Rethinking the economic costs of malaria at the household level: evidence from applying a new analytical framework in rural Kenya.
Rethinking the economic costs of malaria at the household level: evidence from applying a new analytical framework in rural Kenya.
复制标题
DOI：
10.1186/1475-2875-5-76
复制
发表时间：
2006-08-30
期刊：
影响因子：
3
通讯作者：
Molyneux CS
中科院分区：
文献类型：
--
作者：
Chuma JM;Thiede M;Molyneux CS
疟疾给家庭造成巨大损失，穷人受到的影响尤其严重。然而，成本数据通常来自具有固定回忆期的定量调查。它们没有捕捉到随时间或季节变化缓慢展开的成本。很少有研究调查疟疾导致贫困的不同途径。本文利用肯尼亚农村地区的数据制定并应用了一个框架，表明家庭层面的疟疾、贫困和脆弱性之间的复杂联系。雨季和旱季的横断面调查提供了有关寻求治疗、成本负担和应对策略的数据（分别为 n = 294 和 n = 285 户）。从调查中特意挑选的 15 个案例研究家庭并进行为期一年的跟踪，提供了有关疟疾、脆弱性和贫困之间联系的深入定性信息。雨季和旱季平均直接成本负担分别占家庭总支出的 7.1% 和 5.9%。案例研究数据显示，年底成本负担与脆弱性状况之间没有明确的关系。最重要的是一开始的家庭脆弱性状况。在研究之前报告重大疟疾发作和其他冲击的家庭在这一年中进一步陷入贫困。富裕家庭更有能力应对。疟疾对家庭经济状况的影响随着时间的推移慢慢显现。采取的应对策略可能会产生负面影响，影响家庭未来抵御疟疾和其他突发事件的能力。为了保护穷人和弱势群体，疟疾控制政策需要纳入发展和减贫计划。
Malaria imposes significant costs on households and the poor are disproportionately affected. However, cost data are often from quantitative surveys with a fixed recall period. They do not capture costs that unfold slowly over time, or seasonal variations. Few studies investigate the different pathways through which malaria contributes towards poverty. In this paper, a framework indicating the complex links between malaria, poverty and vulnerability at the household level is developed and applied using data from rural Kenya. Cross-sectional surveys in a wet and dry season provide data on treatment-seeking, cost-burdens and coping strategies (n = 294 and n = 285 households respectively). 15 case study households purposively selected from the survey and followed for one year provide in-depth qualitative information on the links between malaria, vulnerability and poverty. Mean direct cost burdens were 7.1% and 5.9% of total household expenditure in the wet and dry seasons respectively. Case study data revealed no clear relationship between cost burdens and vulnerability status at the end of the year. Most important was household vulnerability status at the outset. Households reporting major malaria episodes and other shocks prior to the study descended further into poverty over the year. Wealthier households were better able to cope. The impacts of malaria on household economic status unfold slowly over time. Coping strategies adopted can have negative implications, influencing household ability to withstand malaria and other contingencies in future. To protect the poor and vulnerable, malaria control policies need to be integrated into development and poverty reduction programmes.
登录
查看更多内容
影响因子：
3.3
作者：
Attanayake, N;Fox-Rushby, J;Mills, A
通讯作者：
Mills, A
影响因子：
5.4
作者：
JAYAWARDENE, R
通讯作者：
JAYAWARDENE, R
DOI：
10.1016/s0035-9203(97)90194-2
发表时间：
1997-03-01
影响因子：
2.2
作者：
Konradsen, F;vanderHoek, W;Fonseka, KT
通讯作者：
Fonseka, KT
影响因子：
3.3
作者：
Chima, RI;Goodman, CA;Mills, A
通讯作者：
Mills, A
影响因子：
5.4
作者：
LITVACK, JI;BODART, C
通讯作者：
BODART, C