Publication
Cameroonian context of pediatric palliative care: Ethnanalysis of child diseases
Belika L, Makak S, Ongotsoyi A · Medecine Palliative · 2017
Aim. - Pediatric palliative care is a new approach in Cameroon. Thus, the authors attempt to describe the context that serves them as a scene, since by migrating from the North to the South, or from one culture to another, palliative medicine should consider the sociocultural specificities to which it should adapt for its viability. In this wake, this work is consciously circumscribed on pediatric diseases. Materials and methods. - In order to make this reality readable, this reflection has been devoted to the ethnolinguistic's researches mostly carried out in Cameroonian negroculture, especially Bassa and Banen tribes. The informations gathered are subjected to the scrutiny of anthropological analysis. The interpretation is based on interactionist reading grid. Results. - This approach allowed us to understand that in a pediatric palliative care setting, the healthcare team should not lose sight of the fact that patients and their families belong to communities that have developed endogenous knowledge around the disease. Two reading rids of the disease that influence the therapeutic itinerary of patients are thus developed in this study: natural diseases and magicoreligious diseases. Thus, the interactionist paradigm has allowed us to better understand the latent and explicit relationships that govern the relationships between patients and caregivers. Perspectives. - This problem would reveal all its contents if complementary questions relating to the end of life and the representations on and around the death of the child in Cameroonian negroculture were asked. In addition, the interest of others sciences such as sociology, lapsychology, etc. could help to better understand the Cameroon context that can influence the implementation of palliative care. Conclusion. - In any case, what matters is not a peremptory definition of the disease, but what socioculture or group means by disease. The subjectivity of the patient or the representation of the group illuminates the choice of the therapist. (c) 2017 Elsevier Masson SAS. All rights reserved.
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