Health and Health Seeking Behaviour in the Democratic Republic of the Congo: Perspectives of the Elderly

2012 ◽  
pp. 91-101 ◽  
Author(s):  
Ganzamungu Zihindula ◽  
Pranitha Maharaj
2021 ◽  
Vol 6 (3) ◽  
pp. 157
Author(s):  
Nsengi Y. Ntamabyaliro ◽  
Christian Burri ◽  
Yves N. Lula ◽  
Daniel Ishoso ◽  
Aline B. Engo ◽  
...  

(1) Background: The Democratic Republic of the Congo (DRC) is heavily affected by malaria despite availability of effective treatments. Ignorance and unrecommended behaviour toward a suspected malaria case in households may contribute to this problem. (2) Method: In communities of one rural and one urban Health Centres in each of the 11 previous provinces of DRC, all households with a case of malaria in the 15 days prior to the survey were selected. The patient or caregiver (responder) were interviewed. Logistic regression was used to assess predictors of knowledge of recommended antimalarials and adequate behaviour in case of suspected malaria. (3) Results: 1732 households participated; about 62% (1060/1721) of the responders were informed about antimalarials, 70.1% (742/1059) knew the recommended antimalarials and 58.6% (995/1699) resorted to self-medication. Predictors of knowledge of antimalarials were education to secondary school or university, information from media and smaller households. Predictors of good behaviour were Catholic religion and smaller households. Receiving information from Community Health Workers (CHWs) failed to be determinants of knowledge or adequate behaviour. (4) Conclusion: malaria control in DRC is hampered by ignorance and non-adherence to national recommendations. These aspects are influenced by unsuccessful communication, size of households and level of education.


Author(s):  
Nsengi Yumva Ntamabyaliro ◽  
Christian Burri ◽  
Yves Ntamba Lula ◽  
Daniel Isosho ◽  
Aline Biongo Engo ◽  
...  

(1) Background: The Democratic Republic of the Congo (DRC) is heavily affected by malaria despite availability of effective treatments. Ignorance and unrecommended behaviour toward a suspected malaria case in households may contribute to this problem. (2) Method: In communities of one rural and one urban Health Centers in each of the 11 previous provinces of DRC, all households with a case of malaria in the 15 days prior to the survey were selected. The patient or caregiver (responder) were interviewed. Logistic regression was used to assess predictors of knowledge of recommended antimalarials and good behaviour in case of suspected malaria. (3) Results: 1,732 households participated; about 62% (1060/1721) of the responders were informed about antimalarials, 70.1% (742/1059) knew the recommended antimalarial and 58.6% (995/1699) resorted on self-medication. Predictors of knowledge of antimalarials were education to secondary school or university, information from media and smaller households. Predictors of good behaviour were catholic religion and smaller households. Receiving information from CHW failed to be determinants of knowledge or adequate attitude. (4) Conclusion: malaria control in DRC is hampered by ignorance and non-adherence to national recommendations. These aspects are influenced by unsuccessful communication, size of households and level of education.


2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Mukalenge F Chenge ◽  
Jean Van der Vennet ◽  
Numbi O Luboya ◽  
Veerle Vanlerberghe ◽  
Mala A Mapatano ◽  
...  

2017 ◽  
Vol 1 (1) ◽  
pp. 5
Author(s):  
Patrice Kabongo Mbamukonka ◽  
◽  
Salomon Batina Agasa ◽  
Serge Tonen-Wolyec ◽  
Jean Paulin Mbo Mukonkole ◽  
...  

Author(s):  
Ruchi Dhar ◽  
G. S. Vidya

Background: According to census 2011 the elderly population aged 60 years and above account for 8% of total population and is projected to rise to 12.4% by the year 2026. Health status is an important factor that has a significant impact on quality of life. The elderly is one of the most vulnerable and high risk groups in terms of health status and their health seeking behaviour is crucial in any society.Methods: A community based cross sectional study was carried out for a period of 1 year for which a predesigned and semi-structured questionnaire was used and a total of 440 elderly were interviewed by house to house survey.Results: In our study it was found that the majority of the subjects (36.8%) were in the age group of 60-64 years, 52.5% were illiterate, 51.1% were unemployed and 49% belonged to class IV socio economic status. Any degree of formal schooling was found to be associated with better health seeking behavior. Majority of the subjects (58%) visited a government health facility in case of an illness and the main reason that was stated for not visiting a health facility was that they suffered from mild discomfort (44.4%) and did not consider it necessary to visit a health facility.Conclusions: It was observed that more number of males visited a health care facility in case of an illness, 241 (92.7%) whereas only 154 (85.6%) females visited a health facility in case of an illness. This difference was found to be statistically significant.


2015 ◽  
Vol 22 (2) ◽  
pp. 129-135 ◽  
Author(s):  
Suraiya Jabeen ◽  
Mohammad Anwarul Bari ◽  
Amit Wazib ◽  
Umma Salma ◽  
AKM Shaheduzzaman ◽  
...  

Background: The purpose of this study was to determine the morbidity pattern and health seeking behaviour among the rural elderly population. Methods: This cross sectional study was conducted in six villages of Telihati union of Gazipur District from February to June 2013. Purposive sampling technique was used to collected data from 249 respondents, aged 60 years and above. Results: The mean age of the respondents was 64.2 (SD±5.6) years. About 70.3% of the respondents were male, majority (47%) respondents were illiterate, 33.3% earned less then ten thousand taka per month. About half (58.2%) of the elderly were still working, among the currently not working respondents majority (49%) were totally dependent. and only 52.6% respondents belonged to joint family. Almost all (98.8%) the respondents had some health problems; among these eye problems (81.7%), musculo-skeletal disorders (66.3%), gastrointestinal disorders (52.4%) and sleeping problems (50.4%) were predominant. Females suffered more from eye problems, musculoskeletal disorder, gastrointestinal disorder and sleeping problems. On the other hand, males suffered more from respiratory and genitorurinary problems. About 61% have a Government hospital or Community clinic nearby their residence, 70 % were satisfied with available health care facilities and 72% was satisfied with treating doctors even then a greater part (35%) was irregular for check-up. Majority (73.5%) was regular about taking treatment, among the irregulars majority (77.3%) was for un-affordability of medicine. Only 53% of the elderly knew names of some old age diseases. DOI: http://dx.doi.org/10.3329/jdmc.v22i2.21522 J Dhaka Medical College, Vol. 22, No.2, October, 2013, Page 129-135


2021 ◽  
pp. 109019812110104
Author(s):  
Fuyu Guo ◽  
Huayi Xiong ◽  
Xinran Qi ◽  
Rie Takesue ◽  
Siyu Zou, BM ◽  
...  

Maternal health-seeking behavior (MHSB) is crucial for maternal health. However, little is known about MHSB in the Democratic Republic of the Congo (DRC). This study aims to evaluate the situation and socioeconomic associates of MHSB in the DRC. Based on the responses of 8,360 participants in a nationally representative survey, we adopted a K-modes cluster analysis algorithm to categorize women into three groups (i.e., infrequent service-users, partial service-users, and full service-users) according to their recent MHSB. Multinomial logistic regression was applied to identify the associated predictors of MHSB. The results show that most women (90.29%) did not receive integral maternal health services, including antenatal care, institutional delivery, and postnatal care. Compared with their counterparts, women who received higher maternal educational attainment, had good HIV-related knowledge, lived in urban regions, and lived in wealthier households were more likely to be partial service-users or full service-users. Women exposed to mass media at least once a week were more likely to be full service-users rather than infrequent service-users. The majority of participants who lived in Kasai and near provinces were infrequent service-users, indicating poor MHSB status in the region. Interventions to promote maternal health knowledge and awareness are highly recommended to improve MHSB in the DRC.


2020 ◽  
Vol 7 (47) ◽  
pp. 2787-2792
Author(s):  
Binu Areekal ◽  
Dipin John Padmaja ◽  
Pranav Veepanattu ◽  
Anna Christin Jossy ◽  
Anirudh Menon ◽  
...  

BACKGROUND Elderly people are often neglected in the society particularly with regards to the healthcare service delivery in Indian context. Most of them live with certain forms of morbidities. The consequences of these illnesses in terms of severity affect their willingness to seek help from health care services. Therefore, understanding the morbidities and their health seeking behaviour is a prerequisite for providing essential need-based healthcare services to this marginalised population. A cross sectional study was conducted to understand the pattern of comorbidities and factors of health seeking behaviours of the elderly in a rural area of Thrissur district, Kerala. METHODS A total of 243 elderly participants who were above 60 years was selected from a rural area of Thrissur district to participate the study. SPSS Ver. 16.0 was used to carry out analysis of the data. Descriptive statistics were used to express the pattern of chronic morbidity, and assess the health seeking behaviour and associated factors in the above population. RESULTS Our findings revealed that majority of the study population (82.7 %) was suffering from at least one chronic health problem; among them, 44 % had hypertension, 35.8 % had diabetes mellitus and 23.5 % had musculoskeletal diseases. 60.5 % were not doing any kind of exercise. Health seeking behavior was highest for diabetes and hypertension (100 % and 97.1 %). It was lowest for urinary disorders (72.72 %) followed by visual problems and respiratory problems (82.75 % and 83.3 %). Most common reasons for not seeking health care were that they consider the illness to be insignificant or they believe it to be a part of ageing process (37.5 %). CONCLUSIONS Prevalence of chronic morbidity is high among the elderly. Health seeking behavior is better in Kerala compared to other states. KEYWORDS Chronic Morbidity, Healthcare Seeking Behaviour, Morbidity, Elderly, Kerala


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