{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T10:16:24Z","timestamp":1782728184125,"version":"3.54.5"},"reference-count":23,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2006,2,1]],"date-time":"2006-02-01T00:00:00Z","timestamp":1138752000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tropical Med Int Health"],"published-print":{"date-parts":[[2006,2]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p><jats:bold>Objective\u2002<\/jats:bold> To evaluate the accessibility of visceral leishmaniasis (VL) treatment.<\/jats:p><jats:p><jats:bold>Method\u2002<\/jats:bold> Community\u2010based study using in\u2010depth qualitative interviews and focus group discussions with key informants, as well as quantitative questionnaires with 448 randomly selected heads of households in nine representative villages in three geographical sub\u2010regions.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> Despite the high incidence of the disease, most people in Gedaref State know little about VL, and help at a treatment centre is usually sought only after traditional remedies and basic allopathic drugs have failed. Factors barring access to treatment are: lack of money for treatment and transport, impassability of roads, work priorities, severe cultural restrictions of women's decision\u2010making power and distance to the next health center.<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold> To provide more VL patients with access to treatment in this highly endemic area, diagnostic and treatment services should be decentralized. Health education would be a useful tool to rationalise people's health\u2010seeking behaviour.<\/jats:p>","DOI":"10.1111\/j.1365-3156.2005.01550.x","type":"journal-article","created":{"date-parts":[[2006,2,1]],"date-time":"2006-02-01T14:41:34Z","timestamp":1138804894000},"page":"167-175","source":"Crossref","is-referenced-by-count":17,"title":["Accessibility of diagnostic and treatment centres for visceral leishmaniasis in Gedaref State, northern Sudan"],"prefix":"10.1111","volume":"11","author":[{"given":"S.","family":"Gerstl","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"Amsalu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.","family":"Ritmeijer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,2]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3156.2002.00959.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3156.2001.00795.x"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/infdis\/156.6.1030"},{"key":"e_1_2_6_5_1","first-page":"288","volume-title":"Control of communicable disease manual","author":"Chin J","year":"2000"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(00)90253-0"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0738-081X(96)00057-0"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3156.2001.00776.x"},{"issue":"1","key":"e_1_2_6_9_1","first-page":"S1\/27","article-title":"Leishmaniasis in Sudan. Visceral Leishmaniasis","volume":"95","author":"El\u2010Hassan AM","year":"2001","journal-title":"Transactions of the Royal Society of Tropical Medicine and Hygiene"},{"issue":"6","key":"e_1_2_6_10_1","first-page":"10","article-title":"Risk mapping of visceral leishmaniasis: The role of local variation of rainfall and altitude on presence and incidence of Kala Azar in eastern Sudan","volume":"66","author":"Elnaiem DA","year":"2002","journal-title":"American Journal of Tropical Medicine and Hygiene"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(02)00347-X"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.1969.18.1091"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3156.2003.01088.x"},{"issue":"9","key":"e_1_2_6_14_1","first-page":"1117","article-title":"The urban environment and health in a world of increasing globalization: issues for developing countries","volume":"78","author":"McMichael AJ","year":"2000","journal-title":"Bulletin of the World Health Organization"},{"key":"e_1_2_6_15_1","volume-title":"Manual for the diagnosis and treatment of visceral leishmaniasis (Kala Azar) under field conditions","author":"MSF","year":"2003"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(00)90429-2"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(03)80047-0"},{"issue":"5","key":"e_1_2_6_18_1","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1080\/00034983.1992.11812697","article-title":"Visceral Leishmaniasis in Southern Sudan: status of healthy villagers in epidemic conditions","volume":"86","author":"Seaman J","year":"1992","journal-title":"Annuals of Tropical Medicine and Parasitology"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/25.4.862"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0035-9203(00)90255-4"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-3156.2000.00555.x"},{"key":"e_1_2_6_22_1","volume-title":"The Leishmaniasis and Leishmania\/HIV Co\u2010Infections","author":"WHO","year":"2001"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0169-4758(99)01431-3"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1596\/0-1952-1129-4"}],"container-title":["Tropical Medicine &amp; International Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1365-3156.2005.01550.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1365-3156.2005.01550.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T09:57:44Z","timestamp":1697277464000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1365-3156.2005.01550.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,2]]},"references-count":23,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2006,2]]}},"alternative-id":["10.1111\/j.1365-3156.2005.01550.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1365-3156.2005.01550.x","archive":["Portico"],"relation":{},"ISSN":["1360-2276","1365-3156"],"issn-type":[{"value":"1360-2276","type":"print"},{"value":"1365-3156","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,2]]}}}