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Perceived ill-health and health seeking behavior in two communities in the nam theun 2 hydroelectric project area in Lao People's Democratic Republic

Sayasone, S. and Erlanger, T. E. and Kaul, S. and Sananikhom, P. and Tanner, M. and Utzinger, J. and Odermatt, P.. (2009) Perceived ill-health and health seeking behavior in two communities in the nam theun 2 hydroelectric project area in Lao People's Democratic Republic. Asian pacific journal of tropical medicine, Vol. 2, H. 6. pp. 63-70.

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Official URL: http://edoc.unibas.ch/dok/A5843288

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Abstract

Objective: To compare perceived ill-health and health seeking behavior between two communities affected by the large Nam Theun 2 hydroelectric project in central Lao People's Democratic Republic (PDR). Methods : Two different affected areas; Nakai plateaubeing remote, sparcely populated and mountainous, and Xe Bang Fai lowland plains, more densely populated and comparatively affluent were included. Data were obtained from two cross-sectional household-based health and socio-economic surveys. Results We found pronounced differences in the frequency of self-reported fever, cough, headache and myalgia according to location. On the Nakai plateau, 45.1% of the individuals with ill-health report (recall period: 2 weeks) went to a local health volunteer compared to only 7.2% in the Xe Bang Fai area (P > 0.001). In Nakai, there were disproportionately more illiterates seeking help from local health volunteers when compared to those who attended at least primary schooling (49.2% versus 17.5%, P > 0.01). Self-medication with antimalarials was more common in Xe Bang Fai than on Nakai (32.3% versus 7.0%, P > 0.001). The mean amount of money spent per health consultation was US $ 1.7 in Nakai and US $ 7.2 in Xe Bang Fai. Conclusion :The observed differences in self-reported ill-health and health seeking behavior among these two Lao communities need to be considered when implementing setting-specific mitigation measures as part of the public health action plan of the Nam Mean 2 hydroelectric project
Faculties and Departments: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:Tanner, Marcel and Utzinger, Jürg and Odermatt, Peter
Item Type:Article, refereed
Article Subtype:Research Article
Bibsysno:Link to catalogue
Publisher:Elsevier
ISSN:1995-7645
Note:Publication type according to Uni Basel Research Database: Journal article
Last Modified:14 Sep 2012 07:18
Deposited On:14 Sep 2012 06:45

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