An exploratory study on the perceptions of rabies and ill-health causations and health seeking behaviours of school children and local communities in southern Bhutan

Lungten Lungten, Tenzin Tenzin, Thys Séverine, Phimpraphai Waraphon, Rinchen Sangay, De Garine-Wichatitsky Michel. 2023. An exploratory study on the perceptions of rabies and ill-health causations and health seeking behaviours of school children and local communities in southern Bhutan. BMC Public Health, 23:270, 11 p.

Url - jeu de données - Entrepôt autre : https://zenodo.org/record/5807315#.Y_NCr62ZPIU

Résumé : Background: The perception of illness and health-seeking behaviours, including rabies differ from one culture to another. Depending on the cultural setting of the society in which people live, the definition of the causal factors of illness may range from natural biological causes to supernational causes which greatly influence subsequent health-seeking behaviour. To ensure best health practices and plan effective health interventions for the control of dog-mediated-human rabies, we explored how school children and adult communities perceive and respond to illnesses, including rabies in southern Bhutan. Methods: We collected quantitative data related to the causes of illness and health-seeking practices of school children using a questionnaire survey (QS). Qualitative data were collected through focus group discussions (FGDs) and in-depth interviews (IDIs) with older members of communities (≥ 18 years) that work closely with school children. Descriptive analysis was performed for the quantitative data and thematic analysis was performed for the qualitative data. Results: The participants during the FDGsand IDIshave linked the illnesses to past actions, spirits, energy channels, planetary movement, sorcery, black magic, food, physical or environmental factors, individual habits and social factors. The survey of the school children reported microorganisms (75%), past actions (16.8%), spirits (9.6%) and black magic (9.1%) as causal factors for illnesses. Health seeking behaviours reported by the participants included visiting hospitals, performing spiritual or religious rituals and local treatments. Similarly, school children also mentioned that illnesses can be treated by visiting hospitals (98%), performing rituals (59.1%), and seeking traditional treatments practices (18.8%). Both school children and adult members of the communities that we interviewed were well aware on the causes of rabies and need for allopathic treatments rather than seeking spiritual or local treatments. Conclusion: There is a need for the consideration of the socio-cultural context in the planning and implementation of health-related policies, including the rabies prevention programs in Bhutan, by involving traditional healers and religious entities with “One Health” public health sectors.

Mots-clés Agrovoc : protection de la santé, enfant en âge scolaire, facteurs culturels, savoirs autochtones, rage, environnement socioculturel, communauté locale, comportement culturel, approche Une seule santé

Mots-clés géographiques Agrovoc : Bhoutan

Mots-clés libres : Ll-health causation, Heath-Seeking behaviours, School children, Communities, Rabies, Bhutan

Classification Agris : S50 - Santé humaine
L73 - Maladies des animaux
U70 - Sciences humaines et sociales

Champ stratégique Cirad : CTS 4 (2019-) - Santé des plantes, des animaux et des écosystèmes

Agences de financement hors UE : Agence Nationale de la Recherche, Kasetsart University

Projets sur financement : (FRA) Socio-Ecological Approach of Dog-borne zoonotic diseases in Southeast Asia

Auteurs et affiliations

• Lungten Lungten, Regional Livestock Development Centre (BTN) - auteur correspondant
• Tenzin Tenzin, World Organization for Animal Health (BWA)
• Thys Séverine, CIRAD-BIOS-UMR ASTRE (FRA) ORCID: 0000-0001-7936-3194
• Phimpraphai Waraphon, Kasetsart University (THA)
• Rinchen Sangay, NCAH (BTN)
• De Garine-Wichatitsky Michel, CIRAD-BIOS-UMR ASTRE (THA) ORCID: 0000-0002-5438-1473

Source : Cirad-Agritrop (https://agritrop.cirad.fr/603888/)

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