||Steps Toward Creating A Therapeutic Community for Inpatients Suffering from Chronic Ulcers: Lessons from Allada Buruli Ulcer Treatment Hospital in Benin.
Amoussouhoui Arnaud Setondji ,
JOHNSON ROCH CHRISTIAN ,
Sopoh Ghislain Emmanuel ,
||PLoS Neglected Tropical Diseases
||Little is known about communication patterns and social relations between health staff
and long -term patients in African hospitals. An ethnography of a reference hospital treating
patients afflicted with Buruli Ulcer (BU) and other chronic ulcers in Benin was conducted.
Sources of psychosocial distress and communication patterns compromising
quality of care were documented. Based on this research, an intervention was mounted to
transform the hospital into a higher functioning therapeutic community. Question: answer
education sessions were introduced to provide patients the opportunity to inquire about
their illness, it’s treatment and trajectory; weekly open- forums were established to give
patients and hospital staff a chance to air grievances; patient representatives met with hospital
staff to resolve problems in a non-confrontational manner, and psychosocial support
for individual patients was provided through drop-in counseling sessions with social scientists
in residence. Patients reported positive changes in the quality of their care and interactions
with care providers, care providers reported that the problem solving process
instituted was productive, and hospital administrators actively supported efforts to
improve social relations and lines of communication. Systemic problems related to perceptions
of preferential treatment for BU patients provided subsidized treatment supported
by a national program remained contentious.
||Allada, Buruli Ulcer,Treatment Hospital
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