Facilitators and barriers to traditional medicine use among cancer patients in Malawi
Autoři:
Jacob Hill aff001; Ryan Seguin aff002; Twambilile Phanga aff002; Agness Manda aff002; Maria Chikasema aff002; Satish Gopal aff001; Jennifer S. Smith aff001
Působiště autorů:
University of North Carolina, Chapel Hill, North Carolina, United States of America
aff001; Malawi Cancer Consortium and Regional Center of Research Excellence for non-Communicable Diseases, Lilongwe, Malawi
aff002; University of Malawi College of Medicine, Blantyre, Malawi
aff003
Vyšlo v časopise:
PLoS ONE 14(10)
Kategorie:
Research Article
prolekare.web.journal.doi_sk:
https://doi.org/10.1371/journal.pone.0223853
Souhrn
Background
Increasing access to conventional cancer treatment (CT) in low-income countries (LICs) is an important public health initiative to address the global burden of cancer. However, LICs have a high prevalence of use of traditional and complementary medicine (T&CM). It is important to consider the factors that influence a patient’s choice to use T&CM, CT, or both for their cancer treatment.
Methods
We conducted focus groups among adult cancer patients in Lilongwe, Malawi to identify facilitators and barriers of T&CM use. Focus groups were recorded, transcribed, translated, and underwent thematic content analysis.
Results
Cultural norms, T&CM access, T&CM success, and CT failure were all identified as facilitators to T&CM use. CT success and T&CM failure were identified as barriers. Access and norms appear to determine initial treatment selection, while treatment outcomes dictate continued use of T&CM or CT.
Conclusion
This study identified a pragmatic and experience-based treatment selection process that aligns with the social cognitive theory of behavior and assists in comprehending the factors that influence T&CM use among cancer patients in a low resource setting.
Klíčová slova:
Health care facilities – Cancer treatment – Behavior – Cancer detection and diagnosis – Health care policy – Culture – Traditional medicine – Malawi
Zdroje
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