Diagnostic work-up of neurological syndromes in a rural African setting: knowledge, attitudes and practices of health care providers.

<h4>Background</h4>Neurological disorders of infectious origin are common in rural sub-Saharan Africa and usually have serious consequences. Unfortunately, these syndromes are often poorly documented for lack of diagnostic tools. Clinical management of these diseases is a major challenge...

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Autores principales:	Alain Mpanya, Marleen Boelaert, Sylvain Baloji, Junior Matangila, Symphorien Lubanza, Emmanuel Bottieau, François Chappuis, Pascal Lutumba, David Hendrickx
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/15235be75abe46bc8fa7cafe6dd68e82
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spelling	oai:doaj.org-article:15235be75abe46bc8fa7cafe6dd68e822021-11-25T05:55:26ZDiagnostic work-up of neurological syndromes in a rural African setting: knowledge, attitudes and practices of health care providers.1932-620310.1371/journal.pone.0110167https://doaj.org/article/15235be75abe46bc8fa7cafe6dd68e822014-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0110167https://doaj.org/toc/1932-6203<h4>Background</h4>Neurological disorders of infectious origin are common in rural sub-Saharan Africa and usually have serious consequences. Unfortunately, these syndromes are often poorly documented for lack of diagnostic tools. Clinical management of these diseases is a major challenge in under-equipped rural health centers and hospitals. We documented health care provider knowledge, attitudes and practices related to this syndrome in two rural health zones in Bandundu Province, Democratic Republic of Congo.<h4>Methods</h4>We used a qualitative research approach combining observation, in-depth interviews and focus group discussions. We observed 20 patient-provider contacts related to a neurological syndrome, conducted 12 individual interviews and 4 focus group discussions with care providers. All interviews were audiotaped and the transcripts were analyzed with the software ATLAS.ti.<h4>Results</h4>Care providers in this region usually limit their diagnostic work-up to clinical examination primarily because of the financial hurdles in this entirely out-of-pocket payment system. The patients prefer to purchase drugs rather than diagnostic tests. Moreover the general lack of diagnostic tools and the representation of the clinician as a "diviner" do not enhance any use of laboratory or other diagnostic methods.<h4>Conclusion</h4>Innovation in diagnostic technology for neurological disorders is badly needed in Central-Africa, but its uptake in clinical practice will only be a success if tools are simple, affordable and embedded in a patient-centered approach.Alain MpanyaMarleen BoelaertSylvain BalojiJunior MatangilaSymphorien LubanzaEmmanuel BottieauFrançois ChappuisPascal LutumbaDavid HendrickxPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 10, p e110167 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Alain Mpanya Marleen Boelaert Sylvain Baloji Junior Matangila Symphorien Lubanza Emmanuel Bottieau François Chappuis Pascal Lutumba David Hendrickx Diagnostic work-up of neurological syndromes in a rural African setting: knowledge, attitudes and practices of health care providers.
description	<h4>Background</h4>Neurological disorders of infectious origin are common in rural sub-Saharan Africa and usually have serious consequences. Unfortunately, these syndromes are often poorly documented for lack of diagnostic tools. Clinical management of these diseases is a major challenge in under-equipped rural health centers and hospitals. We documented health care provider knowledge, attitudes and practices related to this syndrome in two rural health zones in Bandundu Province, Democratic Republic of Congo.<h4>Methods</h4>We used a qualitative research approach combining observation, in-depth interviews and focus group discussions. We observed 20 patient-provider contacts related to a neurological syndrome, conducted 12 individual interviews and 4 focus group discussions with care providers. All interviews were audiotaped and the transcripts were analyzed with the software ATLAS.ti.<h4>Results</h4>Care providers in this region usually limit their diagnostic work-up to clinical examination primarily because of the financial hurdles in this entirely out-of-pocket payment system. The patients prefer to purchase drugs rather than diagnostic tests. Moreover the general lack of diagnostic tools and the representation of the clinician as a "diviner" do not enhance any use of laboratory or other diagnostic methods.<h4>Conclusion</h4>Innovation in diagnostic technology for neurological disorders is badly needed in Central-Africa, but its uptake in clinical practice will only be a success if tools are simple, affordable and embedded in a patient-centered approach.
format	article
author	Alain Mpanya Marleen Boelaert Sylvain Baloji Junior Matangila Symphorien Lubanza Emmanuel Bottieau François Chappuis Pascal Lutumba David Hendrickx
author_facet	Alain Mpanya Marleen Boelaert Sylvain Baloji Junior Matangila Symphorien Lubanza Emmanuel Bottieau François Chappuis Pascal Lutumba David Hendrickx
author_sort	Alain Mpanya
title	Diagnostic work-up of neurological syndromes in a rural African setting: knowledge, attitudes and practices of health care providers.
title_short	Diagnostic work-up of neurological syndromes in a rural African setting: knowledge, attitudes and practices of health care providers.
title_full	Diagnostic work-up of neurological syndromes in a rural African setting: knowledge, attitudes and practices of health care providers.
title_fullStr	Diagnostic work-up of neurological syndromes in a rural African setting: knowledge, attitudes and practices of health care providers.
title_full_unstemmed	Diagnostic work-up of neurological syndromes in a rural African setting: knowledge, attitudes and practices of health care providers.
title_sort	diagnostic work-up of neurological syndromes in a rural african setting: knowledge, attitudes and practices of health care providers.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/15235be75abe46bc8fa7cafe6dd68e82
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Diagnostic work-up of neurological syndromes in a rural African setting: knowledge, attitudes and practices of health care providers.

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