Evidence map›Paper›PMID 32317259›Full record

ArticleBMJ open2020

Conceptual model for pluralistic healthcare behaviour: results from a qualitative study in southwestern Uganda.

Radhika Sundararajan, Juliet Mwanga-Amumpaire, Rachel King, Norma C Ware

Abstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Radhika SundararajanCenter for Global Health, Weill Cornell Medicine, New York, NY, USA ras9199@med.cornell.edu.ORCID 0000-0002-8451-2243
Juliet Mwanga-AmumpairePediatrics, Mbarara University of Science and Technology, Mbarara, Uganda.
Rachel KingGlobal Health Sciences, UCSF Medical Center, San Francisco, California, USA.ORCID 0000-0002-0085-3498
Norma C WareGlobal Health and Social Medicine, Harvard Medical School, Boston, Massachusetts, USA.

Funding

A COGNITIVE BEHAVIORAL AND STRUCTURAL HIV PREVENTION INTERVENTION FOR YOUNG UGANDAN WOMEN ENGAGING IN HIGH RISK SEXUAL BEHAVIORR01MH109337 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KING, RACHEL LISA · 2015 to 2019
$1.6M
Expanding HIV testing among Ugandan adults who utilize traditional healersK23MH111409 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI SUNDARARAJAN, RADHIKA LU · 2017 to 2021
$778k
NIMH NIH HHS K23 MH111409NIMH NIH HHS R01 MH109337
6 · The paper itself

Abstract

introduction

methodsIn-depth interviews were conducted from September 2017 to February 2018 with patients seeking care at traditional healers (n=30) and at an outpatient medicine clinic (n=30) in Mbarara, Uganda; the study is nested within a longitudinal project examining HIV testing engagement among traditional healer-using communities. Inclusion criteria included age ≥18 years, and ability to provide informed consent. Participants were recruited from practices representing the range of healer specialties. Following an inductive approach, interview transcripts were reviewed and coded to identify conceptual categories explaining healthcare utilisation.

resultsWe identified three broad categories relevant to healthcare utilisation: (1) traditional healers treat patients with 'care'; (2) biomedicine uses 'modern' technologies and (3) peer 'testimony' influences healthcare engagement. These categories describe variables at the

conclusionsPatients perceive clear advantages and disadvantages to biomedical and traditional care in medically pluralistic settings. We identified factors at the healthcare provider, healthcare system and peer levels which influence patients' therapeutic itineraries. Our findings provide a basis to improve health outcomes in medically pluralistic settings, and underscore the importance of recognising traditional healers as important stakeholders in community health.

Indexed as

Ambulatory Care FacilitiesChoice BehaviorPeer InfluenceAdultDelivery, ObstetricDeveloping CountriesFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleMedicine, African TraditionalMidwiferyPatient Acceptance of Health CarePregnancyProfessional-Family Relationscomplementary medicineinternational health servicespublic healthqualitative research

Identifiers

PMID32317259
PMCPMC7204928

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.