Evidence map›Paper›PMID 40794639›Full record

ArticlePLoS neglected tropical diseases2025

Social and healthcare-seeking experiences of people affected with lymphedema in Bangladesh.

Kamrun Nahar Koly, Jobaida Saba, Zinnatun Nessa, Farhana Rahman Luba, Irin Hossain, M M Aktaruzzaman, Md Golam Rabbani, Milena Simic, Laura Dean, Julian Eaton

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

Kamrun Nahar KolyHealth System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.ORCID 0000-0003-2466-8139
Jobaida SabaHealth System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.
Zinnatun NessaHealth System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.
Farhana Rahman LubaHealth System and Population Studies Division, International Centre for Diarrhoeal Disease Research, Bangladesh (icddr, b), Dhaka, Bangladesh.
Irin HossainDepartment of Occupational and Environmental Health (OEH), National Institute of Preventive & Social Medicine, Mohakhali, Dhaka, Bangladesh.
M M AktaruzzamanDirectorate General of Health Services, Ministry of Health & Family Welfare, Dhaka, Bangladesh.
Md Golam RabbaniPublic Health Foundation, Dhaka, Bangladesh.
Milena SimicCentre for Global Health & Intersectional Equity Research, University of Essex, Colchester, Essex, United Kingdom.
Laura DeanLiverpool School of Tropical Medicine, Liverpool, United Kingdom.
Julian EatonLiverpool School of Tropical Medicine, Liverpool, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeglected tropical diseases (NTDs) such as lymphatic filariasis (LF) are a significant concern in developing countries like Bangladesh. Understanding the health and social needs of individuals with LF is essential for improving their healthcare-seeking experiences and advancing the health system's capacity. Therefore, this qualitative study aimed to explore the social and care-seeking experiences of persons with LF in Bangladesh.

methodSemi-structured, face-to-face, in-depth interviews were conducted with people with LF in two highly endemic districts in northern Bangladesh. Online key informant interviews were also conducted among stakeholders associated with NTD care. Recorded interviews were analysed using thematic analysis.

result28 participants (20 with LF and 8 stakeholders) were interviewed, and five major themes emerged after analysis. In terms of disease-related knowledge, the participants perceived lymphedema as a condition characterised by swelling, pain, and fever, which they believed was caused by eating stale food, being infected by others, or being punished by God. Overall, females in particular shared their experiences of negative attitudes from the community. LF adversely affected their daily life, including mental health and well-being. Most respondents sought support from conventional healthcare services; however, their perception of incurable disease led to low medication adherence and dissatisfaction. Lack of knowledge, inaccessibility of healthcare services, financial challenges, and physical disability were major barriers to seeking care. Participants emphasised the importance of financial assistance, community awareness, enhancing the accessibility and quality of care, and occupational rehabilitation scopes with governmental aid.

conclusionOur findings highlighted the importance of ensuring an accessible and affordable healthcare infrastructure for people with LF. Additionally, the involvement of government and related stakeholders is essential to improve service users' experiences and attain high standards, combined with the need for inclusive well-being-related services. Concentrated efforts should be made to design culturally acceptable interventions to raise awareness and reduce stigma.

Indexed as

Elephantiasis, FilarialLymphedemaPatient Acceptance of Health CareAdolescentAdultAgedBangladeshFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaleMiddle AgedQualitative ResearchYoung Adult

Identifiers

PMID40794639
PMCPMC12342334

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LicenceCC BY
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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.