Factors in the spread of Buruli ulcer and urinary bilharziasis and coping strategies of communities living along the Subiakro and Kossou hydro-agricultural schemes.
DOI:
https://doi.org/10.4314/rasp.v8i1.8Keywords:
Propagation factors, community practices, hydro-agricultural developments, Buruli ulcer and bilharziasis.Abstract
Why do Buruli ulcer and urinary bilharziasis persist in the Subiakro and Kossou localities, and how are people coping? To answer this question, a study was carried out in the Yamoussoukro health district, an endemic area for Buruli ulcer and urinary bilharziasis, with a view to analysing the factors involved in the spread of these diseases and the communities' coping strategies. The study was qualitative in nature, involving observations, semi-directive interviews and focus group discussions using the Accelerated Participatory Research Method. A total of sixteen interviews were conducted with men, women, young people, community leaders, nurses and doctors. Socio-economic and cultural activities, plant wounds/stings and occult practices were identified as factors in the spread of Buruli ulcer and bilharzia. Traditional and modern care are the communities' care and coping strategies. At the same time, the community has no means of combating the disease, and prevention policies are non-existent. Hence the need for policies adapted to the realities of the communities in order to drastically reduce the incidence of these diseases in these areas.
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