Evaluation of Knowledge, Stigmatization and Treatment Methods on Lymphatic Filariasis in Suru Local Government Area of Kebbi State, Nigeria

Abstract

Lymphatic filariasis (LF) is endemic in Suru LGA with both acute and chronic clinical manifestations. An assessment of the knowledge, stigmatization and treatment methods used in the communities is necessary for success implementation of the control program.  This study was aimed at evaluating the knowledge, stigmatization and treatment methods on lymphatic filariasis in the study area. Both quantitative and qualitative techniques were employed to obtain information from respondents using semi-structured questionnaires and interview schedules. Of the 400 respondents (26 affected and 374 unaffected), in this study, none (0.0%) identified mosquito as the vector responsible for LF. Majority 91(22.8%) believed it was an act of God. Seventy-eight (19.5%) attributed it to witchcraft, while 18.0%, 15.0%, 18.2% and 6.5% blamed stepping on charm, contaminated water, lack of personal hygiene and guinea worm infestation respectively. Transmission and prevention was also linked to superstitious beliefs Stigmatization was minimal as majority, 282 (70.5%) would not divorce their spouse if they contact LF and also majority, 290 (72.5%) would associate with affected patients. However, psychological impact on affected people was deep as they felt sad, shame & abnormal about their condition. The treatment methods used by sufferers reflect their superstations about the disease as they sought help from both orthodox and traditional homes. None practiced the morbidity management methods directed by WHO. It was concluded that perception about the disease is crude and poor and knowledge-based awareness is necessary for adequate disease management.