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Drawing and interpreting data: Children's impressions of onchocerciasis and community-directed treatment with ivermectin (CDTI) in four onchocerciasis endemic countries in Africa.

Amuyunzu-Nyamongo M, Tchounkeu YF, Oyugi RA, Kabali AT, Okeibunor JC, Manianga C, Amazigo UV - Int J Qual Stud Health Well-being (2011)

Bottom Line: Out of the 50 drawings, 30 were on symptoms, 7 on effects of the disease on children, 8 on distribution process, and 5 represented multiple perceptions on symptoms, drug distribution processes, benefits, and effects of treatment.The lack of clarity when treatment with ivermectin can be stopped in endemic areas requires working with children to ensure continued compliance with treatment into the future.Children's drawings should be incorporated into health education interventions.

View Article: PubMed Central - PubMed

Affiliation: African Institute for Health and Development, Nairobi, Kenya.

ABSTRACT
Although the depiction of a child leading a blind man is the most enduring image of onchocerciasis in Africa, research activities have hardly involved children. This paper aims at giving voice to children through drawings and their interpretation. The study was conducted in 2009 in Cameroon, Democratic Republic of Congo (DRC), Nigeria and Uganda. Children aged 6-16 years were asked to draw their perceptions of onchocerciasis and community-directed treatment with ivermectin (CDTI) in their communities. A total of 50 drawings were generated. The drawings depicted four main aspects of onchocerciasis: (1) the disease symptoms, (2) the negative consequences of onchocerciasis among children and in the community generally, (3) the ivermectin distribution process, and (4) the benefits or effects of taking ivermectin. Out of the 50 drawings, 30 were on symptoms, 7 on effects of the disease on children, 8 on distribution process, and 5 represented multiple perceptions on symptoms, drug distribution processes, benefits, and effects of treatment. The lack of clarity when treatment with ivermectin can be stopped in endemic areas requires working with children to ensure continued compliance with treatment into the future. Children's drawings should be incorporated into health education interventions.

No MeSH data available.


Related in: MedlinePlus

A patient being taken to a health facility after reacting to treatment
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Figure 0010: A patient being taken to a health facility after reacting to treatment

Mentions: A common thread in the children's drawings was the measuring stick to illustrate CDTI (as shown in Figure 9). This could be due to the fact that the measuring stick used by community drug distributors is also used to assess whether the children are old enough to start taking the drugs and to determine dosage. Some of the drawings illustrated the complex process of delivering ivermectin and the care given to those who react to treatment as shown in Figures 10 and 11.


Drawing and interpreting data: Children's impressions of onchocerciasis and community-directed treatment with ivermectin (CDTI) in four onchocerciasis endemic countries in Africa.

Amuyunzu-Nyamongo M, Tchounkeu YF, Oyugi RA, Kabali AT, Okeibunor JC, Manianga C, Amazigo UV - Int J Qual Stud Health Well-being (2011)

A patient being taken to a health facility after reacting to treatment
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3105904&req=5

Figure 0010: A patient being taken to a health facility after reacting to treatment
Mentions: A common thread in the children's drawings was the measuring stick to illustrate CDTI (as shown in Figure 9). This could be due to the fact that the measuring stick used by community drug distributors is also used to assess whether the children are old enough to start taking the drugs and to determine dosage. Some of the drawings illustrated the complex process of delivering ivermectin and the care given to those who react to treatment as shown in Figures 10 and 11.

Bottom Line: Out of the 50 drawings, 30 were on symptoms, 7 on effects of the disease on children, 8 on distribution process, and 5 represented multiple perceptions on symptoms, drug distribution processes, benefits, and effects of treatment.The lack of clarity when treatment with ivermectin can be stopped in endemic areas requires working with children to ensure continued compliance with treatment into the future.Children's drawings should be incorporated into health education interventions.

View Article: PubMed Central - PubMed

Affiliation: African Institute for Health and Development, Nairobi, Kenya.

ABSTRACT
Although the depiction of a child leading a blind man is the most enduring image of onchocerciasis in Africa, research activities have hardly involved children. This paper aims at giving voice to children through drawings and their interpretation. The study was conducted in 2009 in Cameroon, Democratic Republic of Congo (DRC), Nigeria and Uganda. Children aged 6-16 years were asked to draw their perceptions of onchocerciasis and community-directed treatment with ivermectin (CDTI) in their communities. A total of 50 drawings were generated. The drawings depicted four main aspects of onchocerciasis: (1) the disease symptoms, (2) the negative consequences of onchocerciasis among children and in the community generally, (3) the ivermectin distribution process, and (4) the benefits or effects of taking ivermectin. Out of the 50 drawings, 30 were on symptoms, 7 on effects of the disease on children, 8 on distribution process, and 5 represented multiple perceptions on symptoms, drug distribution processes, benefits, and effects of treatment. The lack of clarity when treatment with ivermectin can be stopped in endemic areas requires working with children to ensure continued compliance with treatment into the future. Children's drawings should be incorporated into health education interventions.

No MeSH data available.


Related in: MedlinePlus