Knowledge, perceptions and healthcare practices of communities for management of snakebites in Kamuli District, Eastern Uganda.

Background: Snakebite is one of the neglected tropical diseases in Uganda affecting rural areas, especially during the rainy season. Households mainly rely on traditional remedies for management, which are not always effective, leading to disability and sometimes death. We explored the knowledge, perceptions and healthcare practices related to snakebites in Kamuli District.

Methods: We used the participatory research appraisal (PRA) method to conduct the study. Six PRA sessions were carried out in five purposively selected villages of Wankole subcounty, Kamuli District, as they reported a high number of snakebites. In addition, we conducted 15 in-depth interviews with current and past snakebite victims and 10 key informant interviews with professional healthcare providers and traditional healers. Audio files were transcribed and translated verbatim and data were analysed to identify themes. Analysis was conducted using ATLAS.ti version 8.0.

Results: Overall, the community considered snakebites a big problem that worsens during rainy seasons. Knowledge of snakebite management was inadequate. Perceptions about snakes and snakebites included snakes are related to traditions, ancestral spirits and witchcraft. Practices following snakebites included applying a tourniquet and the use of herbs, paraffin and a 500-shilling coin. Snakebites were associated with out-of-pocket expenditures and limited capacity to manage.

Conclusions: The study calls for policy changes to improve snakebite management in Eastern Uganda, highlighting gaps in knowledge and harmful practices. It emphasizes the need for health education and financial support for affected households. Collaboration between healthcare providers, traditional healers and the community is crucial for effective prevention and management.