The Buruli ulcer disease is assuming public health importance in many countries
apart from Ghana, prompting the establishment of a Global Buruli Ulcer Initiative
by the World Health Organization (WHO) in early 1998. The disease caused by
Mycobacterium ulcerans infection has been reported throughout the tropical and
sub-tropical regions of the world. In Africa, several countries particularly in
western, eastern and central parts of the continent have reported cases of the
disease. One characteristic of the disease is its apparent association with bodies
of water worldwide. To date the exact mode of transmission is unknown and
there is no scientific evidence to suggest person- to- person transmission. This
study sought to study the local perceptions of buruli ulcer, etiology of the disease
from the community's point of view, treatment seeking behaviour of the people
and community reaction towards patients. The study employed both qualitative
and quantitative data collection techniques employing a structured questionnaire
a Focus Group Discussion Guide (FGD) and documented case studies.
Statistical analysis was done employing SPSS.
The study found out that endemic communities are situated along the river
Densu and depend on unwholesome sources of water such as ponds, shallow
hand dug wells and the river Densu for all domestic purposes. Mycobacterium
ulcerans, the main causative agent is spongy-like in nature. This spongy-like
substance has also been identified by the people as the main causative agent
and forms the basis for the various names given to it by the local people. Hence,
in Ga the name is "odontihela" and"detsifudor", in Ewe.
Causes of buruli ulcer are attributed to three main factors: casting of a spell
through witchcraft, poor personal hygiene/wading in ponds dirty surroundings
and drinking water from the river/pond. There is the perceived possibility of
contagion or person-to-person transmission through the ingestion of pus from the
infected wound which could get lodged under finger nails or on any part of the
hand. Children (69.4 %) both male and female are known to be the most affected
by the disease. Most buruli ulcer patients seek treatment from the herbalist
(46%) as compared to the hospital (38%). To understand the etiology of buruli
ulcer fully, consideration must be given to the interplay of political, economic,
social, epidemiological and cultural factors. There is the need for further
epidemiological research on the role played by animals in disease transmission
and also the possibility of person-to-person transmission by ingestion of infected
SSA, R (2021). LOCAL PERCEPTIONS OF BURULI ULCER IN THE GA DISTRICT, GREATER ACCRA REGION. Afribary.com: Retrieved April 10, 2021, from https://afribary.com/works/local-perceptions-of-buruli-ulcer-in-the-ga-district-greater-accra-region
Research, SSA. "LOCAL PERCEPTIONS OF BURULI ULCER IN THE GA DISTRICT, GREATER ACCRA REGION" Afribary.com. Afribary.com, 31 Mar. 2021, https://afribary.com/works/local-perceptions-of-buruli-ulcer-in-the-ga-district-greater-accra-region . Accessed 10 Apr. 2021.
Research, SSA. "LOCAL PERCEPTIONS OF BURULI ULCER IN THE GA DISTRICT, GREATER ACCRA REGION". Afribary.com, Afribary.com, 31 Mar. 2021. Web. 10 Apr. 2021. < https://afribary.com/works/local-perceptions-of-buruli-ulcer-in-the-ga-district-greater-accra-region >.
Research, SSA. "LOCAL PERCEPTIONS OF BURULI ULCER IN THE GA DISTRICT, GREATER ACCRA REGION" Afribary.com (2021). Accessed April 10, 2021. https://afribary.com/works/local-perceptions-of-buruli-ulcer-in-the-ga-district-greater-accra-region