| 1. |
- Nsai, Frankline Sanyuy, et al.
(författare)
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Knowledge and practices of health practitioners on treatment of Buruli ulcer in the Mbonge, Ekondo Titi and Muyuka Health Districts, South West Region, Cameroon
- 2018
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Ingår i: Pan African Medical Journal. - : Pan African Medical Journal. - 1937-8688. ; 31
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Introduction: after tuberculosis and leprosy, Buruli ulcer (BU) is the third most common mycobacterial infection. Buruli ulcer begins as a localized skin lesion that progresses to extensive ulceration thus leading to functional disability, loss of economic productivity and social stigma. This study is aimed at assessing the knowledge and practices among health practitioners on the treatment of BU in the Mbonge, Ekondo Titi and Muyuka Health Districts of the South West Region of Cameroon. Methods: this is a cross-sectional study that investigates participants' knowledge and practices on the treatment of BU. The study uses a qualitative method ofstructured questionnaires in the process of data collection. Results: seventy percent (70%) of the participants acknowledged they encounter cases of BU in their respective Hospitals or Health centers. Among these, 48% agreed they managed BU in their facilities and up to 91.7% noted that their community members are aware that BU is managed in their facility while seventy percent of the medical practitioners indicated they cannot identify the various stages of BU. Eighty-one percent of the practitioners from Muyuka HD indicated they could not identify the various stages of BU. More than 63% of the practitioners regarded BU patients as normal people in their communities however, practitioners that practiced for less than 5 years were likely not to admit BU patients in the same room with other patients. Beliefs such as being cursed (47.06%) and being possessed (29.41%) were reported by practitioners that acknowledged the existence of traditional beliefs in the community. Conclusion: despite the fact that a majority of the health practitioners knew what BU is, most of them demonstrated lack of knowledge on the identification of the various stages and management of the illness. Practitioners demonstrated positive attitude towards patients although they would not admit them in the same room with other patients. Considering the poor knowledge on identification and management demonstrated by most of the practitioners, management of the disease would be inadequate and may even aggravate the patient's situation. Training and onsite mentorship on screening, identification and management of BU is therefore highly recommended amongst health personnel practicing in endemic areas.
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| 2. |
- Atuhaire, Catherine, et al.
(författare)
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Knowledge and perceptions of male immigrants from Eastern and Southern Africa residing in Leeds (UK) towards male circumcision, as an HIV preventive strategy
- 2019
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Ingår i: Southern African Journal of HIV Medicine. - : AOSIS. - 2078-6751 .- 1608-9693. ; 20:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: The World Health Organization has accepted and recommended medical male circumcision (MMC) as a HIV prevention strategy. Despite the advantages of MMC, the rate of uptake of this practice among immigrants and the general population in the United Kingdom (UK) is still low, yet the procedure is provided in public and private health facilities. The role of negative perception and the percentage contribution to low circumcision rates remains unknown. Because immigrants are a group vulnerable to HIV in the UK, this study sought to understand their knowledge and perceptions. Methodology: We enrolled (N = 10) 10 participants for a qualitative study, and all participants were purposively selected using snowball recruitment methods. Data were collected during individual in-depth interviews using semi-structured interview guides. Responses were audio recorded, transcribed and analysed using thematic analysis. Appropriate themes were generated from the data collected. Results: We found that the majority looked at male circumcision (MC) as a practice to fulfil their cultural and religious obligations rather than HIV prevention. Few participants showed belief and certainty that it was an effective strategy of HIV prevention, indicating limited knowledge. The participants also expressed perceived dangers of MC, which acted as a barrier to accept the procedure. These included fear of pain, complications from the procedure and possible infections when carried out through traditional methods. Conclusion: Male circumcision is mainly practised to fulfil cultural and religious norms but not as an HIV prevention strategy. More research is needed to study the availability, affordability and acceptability of MMC among immigrants in the UK.
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| 3. |
- Atuhaire, Catherine, et al.
(författare)
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Knowledge and practice of testicular self-examination among secondary students at Ntare School in Mbarara District, South western Uganda
- 2019
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Ingår i: Pan African Medical Journal. - : Pan African Medical Journal. - 1937-8688. ; 33
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: Testicular self-examination (TSE) is a screening technique that involves inspection of the appearance and palpation of the testes to detect any changes from the normal. Globally, the incidence of cancer has increased among which is testicular cancer (TC). Data on this topic among male secondary school adolescents in Uganda is limited therefore this study sought to assess the knowledge and practice of testicular self-examination among secondary students at Ntare School, Mbarara District in south western Uganda. The objective of the study is to assess the knowledge and practice of testicular self-examination among secondary students at Ntare School in Mbarara district, south western Uganda. Methods: we conducted a descriptive cross-sectional quantitative study among 165 students. Recruitment was made using simple random sampling technique. Respondents were selected among advanced level (A’ level) male students studying at Ntare School in Mbarara district, south western Uganda. Structured self-administered questionnaires was used for data collection. Results: of the male students, 41.8% reported to have knowledge about TSE and only 23.6% practiced TSE. Most students rated their knowledge of TSE to be below 5 (from 1-10). Of the 39 students who admitted performing TSE, only 16 did so as recommended (monthly). Conclusion: the knowledge and practice of TSE were low among adolescent secondary school boys in Ntare School in Mbarara District, south western Uganda. This suggests that these students are unaware of the value of this personal health promotion tool which is fundamental in early diagnosis of testicular cancer.
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| 4. |
- Bashir, Muwada Bashir Awad, et al.
(författare)
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Stigma on epileptic patients attending the outpatient clinic of Soba University Hospital and the National Center for Neurological Science (NCNS) Khartoum, Sudan
- 2019
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Ingår i: The Pan African Medical Journal. - : Pan African Medical Journal. - 1937-8688. ; 32
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: epilepsy is one of the most prevalent neurological conditions for people of different age group, race, gender and socio-economic status in various nations, affecting 50 million people around the world; 80% of them living in developing countries. In Sudan, literature has well documented epilepsy stigma and it related elements of labelling, negative typecasting, isolation, devaluing and discrimination that are significantly affecting patients living standards and social life. This study focuses on understanding the prevailing, different types of stigma among people living with epilepsy (PWE) in Sudan and to determine its frequency in connection with demographic factors and patients coping ability of PWE. Methods: a health facility-based cross-sectional descriptive study was conducted on 270 people between the ages of 16-70years who are affected by epilepsy in an outpatient clinic. Standardized questionnaires were used to interview the patients with assistance gotten from their relative where necessary. The data is analyzed using SPSS version 20. The study was conducted in the outpatient clinic of The National Center for Neurological Sciences (NCNS), Ibrahim-Malik Teaching Hospital Sudan. Results: the study realized that 16.6% of the patient had a positive self-stigma score, half of them having coaching stigma and 25% courtesy stigma. One third of people with epilepsy had poor coping score that was strongly determined by self- stigma and courtesy stigma score. Conclusion: parents and relatives related sigma is a major problem facing people of epilepsy in Sudan; thus, raising such group awareness and education about the disease can markedly improve the quality of life of people with epilepsy in Sudan.
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| 5. |
- Pemunta, Ngambouk Vitalis, 1973, et al.
(författare)
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Environmental conservation, tourism development and the dilemma of the indigenous Pygmy people in southeast Cameroon
- 2019
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Ingår i: International Journal of Tourism Anthropology. - 1759-0442 .- 1759-0450. ; 7:3/4, s. 181-217
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Tidskriftsartikel (refereegranskat)abstract
- This paper examines the implications of the paradox implicit in the conflation of Pygmies and other forest-based peoples (Bantu farmers) as a single identity group by conservationists and tourism developers. These actors share a hardened image and a single field view of the Pygmies as “people of the forest” that must paradoxically be evicted to give way for neoliberal development activities. The paper demonstrates that while Pygmies have diversified livelihood trajectories, prevailing prejudicial views about their non-contamination by the tourist and academic industry persists. As agents, the Pygmies are however, simultaneously maintaining their identity while engaging in performatic performances through which they stage their authenticity (reflective ethnicity) for their own benefits. To avoid conflicts between protected areas and people, and ensure co-management, conservationists and eco-tourism developers should take note of the co-constitution of man-nature relationships, the intersection between economic and ecological justice as well as inter-group power dynamics among multiple stakeholders in local communities.
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| 6. |
- Vitalis Pemunta, Ngambouk, 1973, et al.
(författare)
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Women's housing, land and property rights: a recipe for political instability in post-conflict Burundi
- 2020
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Ingår i: International Journal of Gender Studies in Developing Societies. - 2052-0360. ; 3:4, s. 327-360
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Tidskriftsartikel (refereegranskat)abstract
- In post-conflict Burundi, land scarcity, rapid population growth, the heightened commodification of land serve as triggers to conflict and violence and significantly threaten the sustainability of long-term peace. This article interrogates the ways land tenure reforms affect women’s housing, land and property (HLP) rights in Burundi despite decades of intense mobilisation by progressive women’s groups, the recently adopted national land code is still to be fully implemented. The paper argues that gender-neutral land reforms and law enforcement mechanisms interact with the failure to fully implement the national land code, multiple normative orders and social forces and tend to reinforce male hegemony over land. Although customary land tenure is the mantra of the tenure reform process, and tends to strengthen women’s land rights, the various reform measures are skewed in favour of men. The failure to reform the marriage and succession laws is the most significant factor barring women’s land rights. The adoption and implementation of laws that guarantee an equal right to inheritance between the sexes, sensitisation of, and the provision of legal aid to women claiming their land rights in front of conflict management institutions are required.
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