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Malaria Illness and Accessing Healthcare in an African Indigenous Population: A Qualitative Study of the lived experiences of Uganda’s Batwa in Kanungu District

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Journal of Biosciences and Medicines 2023年第5期11卷 212-232页

作者： Didacus B. Namanya Everd M. Bikaitwoha Lea Berrang-Ford Shuiaib Lwasa Charity Kesande Sabastian Twesigomwe Ronald Nyakol Uganda Martyrs University & Ministry of Health Kampala Uganda Department of Public Health Kabale University Kabale Uganda Priestly International Centre for Climate University of Leeds Leeds UK Department of Geography Geo-Informartics and Climate Sciences Makerere University Kampala Uganda Action for Batwa Empowerment Group (ABEG) Kanungu Uganda Batwa Development Program (BDP) Kanungu Uganda School of Public Health Makerere University Kampala Uganda

Purpose: Malaria continues to be a public health threat, especially in sub-Saharan Africa, including Uganda. While Batwa Indigenous People (IPs) face a higher burden of malaria, there is limited understanding of their malaria-lived experiences. We assessed and characterized malaria illness and accessing healthcare lived experiences of the Batwa in Kanungu district to inform contextually and culturally appropriate public health interventions. Methods: An exploratory qualitative study was conducted in 5 Batwa settlements where 5 Focus Group Discussions (n = 36) and 13 Key Informant Interviews (n = 13) were held. Data were collected using printed guides and voice recorders in April 2018. Transcripts from the data that captured the lived experiences of the symptoms, prevention, treatment and barriers to accessing formal healthcare services were applied to *** a qualitative data analysis software and condensed into codes, categories, and themes. Results: Many Batwa have experienced malaria in their households, and they know its causes and risk factors, like not sleeping under insecticide-treated mosquito nets (ITNs), living near water bodies, prevention measures like the use of ITNs, and vector management. The lived experiences demonstrate malaria management by an Indigenous population in a rural setting and comprised detecting malaria symptoms, use of herbs as first line of treatment, buying medicines from drug shops, and village health teams (VHTs) treatment. For many Batwa accessing formal healthcare is normally a second option. Barriers for malaria treatment included: long distances to health facilities, geographically difficult terrain, economic constraints, irregular health outreaches, and stockouts of malaria medicines at health facilities. Conclusion: This study characterized Batwa’s malaria illness lived experiences and access to healthcare in rural remote settings. These experiences are essential in appreciating the ways in which Indigenous populations und

关键词： Accessing Healthcare Batwa IPs lived experiences Malaria Illness Uganda

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Illness Narrative: Perceptions and lived experiences of Kidney Recipient Clients in Shanghai, China

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Open Journal of Nephrology 2016年第3期6卷 67-77页

作者： Nathan B. W. Chimbatata Chao Hu School of Public Health Fudan University Shanghai China Mzuzu University Mzuzu Malawi Department of Urology Fudan University Shanghai China

Terminal kidney disease is a life threatening condition and cause for loss of hope to affected individuals. It affects the individuals physically as well as mentally. The advancement in medical knowledge and technology in transplant surgery has steadily increased the number of kidney recipients. This offers hope for the new lease of life and a wide range of perceptions and experiences with self, society and the new organ. There is minimal research on perceptions and lived experiences of kidney transplant recipients. This study explored the perceptions and lived experiences of individuals with a kidney problem living with a kidney transplant in Shanghai, China. Five in-depth interviews were conducted with five clients. The participant’s age ranged from 25 to 45 years. There were three females and two males. Content analysis using NVivo (11.0) software was applied in data analysis. The findings revealed improved quality of life among kidney recipients;however the clients had low knowledge levels on the condition as well as self care practices in the post transplant period. This caused a lot of psychosocial stress in the clients. The post kidney transplant management strategies should include effective education programs to increase awareness on the condition and self care practices so as to reduce factors associated with psychosocial stress in order to improve the quality of life for the clients in the post kidney transplantation period.

关键词： Kidney Transplant Psychosocial Stress Perceptions lived experiences Shanghai China

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Front Line Health Workers’ COVID-19 lived experiences: A Case of Levy Mwanawasa Hospital in Lusaka, Zambia

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Journal of Biosciences and Medicines 2023年第12期11卷 120-134页

作者： Laura Lubinda Lonia Mwape Kestone Lyambai Celestin Mukomenje Febiano Phiri Meamui Mwauluka Department of Nursing The South Valley University Chikankata Zambia Department of Mental Health and Psychiatric Nursing School of Nursing Sciences The University of Zambia Lusaka Zambia

Introduction: Frontline health workers who work in COVID-19 isolation treatment centers are susceptible to developing mental health issues due to the overwhelming workload and stress associated with their job. Thus understanding their lived experiences provides insights that helps alleviate health worker burnout and improving their quality of life thereby leading to an efficient delivery of health care services during a pandemic. Aim: To understand the lived experiences of front line health workers during the COVID-19 pandemics at Levy Mwanawasa Teaching University Hospital. Design and Methods: A qualitative interpretative phenomenological study design was used. Purposive sampling method was adopted to select the 14 participants who took part in the study. The data were collected through face-to-face, audio-taped interviews using an in-depth interview guide, after which the responses were transcribed verbatim before using NVIVO to generate codes. The data were analyzed using thematic method. Results: The lived experiences of the participants were found to be mainly negative with few positive experiences. Their lived experiences were mainly negative emotional and psychological experiences including fear, anger, depression, frustration, anxiety and sadness. The thoughts that were identified included thoughts of surviving through the pandemic, thoughts of getting infected, and dying. The frontline health workers also experienced some personal and professional changes as they offered health services in the COVID-19 wards. The personal changes reported included;social limitations and collapse of extra income business while the professional changes included a change in the way health services were delivered, a gain in knowledge and skills and shaping of a career path. The main challenges experienced were limited resources (man power, resuscitation equipment, drugs, personal protective equipment), limited literature on the disease and limited social interactions. Conclusio

关键词： COVID-19 lived experiences Frontline Health Workers Pandemic

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Medical Students’Views on Psychiatry in Germany and Italy:Survey

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International Journal of Mental Health Promotion 2023年第9期25卷 985-993页

作者： Andy Man Yeung Tai Janet Suen Mostafa Mamdouh Kamel Georg Schomerus Angelo Giovanni Icro Maremmaniz Reinhard Michael Krausz Department of Psychiatry Faculty of MedicineUniversity of British ColumbiaVancouverCanada Department of Neuropsychiatry Tanta UniversityTanta31511Egypt Department of Psychiatry University of LeipzigLeipzig04109Germany Azienda Ospedaliera Universitaria Pisana Health Universitaria PisanaPisa56126Italy

Objectives:In 2019,the Insititue for Health Metrics and Evaluation reported that 16%of life lost were attributed to mental *** a result,global shortage of psychiatrists is a pressing issue due to the increasing burden of mental *** 2016,a mere 5%of US medical students chose psychiatry as a career,a trend mirrored in Germany and *** the medical students of 2016 have graduated or transitioned into residency in 2023,their attitudes towards psychiatry could have contributed to today’s shortage of *** global mental health burden has only been exacerbated by the COVID-19 *** study explores the attitudes of German and Italian medical students towards psychiatry,their career aspirations,and the influence of factors such as personal experience and education on their interest in the ***:A cross-sectional survey was conducted among 799 medical students in two European countries in *** answered questions about their attitudes towards psychiatry,their psychiatric education,and personal *** analyses were performed using chi-square tests and a significance level of ***:The number of years in medical school,personal experiences,and perceived quality of education significantly affected specialty choice and ranking of psychiatry compared to other ***,psychiatric placements,and views on psychiatric instructors also played a significant role in choosing psychiatry as a ***:Assessing medical students’attitudes towards psychiatry and the factors that influence their career choices,such as psychiatric education and personal experiences,can inform changes to attract students to the *** the worldwide shortage of psychiatrists is crucial to reduce the burden of mental health and substance use disorders.

关键词： Medical students psychiatry lived experiences stigma education

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