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Perceptions, Attitudes and Practices Towards Scabies in Communities on the Bijagós Islands, Guinea-Bissau

dc.contributor.authorLopes, MJ
dc.contributor.authorSilva, E
dc.contributor.authorCa, J
dc.contributor.authorGonçalves, A
dc.contributor.authorRodrigues, A
dc.contributor.authorMandjuba, C, et al.
dc.date.accessioned2019-12-06T15:51:57Z
dc.date.available2019-12-06T15:51:57Z
dc.date.issued2019
dc.description.abstractBackground: Scabies is highly endemic among impoverished populations and has been recently included in the WHO's list of neglected tropical diseases (NTDs). Community support and behavioural changes are essential for the success of control interventions. This study aimed to explore beliefs, prevention attitudes and healthcare-seeking behaviours towards scabies in the Bijagós Archipelago of Guinea-Bissau. Methods: Data were collected through two methods. Community key informants (community members, community health workers, healthcare workers and traditional healers) were interviewed using snowball sampling. A questionnaire covering perceptions, attitudes and practices was administered to community members using random cluster sampling. Thematic analysis of qualitative data was applied to identify themes. Descriptive statistics were used for quantitative data analysis. Results: There was a satisfactory awareness about scabies, but perceptions about disease causation and transmission were imprecise. Misconceptions about personal hygiene as the primary measure for scabies prevention were recurrent. Some participants recognised the importance of early treatment to interrupt transmission. Treatment of close contacts was not considered important. Costs were the main determining factor for treatment choice between traditional healer and the local health centre. Late presentation and delayed treatment were common and associated with poverty and stigmatisation. Scabies impaired quality of life by affecting social interactions, health, fitness to work and school attendance. Conclusions: There is a need to improve education, recognition, management and affordable access to treatment. Community education, healthcare workers' training and skin NTD integrated control programmes should address the challenges highlighted in this study.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationTrans R Soc Trop Med Hyg 2019 Nov 12[Online ahead of print]pt_PT
dc.identifier.doi10.1093/trstmh/trz102pt_PT
dc.identifier.issn1878-3503
dc.identifier.urihttp://hdl.handle.net/10400.10/2338
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherOxford University Presspt_PT
dc.subjectHealth behaviorpt_PT
dc.subjectHealth knowledge, attitudes, practicept_PT
dc.subjectGuinea-Bissaupt_PT
dc.subjectRural populationpt_PT
dc.titlePerceptions, Attitudes and Practices Towards Scabies in Communities on the Bijagós Islands, Guinea-Bissaupt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceOxfordpt_PT
oaire.citation.titleTransactions of The Royal Society of Tropical Medicine and Hygienept_PT
rcaap.rightsclosedAccesspt_PT
rcaap.typearticlept_PT

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