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health seeking behaviour and utilization of health facilities for schistosomiasis-related symptoms in ghana求医行为和卫生设施的利用率schistosomiasis-related症状在加纳
Health Seeking Behaviour and Utilization of Health Facilities for Schistosomiasis-Related Symptoms in Ghana 1,2 1 3 3 Anthony Danso-Appiah *, Wilma A. Stolk , Kwabena M. Bosompem , Joseph Otchere , Caspar W. N. 1 1 1 Looman , J. Dik F. Habbema , Sake J. de Vlas 1 Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands, 2 Centre for Reviews and Dissemination, University of York, York, United Kingdom, 3 Parasitology Department, Noguchi Memorial Institute for Medical Research, Legon, Ghana Abstract Background: Schistosomiasis causes long-term illness and significant economic burden. Morbidity control through integration within existing health care delivery systems is considered a potentially sustainable and cost-effective approach, but there is paucity of information about health-seeking behaviour. Methods: A questionnaire-based study involving 2,002 subjects was conducted in three regions of Ghana to investigate health-seeking behaviour and utilization of health facilities for symptoms related to urinary (blood in urine and painful urination) and intestinal schistosomiasis (diarrhea, blood in stool, swollen abdomen and abdominal pain). Fever (for malaria) was included for comparison. Results: Only 40% of patients with urinary symptoms sought care compared to .70% with intestinal symptoms and .90% with fever. Overall, about 20% of schistosomiasis-related symptoms were reported to a health facility (hospital or clinic), compared to about 30% for fever. Allopathic self-medication was commonly practiced as alternative action. Health-care seeking was relatively
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