The socio-economic burden of human African trypanosomiasis and the coping strategies of households in the South Western Kenya foci.
Human African Trypanosomiasis (HAT), a disease caused by protozoan parasites transmitted by tsetse flies, is an important neglected tropical disease endemic in remote regions of sub-Saharan Africa. Although the determination of the burden of HAT has been based on incidence, mortality and morbidity r...
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ftdoajarticles:oai:doaj.org/article:db60b1ae2923494298034fda70ae60d9 2023-05-15T15:15:57+02:00 The socio-economic burden of human African trypanosomiasis and the coping strategies of households in the South Western Kenya foci. Salome A Bukachi Simiyu Wandibba Isaac K Nyamongo 2017-10-01T00:00:00Z https://doi.org/10.1371/journal.pntd.0006002 https://doaj.org/article/db60b1ae2923494298034fda70ae60d9 EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC5675461?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0006002 https://doaj.org/article/db60b1ae2923494298034fda70ae60d9 PLoS Neglected Tropical Diseases, Vol 11, Iss 10, p e0006002 (2017) Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2017 ftdoajarticles https://doi.org/10.1371/journal.pntd.0006002 2022-12-31T05:44:53Z Human African Trypanosomiasis (HAT), a disease caused by protozoan parasites transmitted by tsetse flies, is an important neglected tropical disease endemic in remote regions of sub-Saharan Africa. Although the determination of the burden of HAT has been based on incidence, mortality and morbidity rates, the true burden of HAT goes beyond these metrics. This study sought to establish the socio-economic burden that households with HAT faced and the coping strategies they employed to deal with the increased burden.A mixed methods approach was used and data were obtained through: review of hospital records; structured interviews (152); key informant interviews (11); case narratives (12) and focus group discussions (15) with participants drawn from sleeping sickness patients in the south western HAT foci in Kenya. Quantitative data were analysed using descriptive statistics while qualitative data was analysed based on emerging themes.Socio-economic impacts included, disruption of daily activities, food insecurity, neglect of homestead, poor academic performance/school drop-outs and death. Delayed diagnosis of HAT caused 93% of the affected households to experience an increase in financial expenditure (ranging from US$ 60-170) in seeking treatment. Out of these, 81.5% experienced difficulties in raising money for treatment resorting to various ways of raising it. The coping strategies employed to deal with the increased financial expenditure included: sale of agricultural produce (64%); seeking assistance from family and friends (54%); sale/lease of family assets (22%); seeking credit (22%) and use of personal savings (17%).Coping strategies outlined in this study impacted negatively on the affected households leading to further food insecurity and impoverishment. Calculation of the true burden of disease needs to go beyond incidence, mortality and morbidity rates to capture socio-economic variables entailed in seeking treatment and coping strategies of HAT affected households. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Homestead ENVELOPE(-119.369,-119.369,55.517,55.517) PLOS Neglected Tropical Diseases 11 10 e0006002 |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Salome A Bukachi Simiyu Wandibba Isaac K Nyamongo The socio-economic burden of human African trypanosomiasis and the coping strategies of households in the South Western Kenya foci. |
topic_facet |
Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Human African Trypanosomiasis (HAT), a disease caused by protozoan parasites transmitted by tsetse flies, is an important neglected tropical disease endemic in remote regions of sub-Saharan Africa. Although the determination of the burden of HAT has been based on incidence, mortality and morbidity rates, the true burden of HAT goes beyond these metrics. This study sought to establish the socio-economic burden that households with HAT faced and the coping strategies they employed to deal with the increased burden.A mixed methods approach was used and data were obtained through: review of hospital records; structured interviews (152); key informant interviews (11); case narratives (12) and focus group discussions (15) with participants drawn from sleeping sickness patients in the south western HAT foci in Kenya. Quantitative data were analysed using descriptive statistics while qualitative data was analysed based on emerging themes.Socio-economic impacts included, disruption of daily activities, food insecurity, neglect of homestead, poor academic performance/school drop-outs and death. Delayed diagnosis of HAT caused 93% of the affected households to experience an increase in financial expenditure (ranging from US$ 60-170) in seeking treatment. Out of these, 81.5% experienced difficulties in raising money for treatment resorting to various ways of raising it. The coping strategies employed to deal with the increased financial expenditure included: sale of agricultural produce (64%); seeking assistance from family and friends (54%); sale/lease of family assets (22%); seeking credit (22%) and use of personal savings (17%).Coping strategies outlined in this study impacted negatively on the affected households leading to further food insecurity and impoverishment. Calculation of the true burden of disease needs to go beyond incidence, mortality and morbidity rates to capture socio-economic variables entailed in seeking treatment and coping strategies of HAT affected households. |
format |
Article in Journal/Newspaper |
author |
Salome A Bukachi Simiyu Wandibba Isaac K Nyamongo |
author_facet |
Salome A Bukachi Simiyu Wandibba Isaac K Nyamongo |
author_sort |
Salome A Bukachi |
title |
The socio-economic burden of human African trypanosomiasis and the coping strategies of households in the South Western Kenya foci. |
title_short |
The socio-economic burden of human African trypanosomiasis and the coping strategies of households in the South Western Kenya foci. |
title_full |
The socio-economic burden of human African trypanosomiasis and the coping strategies of households in the South Western Kenya foci. |
title_fullStr |
The socio-economic burden of human African trypanosomiasis and the coping strategies of households in the South Western Kenya foci. |
title_full_unstemmed |
The socio-economic burden of human African trypanosomiasis and the coping strategies of households in the South Western Kenya foci. |
title_sort |
socio-economic burden of human african trypanosomiasis and the coping strategies of households in the south western kenya foci. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2017 |
url |
https://doi.org/10.1371/journal.pntd.0006002 https://doaj.org/article/db60b1ae2923494298034fda70ae60d9 |
long_lat |
ENVELOPE(-119.369,-119.369,55.517,55.517) |
geographic |
Arctic Homestead |
geographic_facet |
Arctic Homestead |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
PLoS Neglected Tropical Diseases, Vol 11, Iss 10, p e0006002 (2017) |
op_relation |
http://europepmc.org/articles/PMC5675461?pdf=render https://doaj.org/toc/1935-2727 https://doaj.org/toc/1935-2735 1935-2727 1935-2735 doi:10.1371/journal.pntd.0006002 https://doaj.org/article/db60b1ae2923494298034fda70ae60d9 |
op_doi |
https://doi.org/10.1371/journal.pntd.0006002 |
container_title |
PLOS Neglected Tropical Diseases |
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11 |
container_issue |
10 |
container_start_page |
e0006002 |
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1766346281279553536 |