Costs for Households and Community Perception of Meningitis Epidemics in Burkina Faso
Costs for Households and Community Perception of Meningitis Epidemics in Burkina Faso
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DOI：
10.1086/644623
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发表时间：
2009-11-15
影响因子：
11.8
通讯作者：
Da Silva, Alfred
中科院分区：
文献类型：
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作者：
Colombini, Anais;Bationo, Fernand;Da Silva, Alfred
非洲脑膜炎带的细菌性脑膜炎仍然是对健康最严重的威胁之一。当地居民对脑膜炎的看法以及家庭因疾病造成的损失还没有得到很好的描述。我们在脑膜炎带中心的布基纳法索进行了一项人类学和经济学研究。受访者报告称，关于疾病病因的传统观念和现代观念相结合，这反过来又影响了寻求治疗的行为。每个脑膜炎病例的家庭花费为 90 美元，相当于年度人均国内生产总值的 34%，而当出现脑膜炎后遗症时，家庭花费高达 154 美元。其中大部分费用可归因于直接医疗费用，理论上这些费用由政府支付。脑膜炎预防性免疫将克服传统信仰带来的限制，并有助于实现减贫目标。
Bacterial meningitis in the African meningitis belt remains 1 of the most serious threats to health. The perceptions regarding meningitis in local populations and the cost of illness for households are not well described. We conducted an anthropologic and economic study in Burkina Faso, in the heart of the meningitis belt. Respondents reported combining traditional and modern beliefs regarding disease etiology, which in turn influenced therapeutic care-seeking behavior. Households spent US $90 per meningitis case, or 34% of the annual gross domestic product per capita, and up to US $154 more when meningitis sequelae occurred. Much of this cost was attributable to direct medical expenses, which in theory are paid by the government. Preventive immunization against meningitis will overcome limitations imposed by traditional beliefs and contribute to poverty reduction goals.