Acceptability--a neglected dimension of access to health care: findings from a study on childhood convulsions in rural Tanzania.

BMC Health Services Research
Angel DillipBrigit Obrist

Abstract

Acceptability is a poorly conceptualized dimension of access to health care. Using a study on childhood convulsion in rural Tanzania, we examined social acceptability from a user perspective. The study design is based on the premise that a match between health providers' and clients' understanding of disease is an important dimension of social acceptability, especially in trans-cultural communication, for example if childhood convulsions are not linked with malaria and local treatment practices are mostly preferred. The study was linked to health interventions with the objective of bridging the gap between local and biomedical understanding of convulsions. The study combined classical ethnography with the cultural epidemiology approach using EMIC (Explanatory Model Interview Catalogue) tool. EMIC interviews were conducted in a 2007/08 convulsion study (n = 88) and results were compared with those of an earlier 2004/06 convulsion study (n = 135). Earlier studies on convulsion in the area were also examined to explore longer-term changes in treatment practices. The match between local and biomedical understanding of convulsions was already high in the 2004/06 study. Specific improvements were noted in form of (1) 46% point increa...Continue Reading

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Citations

Jul 5, 2015·BMC International Health and Human Rights·Gilbert Abotisem Abiiro, Manuela De Allegri
Mar 25, 2014·Trends in Parasitology·John VontasJanet Hemingway
Apr 8, 2015·PloS One·John W StaniferUNKNOWN Comprehensive Kidney Disease Assessment for Risk Factors, Epidemiology, Knowledge, and Attitudes (CKD AFRIKA) Study
Jan 28, 2017·BMC Health Services Research·Mandeep SekhonJill J Francis
Oct 29, 2020·Health Promotion International·Mahdieh NiknamNaser Kalantari

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Methods Mentioned

BETA
IEC

Software Mentioned

ACCESS
Explanatory Model Interview Catalogue - EMIC
MaxQDA
IMCI
STATA
ArcMap

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