Briand S, Leyrit M, Lauwers V, Garnung M
CREDES International, Paris.
Sante Publique. 2000 Mar;12(1):21-30.
This study was performed in an urban marginal neighborhood of Quito (Ecuador). It aims to understand how the mothers with children (less than five years old) suffering from diarrhea are using the health center. We did 48 semi-directed interviews with mothers coming to the health center. The results show the various representations of diarrhea (symptomatic patterns and explanatory models: e.g. diarrhea due to supernatural cause, diarrhea related to heat and cold balance...) and the related processes of therapeutic search; For example, when the mother thinks that the diarrhea is due to a supernatural cause, she immediately goes to the traditional practitioner. The existing cultural gap between health practitioners of the center and the population of this neighborhood incite to consider differently the content of health education messages.
本研究在基多（厄瓜多尔）的一个城市边缘社区开展。其目的是了解有五岁以下腹泻儿童的母亲如何利用健康中心。我们对前来健康中心的母亲进行了48次半定向访谈。结果显示了腹泻的各种表现形式（症状模式和解释模型：如因超自然原因导致的腹泻、与寒热平衡有关的腹泻……）以及相关的治疗寻求过程；例如，当母亲认为腹泻是由超自然原因引起时，她会立即去找传统治疗师。该中心的医疗从业者与该社区居民之间存在的文化差异促使人们对健康教育信息的内容进行不同的思考。
