Original Research

Choix thérapeutiques des hypertendus et diabétiques en milieu rural : Une étude mixte dans deux zones de santé de l’Est de la République Démocratique du Congo

Aimé C. Mwana-wabene, Samuel M. Lwamushi, Christian M. Eboma, Pacifique M-B. Lyabayungu, Bonfils Cheruga, Hermès Karemere, Albert T. Mwembo, Ghislain B. Balaluka, Faustin C. Mukalenge
African Journal of Primary Health Care & Family Medicine | Vol 14, No 1 | a3004 | DOI: https://doi.org/10.4102/phcfm.v14i1.3004 | © 2022 Aimé C. Mwana-wabene, Samuel M. Lwamushi, Christian M. Eboma, Pacifique M-B. Lyab, Bonfils Cheruga, Hermès Karemere, Albert T. Mwembo, Ghislain B. Balaluka, Faustin C. Mukalenge | This work is licensed under CC Attribution 4.0
Submitted: 26 April 2021 | Published: 29 September 2022

About the author(s)

Aimé C. Mwana-wabene, École Régionale de Santé Publique, Faculté de Médecine, Université Catholique de Bukavu, Bukavu, Congo, the Democratic Republic of the
Samuel M. Lwamushi, École Régionale de Santé Publique, Faculté de Médecine, Université Catholique de Bukavu, Bukavu, Congo, the Democratic Republic of the
Christian M. Eboma, École Régionale de Santé Publique, Faculté de Médecine, Université Catholique de Bukavu, Bukavu, Congo, the Democratic Republic of the
Pacifique M-B. Lyabayungu, École Régionale de Santé Publique, Faculté de Médecine, Université Catholique de Bukavu, Bukavu, Congo, the Democratic Republic of the
Bonfils Cheruga, École Régionale de Santé Publique, Faculté de Médecine, Université Catholique de Bukavu, Bukavu, Congo, the Democratic Republic of the
Hermès Karemere, Ecole Régionale de Santé Publique, Faculté de Médecine, Univesité Catholique de Bukavu, Bukavu, Congo, the Democratic Republic of the
Albert T. Mwembo, École Régionale de Santé Publique, Faculté de Médecine, Université de Lubumbashi, Lubumbashi, The Democratic Republic of the Congo; and Renforcement Institutionnel des politiques de Santé basées sur les évidences en R. D. Congo, Lubumbashi, Congo, the Democratic Republic of the
Ghislain B. Balaluka, École Régionale de Santé Publique, Faculté de Médecine, Université Catholique de Bukavu, Bukavu, The Democratic Republic of the Congo; and Renforcement institutionnel des politiques de santé basées sur les évidences en R. D. Congo, Bukavu, Congo, the Democratic Republic of the
Faustin C. Mukalenge, Centre de Connaissances en Santé au Congo, Kinshasa, The Democratic Republic of the Congo; and Ecole de Santé Publique, Faculté de Médecine, Université de Lubumbashi, Lubumbashi, Congo, the Democratic Republic of the


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Abstract

Therapeutic choices of hypertensive and diabetics in rural areas: A mixed study in two health zones in the East of the Democratic Republic of Congo.

Background: One third of patients in the Democratic Republic of Congo (DRC) do not use the formal health system to access healthcare.

Aim: In this manuscript we analyse the therapeutic decisions of hypertensive and diabetic patients in rural eastern DRC and the reasons for these decisions.

Setting: The study was conduct in two health zones (HZ) in South Kivu (Bagira and Walungu), DRC.

Methods: A mixed-methods convergent study was conducted from November 2018 to December 2018. Quantitative data were collected using a questionnaire and qualitative data were collected using focus groups. The quantitative data were analysed using descriptive statistics and a Fischer exact test, while the qualitative data were analysed using thematic analysis.

Results: Out of 382 subjects declaring a chronic pathology, hypertensives and diabetics represented 21.5% and 7.9%, respectively. Health facilities were the first therapeutic choice of the chronically affected persons. The alternative therapeutic choices found were the use of prayer rooms, consultation with traditional healers and self-medication. Poverty, ignorance, the pharmaceutical business, and the socio-cultural dimension of the disease are the main causes of alternative therapeutic choices for hypertensives and diabetics.

Conclusion: To ensure appropriate care for patients with chronic diseases in rural areas, it is important to establish a bridge of regulated collaboration between the formal and informal health sector.


Keywords

Therapeutic choices; diabetics; hypertensives; rural areas; South Kivu.

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