Sociocultural and Structural Factors Contributing to Delays in Treatment for Children with Severe Malaria: A Qualitative Study in Southwestern Uganda

Simple item page
dc.contributor.authorSundararajan, Radhika
dc.contributor.authorMwanga-Amumpaire, Juliet
dc.contributor.authorAdrama, Harriet
dc.contributor.authorTumuhairwe, Jackline
dc.contributor.authorMbabazi, Sheilla
dc.contributor.authorMworozi, Kenneth
dc.contributor.authorCarroll, Ryan
dc.contributor.authorBangsberg, David
dc.contributor.authorBoum II, Yap
dc.contributor.authorWare, Norma C.
dc.date.accessioned2022-05-01T23:41:51Z
dc.date.available2022-05-01T23:41:51Z
dc.date.issued2015
dc.description.abstractMalaria is a leading cause of pediatric mortality, and Uganda has among the highest incidences in the world. Increased morbidity and mortality are associated with delays to care. This qualitative study sought to characterize barriers to prompt allopathic care for children hospitalized with severe malaria in the endemic region of southwestern Uganda. Minimally structured, qualitative interviews were conducted with guardians of children admitted to a regional hospital with severe malaria. Using an inductive and content analytic approach, transcripts were analyzed to identify and define categories that explain delayed care. These categories represented two broad themes: sociocultural and structural factors. Sociocultural factors were 1) interviewee’s distinctions of “traditional” versus “hospital” illnesses, which were mutually exclusive and 2) generational conflict, where deference to one’s elders, who recommended traditional medicine, was expected. Structural factors were 1) inadequate distribution of health-care resources, 2) impoverishment limiting escalation of care, and 3) financial impact of illness on household economies. These factors perpetuate a cycle of illness, debt, and poverty consistent with a model of structural violence. Our findings inform a number of potential interventions that could alleviate the burden of this preventable, but often fatal, illness. Such interventions could be beneficial in similarly endemic, low-resource settings.en_US
dc.identifier.citationSundararajan, R., Mwanga-Amumpaire, J., Adrama, H., Tumuhairwe, J., Mbabazi, S., Mworozi, K., ... & Ware, N. C. (2015). Sociocultural and structural factors contributing to delays in treatment for children with severe malaria: a qualitative study in southwestern Uganda. The American journal of tropical medicine and hygiene, 92(5), 933. doi:10.4269/ajtmh.14-0784en_US
dc.identifier.other10.4269/ajtmh.14-0784
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/3125
dc.language.isoenen_US
dc.publisherThe American journal of tropical medicine and hygieneen_US
dc.subjectSocioculturalen_US
dc.subjectTreatmenten_US
dc.subjectChildrenen_US
dc.subjectMalariaen_US
dc.subjectSouthwestern Ugandaen_US
dc.titleSociocultural and Structural Factors Contributing to Delays in Treatment for Children with Severe Malaria: A Qualitative Study in Southwestern Ugandaen_US
dc.typeArticleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Sociocultural and Structural Factors Contributing to Delays in Treatment for Children.pdf
Size:
592.19 KB
Format:
Adobe Portable Document Format
Description:
Article
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Medical and Health Sciences