acceptability – a neglected dimension of access to health care findings from a study on childhood convulsions in rural tanzania可接受性u2014u2014一个被忽视的维度获得卫生保健的一项研究在农村坦桑尼亚童年抽搐.pdfVIP

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acceptability – a neglected dimension of access to health care findings from a study on childhood convulsions in rural tanzania可接受性u2014u2014一个被忽视的维度获得卫生保健的一项研究在农村坦桑尼亚童年抽搐.pdf

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acceptability – a neglected dimension of access to health care findings from a study on childhood convulsions in rural tanzania可接受性u2014u2014一个被忽视的维度获得卫生保健的一项研究在农村坦桑尼亚童年抽搐

Dillip et al. BMC Health Services Research 2012, 12:113 /1472-6963/12/113 RESEARCH ARTICLE Open Access Acceptability – a neglected dimension of access to health care: findings from a study on childhood convulsions in rural Tanzania 1,2,3 2 1 4,8 2,3 1 Angel Dillip , Sandra Alba , Christopher Mshana , Manuel W Hetzel , Christian Lengeler , Iddy Mayumana , 5 6 2,3 2,7* Alexander Schulze , Hassan Mshinda , Mitchell G Weiss and Brigit Obrist Abstract Background: 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. Methods: 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. Results: The match between local and