The Household Costs of Visceral Leishmaniasis Care in South-eastern Nepal
Publication Date
February 28, 2013
Journal
PLOS Neglected Tropical Diseases
Authors
Surendra Uranw, Filip Meheus, Rob Baltussen, Suman Rijal, et al
Volume
7
Issue
2
Pages
e2062
DOI
https://dx.plos.org/10.1371/journal.pntd.0002062
Publisher URL
http://journals.plos.org/plosntds/article?id=10.1371%2Fjournal.pntd.0002062
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/23469298
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3585119
Europe PMC
http://europepmc.org/abstract/MED/23469298
Web of Science
000315644900026
Scopus
84874760881
Mendeley
http://www.mendeley.com/research/household-costs-visceral-leishmaniasis-care-southeastern-nepal
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Mendeley | Further Information

{"title"=>"The Household Costs of Visceral Leishmaniasis Care in South-eastern Nepal", "type"=>"journal", "authors"=>[{"first_name"=>"Surendra", "last_name"=>"Uranw", "scopus_author_id"=>"26325973200"}, {"first_name"=>"Filip", "last_name"=>"Meheus", "scopus_author_id"=>"8548852500"}, {"first_name"=>"Rob", "last_name"=>"Baltussen", "scopus_author_id"=>"56231991800"}, {"first_name"=>"Suman", "last_name"=>"Rijal", "scopus_author_id"=>"6602721336"}, {"first_name"=>"Marleen", "last_name"=>"Boelaert", "scopus_author_id"=>"7005040188"}], "year"=>2013, "source"=>"PLoS Neglected Tropical Diseases", "identifiers"=>{"issn"=>"19352735", "scopus"=>"2-s2.0-84874760881", "sgr"=>"84874760881", "pui"=>"368490608", "isbn"=>"1935-2735 (Electronic)\\r1935-2727 (Linking)", "pmid"=>"23469298", "doi"=>"10.1371/journal.pntd.0002062"}, "id"=>"db826338-272e-3698-a580-8ea6ec597b55", "abstract"=>"BACKGROUND AND OBJECTIVES: Visceral leishmaniasis (VL) is an important public health problem in south-eastern Nepal affecting very poor rural communities. Since 2005, Nepal is involved in a regional initiative to eliminate VL. This study assessed the economic impact of VL on households and examined whether the intensified VL control efforts induced by the government resulted in a decrease in household costs.\\n\\nMETHODS: Between August and September 2010, a household survey was conducted among 168 patients that had been treated for VL within 12 months prior to the survey in five districts in south-eastern Nepal. We collected data on health-seeking behaviour, direct and indirect costs and coping strategies.\\n\\nRESULTS: The median total cost of one episode of VL was US$ 165 or 11% of annual household income. The median delay between the onset of symptoms and presentation to a qualified provider was 25 days. Once the patient presented to a qualified provider, the delay to correct diagnosis was minimal (median 3 days). Direct and indirect costs (income losses) represented 47% and 53% of total costs respectively. Households used multiple strategies to cope with the cost of illness, mainly mobilizing cash/savings (71%) or taking a loan (56%).\\n\\nCONCLUSIONS: The provision of free VL diagnosis and drugs by the Nepalese control programme has been an important policy measure to reduce the cost of VL to households. But despite the free VL drugs, the economic burden is still important for households. More effort should be put into reducing indirect costs, in particular the length of treatment, and preventing the transmission of VL through vector control.", "link"=>"http://www.mendeley.com/research/household-costs-visceral-leishmaniasis-care-southeastern-nepal", "reader_count"=>32, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Student > Doctoral Student"=>4, "Researcher"=>1, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>3, "Student > Master"=>11, "Student > Bachelor"=>1, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Student > Doctoral Student"=>4, "Researcher"=>1, "Student > Ph. D. Student"=>8, "Student > Postgraduate"=>3, "Student > Master"=>11, "Student > Bachelor"=>1, "Lecturer"=>1, "Lecturer > Senior Lecturer"=>1}, "reader_count_by_subject_area"=>{"Unspecified"=>1, "Nursing and Health Professions"=>3, "Mathematics"=>1, "Medicine and Dentistry"=>14, "Agricultural and Biological Sciences"=>2, "Philosophy"=>1, "Veterinary Science and Veterinary Medicine"=>2, "Social Sciences"=>3, "Computer Science"=>1, "Economics, Econometrics and Finance"=>4}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>14}, "Social Sciences"=>{"Social Sciences"=>3}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>4}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>1}, "Philosophy"=>{"Philosophy"=>1}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>2}}, "reader_count_by_country"=>{"Belgium"=>1}, "group_count"=>0}

Scopus | Further Information

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Figshare

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  • {"files"=>["https://ndownloader.figshare.com/files/1011291"], "description"=>"<p>Exchange rate 1 US$ = 74 Rs. (Sept. 2010).</p>", "links"=>[], "tags"=>["indirect", "costs", "vl"], "article_id"=>671701, "categories"=>["Medicine", "Infectious Diseases"], "users"=>["Surendra Uranw", "Filip Meheus", "Rob Baltussen", "Suman Rijal", "Marleen Boelaert"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0002062.t005", "stats"=>{"downloads"=>0, "page_views"=>10, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Summary_of_direct_and_indirect_costs_per_VL_episode_Rs_and_in_US_2010_/671701", "title"=>"Summary of direct and indirect costs per VL episode (Rs. and in US$ 2010).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-28 00:28:21"}
  • {"files"=>["https://ndownloader.figshare.com/files/1011235"], "description"=>"1<p>The treatment facility is the health provider where the patient received VL treatment. In 98% of cases this was a public hospital.</p>", "links"=>[], "tags"=>["seeking", "behaviour", "households"], "article_id"=>671647, "categories"=>["Medicine", "Infectious Diseases"], "users"=>["Surendra Uranw", "Filip Meheus", "Rob Baltussen", "Suman Rijal", "Marleen Boelaert"], "doi"=>"https://dx.doi.org/10.1371/journal.pntd.0002062.t002", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Health_seeking_behaviour_of_households_n_8202_8202_168_/671647", "title"=>"Health seeking behaviour of households (n = 168).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-02-28 00:27:27"}

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Relative Metric

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