'The man who believed he had AIDS was cured': AIDS and sexually-transmitted infection treatment-seeking behaviour in rural Mwanza, Tanzania

AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV

Volumn 18, Issue 5, 2006, Pages 460-466

  Plummer, Mary ^a   Mshana, Gerry ^b   Wamoyi, Joyce ^b   Shigongo, Zachayo ^b   Hayes, Richard ^a   Ross, David ^a   Wight, Daniel ^c  

^a LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

^b NATIONAL INSTITUTE FOR MEDICAL RESEARCH   (Tanzania)

^c MEDICAL RESEARCH COUNCIL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIRETROVIRUS AGENT;

ACQUIRED IMMUNE DEFICIENCY SYNDROME; ADULT; AIDS PATIENT; ARTICLE; CULTURAL FACTOR; FEMALE; HEALTH BEHAVIOR; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTED PATIENT; MAJOR CLINICAL STUDY; MALE; MEDICAL SERVICE; OPPORTUNISTIC INFECTION; PARTICIPANT OBSERVATION; PATIENT CARE; PATIENT EDUCATION; PRIORITY JOURNAL; RURAL AREA; SEXUALLY TRANSMITTED DISEASE; TANZANIA; TRADITIONAL MEDICINE; WITCHCRAFT;

ACQUIRED IMMUNODEFICIENCY SYNDROME; ADULT; FEMALE; HUMANS; MALE; MEDICAL STAFF, HOSPITAL; MEDICINE, AFRICAN TRADITIONAL; PATIENT ACCEPTANCE OF HEALTH CARE; RURAL HEALTH; SEXUALLY TRANSMITTED DISEASES; STEREOTYPING; TANZANIA;

EID: 33745325914     PISSN: 09540121     EISSN: 13600451     Source Type: Journal    
DOI: 10.1080/09540120500220367     Document Type: Article

References (44)

1. Awusabo-Asare, K., & Anarfi, J.K. (1997). Health-seeking behaviour of persons with HIV/AIDS in Ghana. Health Transition Review, 7 (Supplement), 243-256.
2. Bodeker, G., Kabatesi, D., King, R., & Homsy, J. (2000). A regional task force on traditional medicine and AIDS. Lancet, 355, 1284.
3. Boerma, J.T., Ngalula, J., Isingo, R., Urassa, M., Senkoro, K.P., Gabone, R., & Mkumbo, E.N. (1997). Levels and causes of adult mortality in rural Tanzania with special reference to HIV/AIDS. Health Transition Review, 7(Supplement 2), 63-74.
4. Chimwaza, A.F., & Watkins, S.C. (2004). Giving care to people with symptoms of AIDS in rural sub-Saharan Africa. AIDS Care, 16, 795-807.
5. Chirwa, B.U., & Sivile, E. (1989-1990). Enlisting the support of healers in an AIDS education campaign in Zambia. The International Quarterly of Community Health Education, 9, 221-229.
6. Crabbé, P., Carsauw, H., Buvé, A., Laga, M., Tchupo, J.P., & Trebucq, A. (1996). Why do men with urethritis in Cameroon prefer to seek care in the informal health sector? Genitourinary Medicine, 72, 220-222.
7. Desclaux, A., Ciss, M., Taverne, B., Sow, P.S., Egrot, M., Faye, M.A., Laniece, I., Sylla, O., Delaporte, E., & Ndoye, I. (2003). Access to antiretroviral drugs and AIDS management in Senegal. AIDS, 17(Supplement 3), s95-s101.
8. Diomandé, F.V.K., Bissagnéné, E., Nkengasong, J.N., Maurice, C., Monga, B., Laga, M., & Nolan, M.L. (2003). The most efficient use of resources to identify those in need of antiretroviral treatment in Africa: empirical data from Côte d'Ivoire's Drug Access Initiative. AIDS, 17(Supplement 3), s87-s93.
9. Geissler, P.W., Meinert, L., Prince, R., Nokes, C., Aagaard-Hansen, J., Jitta, J., & Ouma, J.H. (2001). Self-treatment by Kenyan and Ugandan schoolchildren and the need for school-based education. Health Policy and Planning, 16, 362-371.
10. Green, E.C. (1988). Can collaborative programs between biomedial and African indigenous health practitioners succeed? Social Science and Medicine, 27, 1125-1130.
11. Green, E.C., Jurg, A., & Djedje, A. (1993). Sexually-transmitted diseases, AIDS and healers in Mozambique. Medical Anthropology, 15, 261-281.
12. Green, E.C., Jurg, A., & Djedje, A. (1994). The snake in the stomach: child diarrhea in central Mozambique. Medical Anthropology Quarterly, 8, 4-24.
13. Green, E.C. (1997). The participation of African healers in AIDS/ STD prevention programmes. Tropical Doctor, 27(Supplement 1), 56-59.
14. Grosskurth, H., Mosha, F., Todd, J., Mwijarubi, E., Klokke, A., Senkoro, K., Mayaud, P., Changalucha, J., Nicoll, A., Ka-Gina, G., Newell, J., Mugeye, K., Mabey, D., & Hayes, R. (1995). Impact of improved treatment of sexually transmitted diseases on HIV infection in rural Tanzania: randomised controlled trial. Lancet, 346, 530-536.
15. Haram, L. (1991). Tswana medicine in interaction with biomedicine. Social Science and Medicine, 33, 167-175.
16. Hatchett, L.A., Kaponda, C.P.N., Chihana, C.N., Chilemba, E., Nyando, M., Simwaka, A., & Levy, J. (2004). Health-seeking patterns for AIDS in Malawi. AIDS Care, 16, 827-833.
17. Hayes, R., Wawer, M., Gray, R., Whitworth, J., Grosskurth, H., & Mabey, D. (1997). Randomised trials of STD treatment for HIV prevention: report of an international workshop. Genitourinary Medicine, 73, 432-443.
18. Hayes, R., Changalucha, J., Ross, D.A., Gavyole, A., Todd, J., Obasi, A.I.N., Plummer, M.L., Wight, D., Mabey, D.C., & Grosskurth, H. (2005). The MEMA kwa Vijana Project: design of a community-randomised trial of an innovative adolescent sexual health intervention in rural Tanzania. Controlled Clinical Trials, 26, 430-442.
19. Homsy, J., King, R., Balaba, D., & Kabatesi, D. (2004). Traditional health practitioners are key to scaling up comprehensive care for HIV/AIDS in sub-Saharan Africa. AIDS, 18, 1723-1725.
20. Kale, R. (1995). Healers in South Africa: a parallel health care system. British Medical Journal, 310, 1182-1185.
21. Katapa, R.S. (2004). Caretakers of AIDS patients in rural Tanzania. International Journal of STDs and AIDS, 15, 673-678.
22. Kiapi-Iwa, L., & Hart, G.J. (2004). The sexual and reproductive health of young people in Adjumani district, Uganda: qualitative study of the role of formal, informal and traditional health providers. AIDS Care, 16, 339-347.
23. Kusimba, J., Voeten, H.A.C.M., O'hara, H.B., Otido, J.M., Habbema, J.D.F., Ndinya-Achola, J.O., & Bwayo, J.J. (2003). Healers and the management of sexually transmitted diseases in Nairobi, Kenya. International Journal of STD and AIDS, 14, 197-201.
24. Lasker, J.N. (1981). Choosing among therapies: illness behavior in the Ivory Coast. Social Science and Medicine, 15A, 157-168.
25. Mshana, G., Plummer, M.L., Wamoyi, J., Shigongo, Z.S., Ross, D.A., & Wight, D. (2006). 'She was bewitched and caught an illness similar to AIDS': AIDS and sexually transmitted infection causation beliefs in rural northern Tanzania. Culture, Health and Sexuality, 8, 45-58.
26. Msiska, R., Nangawe, E., Mulenga, D., Sichone, M., Kamanga, J., & Kwapa, P. (1997). Understanding lay perspectives: care options for STD treatment in Lusaka, Zambia. Health Policy and Planning, 12, 248-252.
27. Muela, S.H., Mushi, A.K., & Ribera, J.M. (2000). The paradox of the cost and affordability of traditional and government health services in Tanzania. Health Policy and Planning, 15, 296-302.
28. Ndulo, J., Faxelid, E., Tishelman, C., & Krantz, I. (2000). "Shopping" for sexually transmitted disease treatment: focus group discussions among lay persons in rural and urban Zambia. Sexually Transmitted Diseases, 27, 496-503.
29. Neumann, A. K., & Lauro, P. (1982). Ethnomedicine and biomedicine linking. Social Science and Medicine, 16, 1817-1824.
30. Ngalula, J., Urassa, M., Mwaluko, G., Isingo, R., & Boerma, J.T. (2002). Health service use and household expenditure during terminal illness due to AIDS in rural Tanzania. Tropical Medicine and International Health, 7, 873-877.
31. Obasi, A.I., Cleophas, B., Ross, D.A., Chima, K.L., Mmassy, G., Gavyole, A., Plummer, M.L., Makokha, M., Mujaya, B., Todd, J., Wight, D., Grosskurth, H., Mabey, D.C., & Hayes, R.J. (2006). Rationale and design of the MEMA kwa Vijana adolescent sexual and reproductive health intervention in Mwanza Region, Tanzania. AIDS Care, 18, 311-322.
32. Okonofua, F.E., Ogonor, J.I., Omorodion, F.I., Temin, M.T., Coplan, P.A., Kaufman, J.A., & Heggenhougen, H.K. (1999). Assessment of health services for treatment of sexually transmitted infections among Nigerian adolescents. Sexually Transmitted Diseases, 26, 184-190.
33. Over, M., & Piot, P. (1993). HIV infection and sexually transmitted diseases. In D.T. Jamison, W.H. Mosely, A.R. Measham, & J.L. Bobadilla (Eds.), Disease control priorities in developing countries (pp. 455-527). New York: Oxford University Press.
34. Plummer, M.L., Ross, D.A., Wight, D., Changalucha, J., Mshana, G., Wamoyi, J., Todd, J., Anemona, A., Mosha, F., Obasi, A.I.N., & Hayes, R.J. (2004). 'A bit more truthful': The validity of adolescent sexual behaviour data collected in rural northern Tanzania using five methods. Sexually Transmitted Infections, 80 (Supplement 2), ii49-ii56.
35. Pool, R., & Washija, N.R. (2001). Healers, STDs and infertility in northwest Tanzania. In J.T. Boerma, & Z. Mgalla (Eds.), Women and infertility in sub-Saharan Africa. Amsterdam: KIT.
36. Popp, D., & Fisher, J.D. (2002). First do no harm: a call for emphasizing adherence and HIV preventions in active antiretroviral therapy programs in the developing world. AIDS, 16, 676-678.
37. Satimia, F.T., Mcbride, S.R., & Leppard, B. (1998). Prevalence of skin disease in rural Tanzania and factors influencing the choice of health care, modern or traditional. Archives of Dermatology, 134, 1363-1366.
38. Shiner, A. (2003). Shaping health care in Tanzania: who's pulling the strings? Lancet, 362, 829-830.
39. UNAIDS. (2000). Collaboration with healers in HIV/AIDS prevention and care in sub-Saharan Africa. Geneva: UNAIDS.
40. UNAIDS. (2004). 2004 report on the global AIDS epidemic. Geneva: UNAIDS.
41. Van Der Geest, S. (1987). Self-care and the informal sale of drugs in South Cameroon. Social Science and Medicine, 25, 293-305.
42. Wight, D., Plummer, M.L., Mshana, G., Wamoyi, J., Shigongo, Z.S., & Ross, D.A. (2006). Contradictory sexual norms and expectations for young people in rural Northern Tanzania. Social Science and Medicine, 62, 987-997.
43. Young, A. (1982). The anthropologies of illness and sickness. Annual Review of Anthropology, 11, 257-285.
44. Zachariah, R., Nkhoma, W., Harries, A.D., Arendt, V., Chantulo, A., Spielmann, M.P., Mbereko, M.P., & Buhendwa, L. (2002). Health seeking and sexual behaviour in patients with sexually transmitted infections: the importance of healers in Thyolo, Malawi. Sexually Transmitted Infections, 78, 127-129.