title: Clubfoot in Malawi: treatment-seeking behaviour.
abstract: We explore the treatment-seeking behaviour of guardians of patients undergoing treatment for clubfoot at clinics run by the Malawi National Clubfoot Programme (MNCP). Core data was collected and analysed using qualitative methodologies of critical medical anthropology. Sixty detailed case studies were completed, each based on an extended open-ended interview with patient guardians. Two positive drivers in seeking treatment for clubfoot were identified: a desire to correct the impairment; and a direct instruction to do so, usually from a health-care professional. Four main barriers prevented treatment seeking: lack of knowledge about the condition and its treatment; familial resistance; logistical obstacles; and socio-economic pressures. In delivering effective health care, organizations should seek to minimize barriers and their impact, whilst maximizing drivers that lead to positive action.
authors: School of Anthropology, University of Oxford, Oxford OX2 6PE, UK. julietbedford@anthrologica.com
authors: K Juliet A
authors: KJ
authors: Bedford
authors: Paul
authors: P
authors: Chidothi
authors: Harris
authors: H
authors: Sakala
authors: John
authors: J
authors: Cashman
authors: Chris
authors: C
authors: Lavy
mesh_terms: D000328:Adult; D002675:Child, Preschool; D003025:Clubfoot / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D007407:Interviews as Topic; D008295:Malawi / Q000453:epidemiology; D010290:Parents / Q000523:psychology*; D010342:Patient Acceptance of Health Care / Q000523:psychology; D036301:Qualitative Research; D012959:Socioeconomic Factors