Home Care of Children With Diarrhea in Bangui's Therapeutic Landscape (Central African Republic)

We explore how the therapeutic landscape of Bangui, capital of the Central African Republic, shaped and reflected caregivers' home care of childhood diarrhea. Using interviews, group discussions, and participant observation, we found that caregivers described several categories of diarrhea, but in practice, adopted an experimental approach to home diarrheal care. Many managed incertitude by initially dosing children with street medicines and herbal infusions; they delayed seeking professional medical care to avoid expenses, observed their children's symptoms, consulted social networks, and used therapeutic foods. The logics underpinning these practices emerged from caregivers' conviction that diarrhea necessitated medical therapy and restricted choices within Bangui's therapeutic landscape, a consequence of lengthy political economic crisis. This crisis impoverished Bangui populations, eroded formal health care, and sharpened religious differences, discouraging care seeking from traditional healers. Analyses of therapeutic landscapes illuminate why caregivers embraced specific practices and logics and should guide the elaboration of more effective public health interventions

Diarrhea · Geography · Child Nutrition and Feeding Issues · Child Nutrition and Water Access · Medicine · Pediatric health and respiratory diseases · Internal Medicine · Pediatrics

• The “Therapeutic Landscapes” of Alcoholism in Japan

  Open Access•Meri Nakajima•Japanese Journal of Human Geography•2022

  Incluir item

• From therapeutic landscapes to healthy spaces, places and practices

  Open Access•Sarah L Bell, R Foley et al.•Social Science & Medicine•2018

  Incluir item

• Dynamic Sustainabilities

  Open Access•Macedward Leach, Melissa Leach et al.•Dynamic sustainabilities•2010

  Incluir item

• Burden and aetiology of diarrhoeal disease in infants and young children in developing countries (the Global Enteric Multicenter Study, Gems)

  Karen L Kotloff, James P Nataro et al.•The Lancet•2013

  Incluir item

• A Picture Is Worth . . . ? Photo Elicitation Interviewing With Formerly Homeless Adults

  Open Access•D K Padgett, Bikki Tran Smith et al.•Qualitative Health Research•2013

  Incluir item

• Prenatal Care Use Among Women of Low Income

  Open Access•Wendy Sword•Qualitative Health Research•2003

  Incluir item

• Une médecine inhospitalière

  Yannick Jaffré, Jean-Pierre Olivier De Sardan•Une Médecine inhospitalière•2003

  Incluir item

• Talking about pictures

  Douglas Harper•Visual Studies•2002

  Incluir item

• Therapeutic landscapes of the Jola, The Gambia, West Africa

  Open Access•Clare Madge•Health & Place•1998

  Incluir item

• Elder Authority and the Situational Diagnosis of Diarrheal Disease as Normal Infant Development in Northeast Thailand

  Open Access•Jen Pylypa•Qualitative Health Research•2009

  Incluir item

• Understanding careseeking for child illness in sub-Saharan Africa

  Open Access•Christopher J Colvin, Helen J Smith et al.•Social Science & Medicine•2013

  Incluir item

• Sociology of diagnosis

  Open Access•Annemarie Jutel•Sociology of Health & Illness•2009

  Incluir item

• Public and private sector responses to essential drugs policies

  Open Access•Fatoumata Ina Maı̈ga, Slim Haddad et al.•Social Science & Medicine•2003

  Incluir item

• Dilemma With the Local Perception of Causes of Illnesses in Central Africa

  Open Access•Louis Paluku Sabuni•Qualitative Health Research•2007

  Incluir item

• Home management of childhood diarrhoea in southern Mali-Implications for the introduction of zinc treatment

  Open Access•Amy A Ellis, Amy Ellis et al.•Social Science & Medicine•2007

  Incluir item

• New therapeutic landscapes in Africa

  Open Access•Macedward Leach, Melissa A Leach et al.•Social Science & Medicine•2008

  Incluir item

• Creating 'therapeutic landscapes' for mental health carers in inpatient settings

  Open Access•Wood, Victoria J Wood et al.•Social Science & Medicine•2013

  Incluir item

• Where there is no state

  Open Access•Lori Leonard•Social Science & Medicine•2005

  Incluir item

• Out of the reach of children? Young people's health-seeking practices and agency in Africa's newly-emerging therapeutic landscapes

  Open Access•K Hampshire, Kate R Hampshire et al.•Social Science & Medicine•2011

  Incluir item

• The household management of childhood diarrhea in rural North India

  Open Access•Margaret E Bentley•Social Science & Medicine•1988

  Incluir item

• Ecological and cultural barriers to treatment of childhood diarrhea in riverine areas of Ondo State, Nigeria

  Open Access•B Folasade Iyun, E Adewale Oke•Social Science & Medicine•2000

  Incluir item

• We Grandmothers Know Plenty

  Open Access•Rachel Bezner Kerr, Laifolo Dakishoni et al.•Social Science & Medicine•2008

  Incluir item

• Therapeutic landscapes

  Open Access•Wilbert M Gesler•Social Science & Medicine•1992

  Incluir item

• From aralu to ORS

  Open Access•M Nichter•Social Science & Medicine•1988

  Incluir item

• Cutting the Vines of the Past

  Open Access•Kate B Showers, Tamara Giles-Vernick•Canadian Journal of African…•2003

  Incluir item

• The Snake in the Stomach

  Open Access•Edward C Green, Annemarie Jurg et al.•Medical Anthropology Quarterly•1994

  Incluir item

• Incertitude, Hepatitis B, and Infant Vaccination in West and Central Africa

  Open Access•Tamara Giles-Vernick, Tamara Giles‐vernick et al.•Medical Anthropology Quarterly•2016

  Incluir item

• The cultural context of childhood diarrhoea among Gogo infants

  Mara Mabilia•Anthropology and Medicine•2000

  Incluir item