People with Dementia in Sub-Saharan Africa: From Support to Abuse by Caregivers: Results of EPIDEMCA-FU Program in Congo.

Journal: Dementia and geriatric cognitive disorders extra

Volume: 9

Issue: 1

Year of Publication: 

Affiliated Institutions:  INSERM, U, Tropical Neuroepidemiology, Limoges, France. INSERM U, University of Bordeaux, Bordeaux, France.

Abstract summary 

Dementia is an emerging public health problem in sub-Saharan Africa (SSA). In SSA, the stigma suffered by people with dementia (PWD) can be strongly linked to pejorative social representations, interfering in social relationships with informal caregivers. The objective of the study was to analyze the consequences of social representations of PWD in social interactions with informal caregivers.A qualitative study was conducted in Republic of Congo among 93 interviewees. Nondirectional interviews were conducted in local languages and complemented by participating observations. The collected data were transcribed literally, synthesized, and then coded to allow extraction and organization of text segments.Informal caregivers, daughters-in-laws, were considered as abusers and granddaughters as benevolent. The leaders of syncretic churches and traditional healers were the first therapeutic itineraries of PWD, due to pejorative social representations of disease. Of these, some PWD have appeared at front of a customary jurisdiction for accusations of witchcraft. Dementia, perceived as a mysterious disease by informal caregivers, wasn't medicalized by leaders of syncretic churches, traditional healers, nurses, or general practitioners. Conclusion: Stigma, generated by social representations, can change the patient's behavior and the one of informal caregivers, leading to time delay in the search for appropriate help.

Authors & Co-authors:  Kehoua Dubreuil Ndamba-Bandzouzi Guerchet Mbelesso Dartigues Preux

Study Outcome 

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Statistics
Citations :  Duthé G, Pison G, Laurent R. Sénégal: Autrepart; 2010. Situation sanitaire et parcours de soins des personnes âgées en milieu rural africain Une étude à partir des données du suivi de population de Mlomp; pp. pp. 167–87.
Authors :  7
Identifiers
Doi : 10.1159/000489846
SSN : 1664-5464
Study Population
Male,Female
Mesh Terms
Other Terms
Dementia;Informal caregivers;Stigma;Sub-Saharan Africa;Traditional healers
Study Design
Study Approach
Qualitative
Country of Study
Publication Country
Switzerland