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Behaviors and Patterns of Searching Care Among Fulani's Children Living in Rural Area, in a Context of Therapeutic Pluralism in the Ferlo, Senegal

The diversity of therapeutic offers is a proven fact in the contemporary world. In a still traditional society that is the Ferlo, there is a therapeutic diversity that encompasses a wide range of people in a nomadic community. In a context of medical pluralism, this article was contributing to the comprehension of how the structuring of social structures and health systems and the inter-functionality of its components can influence therapeutic remedies. This was a case study. The case studied was the logic of care-seeking behaviour of deseased children in a context of therapeutic pluralism. A total of 30 peoples were interviewed. These included 20 mothers and caregivers aged 6 to 59 months, 8 traditional healers and 2 health providers from the Widou thiengholi health post. Semi-directive interview guides were used for the survey. Interviews with informants were conducted in the local language of the participants. The data obtained through each in-depth individual interview were analyzed separately through the thematic content analysis. Data analysis was performed using NVivo 11 software. In the Ferlo, in the gender relations in the management of the disease in the child, the grandmother had a predominant place in the therapeutic decision-making process. The representations of diseases allowed a binary typology of diseases into "doctors" and "healers" diseases. These representations determined the type of recourse. There were other reasons for the choice of the type of remedy. The quality of the caregiver-patient relationship was one of the main reasons that influenced the choice of the health care facility as a use of care. The poor quality of the reception and the bad behavior of the providers discourage the communities to go to the health post. Despite the fact that the communities recognize the effectiveness of the treatment provided there. This study showed that disease representations play an important role in defining care-seeking behavior. Thus the “singular representations” relating to the types of illness condition the type of recourse to care. Nevertheless, there were characteristics specific to a type of remedy which contributed to the underutilization of this type of remedy. In this study, it was the quality of the care-patient relationship that was judged to be of insufficient quality and that was a factor of the underutilization of modern health services.


Auteur(s) : Sougou NM, Boetsch G, Tal-Dia A
Pages : 152-160
Année de publication : 2018
Revue : Social Sciences
N° de volume : 7
Type : Article
Mise en ligne par : SOUGOU Ndèye Marème