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Old 11th July 2013, 08:51 AM   #203
Penultimate Amazing
Join Date: Feb 2004
Posts: 12,459
Very interesting study: Community perceptions and factors influencing utilization of health services in Uganda
'There are illnesses that we don't take to health units where we have someone known to us. Like HIV/AIDS, here we just go to witch doctors. In fact, we don't even want to know that it's AIDS. We prefer to be told that it is witchcraft. People fear to give advice when they see signs of AIDS. They are afraid because that would be offending the sick, people shall ask you how you know ... how you come to imagine that it's HIV. When you mention testing to them, they will shun you and never want to talk to you again' (FGD Medium wealth category, Namundudi).
'For us once you have AIDS, you just go to witch doctors otherwise we don't have places to go for treatment. Once you have HIV, you just wait to die' (FGD Medium wealth category, Kakongoka).
Availability of services was a perception translated to mean that services were within reasonable physical reach. The poorest wealth category identified the availability of free public care as enabling to the use of both preventive and curative services:
'If there isn't any money in the home we go to the health centre since we can sometimes get free treatment' (FGD Poorest, Kakongoka).
The presence of community medicine distributors was also reported as facilitating use of conventional health care but these were considered unreliable:
Community medicine distributors make it easy for us to access care but these are unreliable (FGD Poorest, Namundudi).
The inadequacy of health services was noted for preventive and curative care as well as at the different levels. For instance, the distribution of free commodities enabled use of preventive actions such as condom use but this was inadequate to cater for existing demand:
'There is no way to get free condoms, maybe when there is an immunization outreach but we buy most of the time' (FGD Poorest, Namundudi).
"Stupidity renders itself invisible by assuming very large proportions. Completely unreasonable claims are irrefutable. Ni-en-leh pointed out that a philosopher might get into trouble by claiming that two times two makes five, but he does not risk much by claiming that two times two makes shoe polish." B. Brecht
"The abolition of religion as the illusory happiness of the people is required for their real happiness. The demand to give up the illusion about its condition is the demand to give up a condition which needs illusions." K. Marx
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