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There Were Moments We Wished She Could Just Die

The Highly Gendered Burden of Nodding Syndrome in Northern Uganda

Bibliographic Data

ID4662684
AuthorsJulia Irani (0000-0002-0224-1794, Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium, corresponding author), Joseph Rujumba (0000-0002-9485-8790, Makerere University), Amos Deogratius Mwaka (0000-0001-7952-2327, Makerere University), Jesca Arach (Makerere University), Denis Lanyuru (Makerere University), Richard Idro (0000-0003-4728-4605, Makerere University), Robert Colebunders (0000-0002-1919-1340, Global Health Institute, University of Antwerp, Antwerp, Belgium), René Gerrets (0000-0003-0516-9377, The Amsterdam Institute for Social Science Research, University of Amsterdam, Amsterdam, Netherlands), Koen Peeters Grietens (0000-0001-6570-9887, Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium), Sarah O’neill (0000-0001-8807-0991, Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium)
Year2022
Volume32
Issue10
Pages1544-1556
Publication date2022-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/10497323221085941
PMID35549600
OpenAlexW4280511287
LanguageEN
References cited48

Nodding Syndrome (NS) occurs within a wide spectrum of epilepsies seen in onchocerciasis endemic areas of sub-Saharan Africa. It has debilitating consequences on affected individuals and increases the socio-economic, physical and psychological burden on care-givers and their households, diminishing their standing within the community. Social science research on the disproportionate burden of the disease on females is limited. Based on ethnographic research over 3 years in northern Uganda, we explored the burden of being ill and care-giving for persons with NS from a gendered perspective. We found that NS-affected females were at greater risk of physical and psychological abuse, sexual violence, unwanted pregnancies, sexually transmitted infections and stigma, in a context of deteriorating socio-economic conditions. Primary care-givers of the NS-affected, mostly women, struggled to make ends meet and were subjected to stigma and abandonment. Targeted interventions, including legal protection for affected females, stigma reduction, and psycho-social and financial support are needed

Environmental health · Family medicine · Geography · Poison control · Psychiatry · Psychological intervention · Sexual abuse · Social stigma · Suicide prevention · Insect symbiosis and bacterial influences · Medicine · Parasite Biology and Host Interactions · Parasitic Diseases Research and Treatment · Psychology

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