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'We call it the shaking illness': perceptions and experiences of Parkinson's disease in rural northern Tanzania

Lookup NU author(s): Dr Catherine Dotchin, Professor Richard Walker

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Abstract

Background: Parkinson disease (PD) causes physical disability that negatively affects the quality of life of the sufferer's and their families. There are no Parkinson's disease (PD) social science studies published from Africa. This paper presents findings from a qualitative research study on how PD is perceived and treated in a population of approximately 161,000 within a demographic surveillance site in rural Tanzania. Methods: We conducted in-depth interviews with 28 PD sufferers, 28 carers, 4 health workers and 2 traditional healers. In addition, 6 focus group discussions were conducted in 3 villages to investigate wider community views of PD. Results: PD sufferers expressed frustration with the physical, psychological, social and economic consequences of the illness. Feelings of a diminished quality of life characterised by dependency, stigma and social isolation were common. Additionally, a handful of male sufferers related their sexual incompetence to the illness. Carers complained of lost income opportunities and social isolation resulting from caring for sufferers. Misconceptions about the cause, symptoms and appropriated PD treatment were widespread. Only 2 PD sufferers had commenced western type treatment through outsourcing drugs from other parts of the country and outside of Tanzania. Conclusions: This study highlights the urgent need for PD awareness and treatment interventions in such settings. Such interventions need to address the concerns and needs of sufferers, their carers and the wider community, including the health care system.


Publication metadata

Author(s): Mshana G, Dotchin CL, Walker RW

Publication type: Article

Publication status: Published

Journal: BMC Public Health

Year: 2011

Volume: 11

Pages: 219

Print publication date: 08/04/2011

Date deposited: 24/06/2011

ISSN (print):

ISSN (electronic): 1471-2458

Publisher: BioMed Central Ltd

URL: http://dx.doi.org/10.1186/1471-2458-11-219

DOI: 10.1186/1471-2458-11-219


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