edoc

Health access livelihood framework reveals potential barriers in the control of schistosomiasis in the dongting lake area of hunan province, China

Balen, Julie and Liu, Zhao-Chun and McManus, Donald P. and Raso, Giovanna and Utzinger, Jürg and Xiao, Shui-Yuan and Yu, Dong-Bao and Zhao, Zheng-Yuan and Li, Yue-Sheng. (2013) Health access livelihood framework reveals potential barriers in the control of schistosomiasis in the dongting lake area of hunan province, China. PLoS neglected tropical diseases, Vol. 7, H. 8 , e2350.

[img]
Preview
PDF - Published Version
Available under License CC BY (Attribution).

674Kb

Official URL: http://edoc.unibas.ch/dok/A6165186

Downloads: Statistics Overview

Abstract

Access to health care is a major requirement in improving health and fostering socioeconomic development. In the People's Republic of China (P.R. China), considerable changes have occurred in the social, economic, and health systems with a shift from a centrally planned to a socialist market economy. This brought about great benefits and new challenges, particularly for vertical disease control programs, including schistosomiasis. We explored systemic barriers in access to equitable and effective control of schistosomiasis.; Between August 2002 and February 2003, 66 interviews with staff from anti-schistosomiasis control stations and six focus group discussions with health personnel were conducted in the Dongting Lake area, Hunan Province. Additionally, 79 patients with advanced schistosomiasis japonica were interviewed. The health access livelihood framework was utilized to examine availability, accessibility, affordability, adequacy, and acceptability of schistosomiasis-related health care.; We found sufficient availability of infrastructure and human resources at most control stations. Many patients with advanced schistosomiasis resided in non-endemic or moderately endemic areas, however, with poor accessibility to disease-specific knowledge and specialized health services. Moreover, none of the patients interviewed had any form of health insurance, resulting in high out-of-pocket expenditure or unaffordable care. Reports on the adequacy and acceptability of care were mixed.; There is a need to strengthen health awareness and schistosomiasis surveillance in post-transmission control settings, as well as to reduce diagnostic and treatment costs. Further studies are needed to gain a multi-layered, in-depth understanding of remaining barriers, so that the ultimate goal of schistosomiasis elimination in P.R. China can be reached.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Epidemiology and Public Health (EPH) > Eco System Health Sciences > Health Impact Assessment (Utzinger)
UniBasel Contributors:Utzinger, Jürg and Raso, Giovanna
Item Type:Article, refereed
Bibsysno:Link to catalogue
Publisher:Public Library of Science
ISSN:1935-2727
Note:Publication type according to Uni Basel Research Database: Journal article
Language:English
Related URLs:
Identification Number:
Last Modified:31 Dec 2015 10:54
Deposited On:06 Dec 2013 09:35

Repository Staff Only: item control page