"There are many fevers": Communities' perception and management of Febrile illness and its relationship with human animal interactions in South-Western Uganda.
Diagnosing the causative agent of febrile illness in resource-limited countries is a challenge in part due to lack of adequate diagnostic infrastructure to confirm cause of infection. Most febrile illnesses (>60%) are non-malarial, with a significant proportion being zoonotic and likely from anim...
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ftdoajarticles:oai:doaj.org/article:be7cbdf9f9dd4377bcc46d1279419b7f 2023-05-15T15:15:15+02:00 "There are many fevers": Communities' perception and management of Febrile illness and its relationship with human animal interactions in South-Western Uganda. Michael Wandanje Mahero Katherine M Pelican Jacinta M Waila Shamilah Namusisi Innocent B Rwego Charles Kajura Christopher Nyatuna David R Boulware Joel Hartter Lawrence Mugisha Cheryl Robertson Dominic A Travis 2022-02-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0010125 https://doaj.org/article/be7cbdf9f9dd4377bcc46d1279419b7f EN eng Public Library of Science (PLoS) https://doi.org/10.1371/journal.pntd.0010125 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0010125 https://doaj.org/article/be7cbdf9f9dd4377bcc46d1279419b7f PLoS Neglected Tropical Diseases, Vol 16, Iss 2, p e0010125 (2022) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2022 ftdoajarticles https://doi.org/10.1371/journal.pntd.0010125 2023-03-05T01:35:07Z Diagnosing the causative agent of febrile illness in resource-limited countries is a challenge in part due to lack of adequate diagnostic infrastructure to confirm cause of infection. Most febrile illnesses (>60%) are non-malarial, with a significant proportion being zoonotic and likely from animal origins. To better characterize the pathways for zoonotic disease transmission and control in vulnerable communities, adequate information on the communities' experiences and lexicon describing fever, and their understanding and perceptions of risk pathways is required. We undertook an ethnographic study to understand behaviors, exposures, and attitudes toward fever at the community level. Our hope is to better elucidate areas of priority surveillance and diagnostic investment. A focused ethnography consisting of participant observation, informal conversations, 4 barazas (community meetings), and formal ethnographic interviews (13 Focus group discussions and 17 Key informant interviews) was conducted between April and November 2015 in Kasese and Hoima Districts in Uganda. Perception of illness and associated risk factors was heavily influenced by the predominant livelihood activity of the community. The term "fever" referred to multiple temperature elevating disease processes, recognized as distinct pathological occurrences. However, malaria was the illness often cited, treated, or diagnosed both at the health facilities and through self-diagnosis and treatment. As expected, fever is as an important health challenge affecting all ages. Recognition of malarial fever was consistent with a biomedical model of disease while non-malarial fevers were interpreted mainly through ethno etiological models of explanation. These models are currently being used to inform education and prevention strategies and treatment regimens toward the goal of improving patients' outcomes and confidence in the health system. Development of treatment algorithms that consider social, cultural, and economic contexts, especially where ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic PLOS Neglected Tropical Diseases 16 2 e0010125 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
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language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
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Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Michael Wandanje Mahero Katherine M Pelican Jacinta M Waila Shamilah Namusisi Innocent B Rwego Charles Kajura Christopher Nyatuna David R Boulware Joel Hartter Lawrence Mugisha Cheryl Robertson Dominic A Travis "There are many fevers": Communities' perception and management of Febrile illness and its relationship with human animal interactions in South-Western Uganda. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Diagnosing the causative agent of febrile illness in resource-limited countries is a challenge in part due to lack of adequate diagnostic infrastructure to confirm cause of infection. Most febrile illnesses (>60%) are non-malarial, with a significant proportion being zoonotic and likely from animal origins. To better characterize the pathways for zoonotic disease transmission and control in vulnerable communities, adequate information on the communities' experiences and lexicon describing fever, and their understanding and perceptions of risk pathways is required. We undertook an ethnographic study to understand behaviors, exposures, and attitudes toward fever at the community level. Our hope is to better elucidate areas of priority surveillance and diagnostic investment. A focused ethnography consisting of participant observation, informal conversations, 4 barazas (community meetings), and formal ethnographic interviews (13 Focus group discussions and 17 Key informant interviews) was conducted between April and November 2015 in Kasese and Hoima Districts in Uganda. Perception of illness and associated risk factors was heavily influenced by the predominant livelihood activity of the community. The term "fever" referred to multiple temperature elevating disease processes, recognized as distinct pathological occurrences. However, malaria was the illness often cited, treated, or diagnosed both at the health facilities and through self-diagnosis and treatment. As expected, fever is as an important health challenge affecting all ages. Recognition of malarial fever was consistent with a biomedical model of disease while non-malarial fevers were interpreted mainly through ethno etiological models of explanation. These models are currently being used to inform education and prevention strategies and treatment regimens toward the goal of improving patients' outcomes and confidence in the health system. Development of treatment algorithms that consider social, cultural, and economic contexts, especially where ... |
format |
Article in Journal/Newspaper |
author |
Michael Wandanje Mahero Katherine M Pelican Jacinta M Waila Shamilah Namusisi Innocent B Rwego Charles Kajura Christopher Nyatuna David R Boulware Joel Hartter Lawrence Mugisha Cheryl Robertson Dominic A Travis |
author_facet |
Michael Wandanje Mahero Katherine M Pelican Jacinta M Waila Shamilah Namusisi Innocent B Rwego Charles Kajura Christopher Nyatuna David R Boulware Joel Hartter Lawrence Mugisha Cheryl Robertson Dominic A Travis |
author_sort |
Michael Wandanje Mahero |
title |
"There are many fevers": Communities' perception and management of Febrile illness and its relationship with human animal interactions in South-Western Uganda. |
title_short |
"There are many fevers": Communities' perception and management of Febrile illness and its relationship with human animal interactions in South-Western Uganda. |
title_full |
"There are many fevers": Communities' perception and management of Febrile illness and its relationship with human animal interactions in South-Western Uganda. |
title_fullStr |
"There are many fevers": Communities' perception and management of Febrile illness and its relationship with human animal interactions in South-Western Uganda. |
title_full_unstemmed |
"There are many fevers": Communities' perception and management of Febrile illness and its relationship with human animal interactions in South-Western Uganda. |
title_sort |
"there are many fevers": communities' perception and management of febrile illness and its relationship with human animal interactions in south-western uganda. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2022 |
url |
https://doi.org/10.1371/journal.pntd.0010125 https://doaj.org/article/be7cbdf9f9dd4377bcc46d1279419b7f |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 16, Iss 2, p e0010125 (2022) |
op_relation |
https://doi.org/10.1371/journal.pntd.0010125 https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0010125 https://doaj.org/article/be7cbdf9f9dd4377bcc46d1279419b7f |
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https://doi.org/10.1371/journal.pntd.0010125 |
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PLOS Neglected Tropical Diseases |
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16 |
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e0010125 |
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