ArticleInternational journal for equity in health2026
A conceptual model for healthcare-seeking research and interventions in cutaneous leishmaniasis.
Article in International journal for equity in health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Intervention framework towards a community-driven approach to improve health-seeking in cutaneous leishmaniasis in rural Sri Lanka.Tropical medicine and health · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealthcare-seeking is not merely a biomedical response to illness but a socially and culturally embedded practice reflecting the dynamic interplay of multiple factors. Traditional health behavioural models often overlook the nuanced socio-cultural, environmental, and systemic dimensions associated with neglected tropical diseases. We developed a conceptual model for healthcare-seeking grounded in the lived experiences of rural Sri Lankan communities with cutaneous leishmaniasis (CL).
methodsWe employed a systematic, participatory, and iterative approach to develop the conceptual model, beginning with stakeholder identification. The problem context was explored using empirical data collected through multimethod studies and expert consultations, which informed the model’s objectives and scope. Data were analysed and synthesised to conceptualise key components and influencing factors of healthcare-seeking in CL. The model was iteratively refined through expert review, with sustained stakeholder engagement ensuring contextual relevance and applicability.
resultsOur conceptual model outlines the healthcare-seeking process for CL, integrating two complementary dimensions. On the horizontal axis of the model, we describe the pathway dimension, consisting of four key landmarks: (1) symptom recognition, (2) perceived health threats, (3) decisions on taking actions, and (4) help seeking from the biomedical sector. The vertical axis shows the determinant dimension, which emphasises both proximal and distal factors that shape healthcare-seeking and is grouped into four aspects: (1) individual factors, (2) disease characteristics, (3) social context, and (4) structural determinants. Some Individual factors (i.e. disease awareness, perceived severity) affected the entire pathway, whereas others (i.e. perceived treatability, psychosocial impact, and costs) influenced decisions on when, where and how to seek healthcare. Disease-related characteristics, including clinical manifestations, prevalence, transmission, and progression, played a critical role, while factors within the social context, such as family and neighbourhood cohesion, health beliefs, and myths about CL, further shaped healthcare decisions. Broader structural determinants, including health and non-health policies, health literacy, media influence, medical pluralism, and healthcare system factors, indirectly but significantly affected the entire process.
conclusionsThis conceptual model presents the dynamic interplay of cognitive, social, cultural, and structural factors shaping healthcare-seeking in CL. By mapping how individuals navigate illness pathways within broader societal and systemic contexts, this model provides a holistic understanding, informing the design of interventions to improve healthcare-seeking in CL at different levels.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.