People's concepts on diarrhea and dehydration in Nicaragua: the difficulty of the intercultural dialogue
Vazquez, M.L.; Mosquera, M.; Kroeger, A.
Revista Brasileira de Saude Materno Infantil 2(3): 223-237
2002
DOI: 10.1590/s1519-38292002000300003Document Number: 263933
Objectives: to analyse people's concepts and health seeking behaviour relating to diarrhoea and dehydration and its implications for improving health services practice. Methods: individual and group interviews were conducted in two municipalities in the North of Nicaragua, with mothers, other community members, traditional healers and basic health personnel. A household interview survey in a random sample of 1924 families with under-fives was carried out in three departments. Results: people can easily identify diarrhoea, as a disease in itself or as a symptom of several folk diseases. The popular construction of the causes of diarrhoea is complex, with a mixture of folk concepts and modern medical concepts which influence preventive and health seeking behaviour. Health personnel often believe in these popular concepts. Dehydration is a new term and concept introduced by the health education campaigns and often mistaken for the term malnutrition. Oral rehydration solution (ORS) is seen as an ineffective drug against diarrhoea. The inadequate use of pharmaceuticals is widespread and in most cases they have been prescribed by doctors. Conclusions: these results show the co-existence of popular and medical concepts, the latter with different interpretations. There is a need for a change in the communication between health services and population, based on an alternative analysis of people's knowledge and behaviour.