Perceived Causes and Diagnosis of Febrile Convulsion in Selected Rural Contexts in Cape Coast Metropolis, Ghana
Abstract Background: Febrile convulsion (FC) in children under age five is a common childhood condition especially in deprived communities. In 2015, the Ghana Health Service (GHS) attributed about 30% of all under-five mortality cases to FC. Although, the perceived causes and diagnosis of FC are significant in determining treatment approaches, such evidence is limited in the literature. Objective: This study explored the perceived causes and diagnosis of FC in selected rural communities in the Cape Coast Metropolis, Ghana. Methods: A descriptive phenomenological study design underpinned the study at five selected communities located not more than 2 Kilometres from the University of Cape Coast Hospital. Purposive and snowball sampling techniques were used to interview 42 participants made up of 27 parents, two grandmothers, seven registered traditional health practitioners, four herbalists, and two faith healers in the communities. The data was analysed using QSR NVivo 12.Results: Three perceived causes of FC were identified – biological, social/behavioural, and spiritual. Biological causes include genetic abnormalities and other underlying health conditions. The behavioural factors include poor childcare practices and nutrition. Spiritual causes include harm caused by evil spirits. The diagnosis of FC entails pre-attack, attack and post-attack stages. The former is largely associated with high body temperature. The attack stage is often associated with extreme body jerking. Post-attack diagnosis of FC include deafness, dumbness and paralysis.Conclusion: The perceived causes of FC are interplay of complex natural, social and spiritual factors that are deep-rooted in local socio-cultural beliefs and FC experiences. Unlike the attack stage, pre-attack diagnosis were usually missed, or misconstrued to mean other health conditions.