli Ulcers in Southwest Cameroon: Knowledge, Attitude and Practices</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Buruli ulcer (BU) is a neglected tropical disease affecting the skin, tissues and in some cases the bones, caused by the environmental pathogen Mycobacterium ulcerans (M. ulcerans). Its mode of transmission is still elusive. Delayed treatment may cause irreversible disabilities with consequent social and economic impacts on the victim. Socio-cultural beliefs, practices and attitudes in endemic communities have been shown to influence timely treatment causing disease management, prevention and control a great challenge. An assessment of these factors in endemic localities is important in designing successful intervention strategies. Considering this, we assessed the knowledge, attitude and practices regarding BU in three endemic localities in the South West region, Cameroon to highlight existing misconceptions that need to be addressed to enhance prompt treatment and facilitate effective prevention and control.
A cross-sectional study was executed in three BU endemic health districts. Using qualitative and quantitative approaches we surveyed 320 randomly selected household heads, interviewed BU patients and conducted three focus group discussions (FGDs) to obtain information on awareness, beliefs, treatment, and attitudes towards victims. The influence of socio-demographic factors on these variables was investigated.
Respondents (84.4%) had a good knowledge of BU though only 65% considered it a health problem while 49.4% believed it is contagious. Socio-demographic factors significantly (P<0.05) influenced awareness of BU, knowledge and practice on treatment and attitudes towards victims. Although the majority of respondents stated the hospital as the place for appropriate treatment, FGDs and some BU victims preferred witchdoctors/herbalists and prayers, and considered the hospital as the last option. We documented beliefs about the disease which could delay treatment.
Though we are reporting a high level of knowledge of BU, there exist fallacies about BU and negative attitudes towards victims in communities studied. Efforts towards disease eradication must first of all target these misconceptions.</description><subject>Adult</subject><subject>Analysis</subject><subject>Attitude to Health</subject><subject>Attitudes</subject><subject>Beliefs, opinions and attitudes</subject><subject>Bones</subject><subject>Buruli ulcer</subject><subject>Buruli Ulcer - epidemiology</subject><subject>Buruli Ulcer - prevention & control</subject><subject>Buruli Ulcer - psychology</subject><subject>Cameroon - epidemiology</subject><subject>Care and treatment</subject><subject>Community-Based Participatory Research</subject><subject>Control methods</subject><subject>Cross-Sectional Studies</subject><subject>Delivery of Health Care</subject><subject>Demographic variables</subject><subject>Demographics</subject><subject>Diagnosis</subject><subject>Disabilities</subject><subject>Disease control</subject><subject>Disease prevention</subject><subject>Disease transmission</subject><subject>Economic impact</subject><subject>Female</subject><subject>Humans</subject><subject>Immunization</subject><subject>Infections</subject><subject>Male</subject><subject>Medical treatment</subject><subject>Medicine and Health Sciences</subject><subject>Middle Aged</subject><subject>Mycobacterium ulcerans</subject><subject>Parasitology</subject><subject>Pathogens</subject><subject>Patient Education as Topic</subject><subject>People and Places</subject><subject>Prevention</subject><subject>Risk factors</subject><subject>Skin</subject><subject>Skin diseases</subject><subject>Social aspects</subject><subject>Social Sciences</subject><subject>Socioeconomic Factors</subject><subject>Tuberculosis</subject><subject>Ulcers</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNk99u0zAUxiMEYmPwBggsTUIgrSW2E8fmAqmr-DMxtIlt3FpufNK6SuxhOxt9El4Xt-umBe0C5SLW8e985_izT5a9xPkY0wq_X7reW9WOL52FcY5LVjD6KNvFgpIRIzl9fG-9kz0LYZnnJeWMPc12SEVIVRCxm_2ZoKnrut6auEKHKoBGZ7HXK-QsigtA350G5Bp07pUNnQnBOHuATj1cgY1pjZTVaRNU7FJgTR72vm8Numhr8AEZi85cHxfXECKaqg68c_YD-mbddQt6DgdoEqNJFWGjdOpVHU0N4Xn2pFFtgBfb_1528fnT-fTr6Pjky9F0cjyqmSBxpHXDOdNKYVVoXnJRMlbnghUlYZRRwBoT0CDKnOcNnzFCG0KhYoJRMeOU0r3s9Y3uZeuC3HoaJK4E5pzwkiTi6IbQTi3lpTed8ivplJGbgPNzqXzquQVJRHJ4VqViDRQazzgui7zBihQz0LTJk9bHbbV-1oGuk2VetQPR4Y41Czl3V7LgHAuGk8DbrYB3v_rkqUx3UkPbKguu3_RN0uMQfN33_j_ow6fbUnOVDmBs41Ldei0qJ0VJS0pLUSVq_ACVPg2dqdMDbEyKDxLeDRISE-F3nKs-BHl09uP_2ZOfQ_bNPXYBqo2L4Np-_RTDECxuwNq7EDw0dybjXK7n59YNuZ4fuZ2flPbq_gXdJd0ODP0LYw4Vgg</recordid><startdate>20160526</startdate><enddate>20160526</enddate><creator>Akoachere, 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Community Based Study on the Mode of Transmission, Prevention and Treatment of Buruli Ulcers in Southwest Cameroon: Knowledge, Attitude and Practices</title><author>Akoachere, Jane-Francis K T ; Nsai, Frankline S ; Ndip, Roland N</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-ddf886daa1a4d8589566c0964526363e1d12ede95080f8b623f23e769639b8333</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Analysis</topic><topic>Attitude to Health</topic><topic>Attitudes</topic><topic>Beliefs, opinions and attitudes</topic><topic>Bones</topic><topic>Buruli ulcer</topic><topic>Buruli Ulcer - epidemiology</topic><topic>Buruli Ulcer - prevention & control</topic><topic>Buruli Ulcer - psychology</topic><topic>Cameroon - epidemiology</topic><topic>Care and treatment</topic><topic>Community-Based Participatory Research</topic><topic>Control 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one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akoachere, Jane-Francis K T</au><au>Nsai, Frankline S</au><au>Ndip, Roland N</au><au>Neyrolles, Olivier</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Community Based Study on the Mode of Transmission, Prevention and Treatment of Buruli Ulcers in Southwest Cameroon: Knowledge, Attitude and Practices</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2016-05-26</date><risdate>2016</risdate><volume>11</volume><issue>5</issue><spage>e0156463</spage><epage>e0156463</epage><pages>e0156463-e0156463</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Buruli ulcer (BU) is a neglected tropical disease affecting the skin, tissues and in some cases the bones, caused by the environmental pathogen Mycobacterium ulcerans (M. ulcerans). Its mode of transmission is still elusive. Delayed treatment may cause irreversible disabilities with consequent social and economic impacts on the victim. Socio-cultural beliefs, practices and attitudes in endemic communities have been shown to influence timely treatment causing disease management, prevention and control a great challenge. An assessment of these factors in endemic localities is important in designing successful intervention strategies. Considering this, we assessed the knowledge, attitude and practices regarding BU in three endemic localities in the South West region, Cameroon to highlight existing misconceptions that need to be addressed to enhance prompt treatment and facilitate effective prevention and control.
A cross-sectional study was executed in three BU endemic health districts. Using qualitative and quantitative approaches we surveyed 320 randomly selected household heads, interviewed BU patients and conducted three focus group discussions (FGDs) to obtain information on awareness, beliefs, treatment, and attitudes towards victims. The influence of socio-demographic factors on these variables was investigated.
Respondents (84.4%) had a good knowledge of BU though only 65% considered it a health problem while 49.4% believed it is contagious. Socio-demographic factors significantly (P<0.05) influenced awareness of BU, knowledge and practice on treatment and attitudes towards victims. Although the majority of respondents stated the hospital as the place for appropriate treatment, FGDs and some BU victims preferred witchdoctors/herbalists and prayers, and considered the hospital as the last option. We documented beliefs about the disease which could delay treatment.
Though we are reporting a high level of knowledge of BU, there exist fallacies about BU and negative attitudes towards victims in communities studied. Efforts towards disease eradication must first of all target these misconceptions.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27227429</pmid><doi>10.1371/journal.pone.0156463</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2016-05, Vol.11 (5), p.e0156463-e0156463 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_1791882852 |
| source | MEDLINE; Full-Text Journals in Chemistry (Open access); Directory of Open Access Journals; Public Library of Science; PubMed Central; EZB Electronic Journals Library |
| subjects | Adult Analysis Attitude to Health Attitudes Beliefs, opinions and attitudes Bones Buruli ulcer Buruli Ulcer - epidemiology Buruli Ulcer - prevention & control Buruli Ulcer - psychology Cameroon - epidemiology Care and treatment Community-Based Participatory Research Control methods Cross-Sectional Studies Delivery of Health Care Demographic variables Demographics Diagnosis Disabilities Disease control Disease prevention Disease transmission Economic impact Female Humans Immunization Infections Male Medical treatment Medicine and Health Sciences Middle Aged Mycobacterium ulcerans Parasitology Pathogens Patient Education as Topic People and Places Prevention Risk factors Skin Skin diseases Social aspects Social Sciences Socioeconomic Factors Tuberculosis Ulcers |
| title | A Community Based Study on the Mode of Transmission, Prevention and Treatment of Buruli Ulcers in Southwest Cameroon: Knowledge, Attitude and Practices |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-17T17%3A05%3A15IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Community%20Based%20Study%20on%20the%20Mode%20of%20Transmission,%20Prevention%20and%20Treatment%20of%20Buruli%20Ulcers%20in%20Southwest%20Cameroon:%20Knowledge,%20Attitude%20and%20Practices&rft.jtitle=PloS%20one&rft.au=Akoachere,%20Jane-Francis%20K%20T&rft.date=2016-05-26&rft.volume=11&rft.issue=5&rft.spage=e0156463&rft.epage=e0156463&rft.pages=e0156463-e0156463&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0156463&rft_dat=%3Cgale_plos_%3EA453533597%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1791882852&rft_id=info:pmid/27227429&rft_galeid=A453533597&rft_doaj_id=oai_doaj_org_article_29053b7508fe4d1b81540f1a24bed3f0&rfr_iscdi=true |