A qualitative approach method was used to to study the causes, manifestations and consequences of socio cultural barriers that hinder the impact of health care services in that community.This study is part of a field work project submitted to the department of community health and development as partial fulfillment for MSc degree.It also explored the feelings and experiences of patronizing health care centers or CHPS compounds. Fear of cultural stigmatization does affect case findings and treatment adherence. The study was to elucidate how socio cultural stigma within the community settings and the health care systems is manifested.Focus group’s (6 in the communities, the health centers, the chief palace, the market and the district health directorate). 100 individual interviews were held with questionnaires. Consent: verbal consent was obtained after detailed explanation. The questions were read out and translated by the research assistants.Verbally, the interviews and discussions were recorded by the assistants and translated with analysis at the end of each dally activity
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