I thought it was only Ordinary Fever ! Cultural Knowledge and the Micropolitics of Therapy Seeking for Childhood Febrile Illness in Tanzania  

Oleh:

Kamat, Vinay R.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 12 (Jun. 2006), page 2945-2959.
Topik: childhood; malaria; treatment seeking; illness narratives; misdiagnosis; new antimalarials; tanzania

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.4 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Economic considerations are often cited as important determinants of health seeking behaviour. This paper describes a situation in peri urban Tanzania where iser fees do not constitute the primary reason why mothers delay seeking prompt treatment at a public health facility for their young, febrile children. Mothers commonly believe that they are dealing with an ordinar fever and not malaria or any other serious illness complicated by fever. Hence they engage in extended homebased treatment. Drawing upon an ethnographic study, this paper illustrates how cultural knowledge about disease symptomatology, cultural meanings associated with febrile illness, geneder relations and patterns of communication between health care providers and mothers significantly influence outcomes for childhood febrile illnesses. It is argued that an overemphasis on the correlation between user fees and treatment delays with regard to childhood illnesses tends to divert attention from other significant cultural factors and existing structural constraints that influence the dynamics of health care seeking and health outcomes. At a time when calls to implement artemisinine based combination therap as one of the front line stratefies in tanzania are increasingly frequent, there is a need to pay closer attention to the contextual factors and socio cultural dynamics that influence patterns of treatment seeking for childhood malaria.

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