Community‐based study on knowledge, attitude and practice on the mode of transmission, prevention and treatment of the Buruli ulcer in Ga West District, Ghana
Open Access
- 19 February 2007
- journal article
- Published by Wiley in Tropical Medicine & International Health
- Vol. 12 (3), 445-458
- https://doi.org/10.1111/j.1365-3156.2006.01795.x
Abstract
Buruli ulcer disease (BUD), a devastating tropical disease caused by Mycobacterium ulcerans, occurs in more than 80% of the administrative districts of Ghana. To elucidate community perceptions and understanding of the aetiology of BUD, attitudes towards Buruli patients and treatment-seeking behaviours, we conducted a survey with 504 heads of households and seven focus group discussions in Ga West District, Ghana. Although 67% of participants regarded BUD as a health problem, 53% did not know its cause. Sixteen per cent attributed the cause to drinking non-potable water, 8.1% mentioned poor personal hygiene or dirty surroundings, and 5.5% identified swimming or wading in ponds as a risk factor. About 5.2% thought that witchcraft and curses cause BUD, and 71.8% indicated that BU sufferers first seek treatment from herbalists and only refer to the hospital as a last resort. The main reasons were prospects of prolonged hospital stay, cost of transport, loss of earnings and opportunity associated with parents attending their children's hospitalization over extended period, delays in being attended by medical staff, and not knowing the cause of the disease or required treatment. The level of acceptance of BUD sufferers was high in adults but less so in children. The challenge facing health workers is to break the vicious cycle of poor medical outcomes leading to poor attitudes to hospital treatment in the community. Because herbalists are often the first people consulted by those who contract the disease, they need to be trained in early recognition of the pre-ulcerative stage of Buruli lesions.Keywords
This publication has 32 references indexed in Scilit:
- Sensitivity of PCR Targeting the IS 2404 Insertion Sequence of Mycobacterium ulcerans in an Assay Using Punch Biopsy Specimens for Diagnosis of Buruli UlcerJournal of Clinical Microbiology, 2005
- First Case ofMycobacterium ulceransDisease (Buruli Ulcer) Following a Human BiteClinical Infectious Diseases, 2003
- Bactericidal Activity of Rifampin-Amikacin against Mycobacterium ulcerans in MiceAntimicrobial Agents and Chemotherapy, 2002
- Buruli Ulcer in Ghana: Results of a National Case SearchEmerging Infectious Diseases, 2002
- Mycobacterium ulcerans — a mini-reviewJournal of Medical Microbiology, 1999
- Mycobacterium ulcerans infection (Buruli ulcer): first reported patients in TogoBritish Journal of Dermatology, 1996
- Mycobacterium ulcerans infection (Buruli ulcer): first reported patients in TogoBritish Journal of Dermatology, 1996
- Buruli ulcer in BeninThe Lancet, 1990
- The pathology of mycobacterium ulcerans infectionPathology, 1985
- Epidemiology of Mycobacterium ulcerans infection (buruli ulcer) at Kinyara, UgandaTransactions of the Royal Society of Tropical Medicine and Hygiene, 1971