Pneumonia perceptions and management : An ethnographic study in urban squatter settlements of Karachi, Pakistan.
Childhood pneumonia continues to be the second highest contributor to childhood morbidity and mortality in all ethnic groups in Pakistan.
Information on community perceptions and management is largely limited to the Punjabi populace.
In this study, ethno-specific illness terminologies, recognition and severity indicators and resort to treatment options for childhood pneumonia are explored among the two main ethnic groups in Sindh.
Results are based on focus group discussions with 90 caretakers and 16 case history interviews.
The findings indicate that pneumonia recognition is almost universal.
The main recognition and severity indicator was pasli chalna (chest indrawing) followed by signs and symptoms relating to the quality of breathing and presence of high fever, lethargy and anorexia.
Recognition of rapid breathing was low and mostly associated with fever.
Exposure to thand (cold) through a variety of mechanisms was perceived to be the dominant causal model.
The concept of contagion was virtually non-existent.
Despite this, belief in efficacy of allopathic care was very high.
Most caretakers reported seeking outside care within one to three days of the onset of symptoms.
However, unrealistic expectations of cure often led to change in physicians and treatment regimen, if no improvement was observed by the second day.
On the other hand, the quality of care provided by the physicians (both licensed and unlicensed) left much to be desired. (...)
Mots-clés Pascal : Pneumonie, Enfant, Perception sociale, Mère, Ethnie, Symptomatologie, Traitement, Croyance, Etiologie, Ethnologie, Pakistan, Milieu urbain, Homme, Asie, Appareil respiratoire pathologie, Poumon pathologie
Mots-clés Pascal anglais : Pneumonia, Child, Social perception, Mother, Ethnic group, Symptomatology, Treatment, Belief, Etiology, Ethnology, Pakistan, Urban environment, Human, Asia, Respiratory disease, Lung disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0434907
Code Inist : 002B05B02E. Création : 19/12/1997.