A Study on Socio-economic Determinants and Economic Burden of Japanese Encephalitis in Kailali district of Nepal

Background: Japanese encephalitis is emerging as a serious public health problem in Nepal. The diagnosis and treatment of the JE patient has financial consequences to the society. Methods: The study was based on primary as well as secondary sources. However, the study relied mainly on primary data....

Full description

Saved in:

Bibliographic Details
Main Authors:	Adhikari, SR, Sharma, BP
Format:	Technical Report
Language:	en_US
Published:	2016
Subjects:	determinants disability adjusted life years economic burden Japanese encephalitis risk factors
Online Access:	http://103.69.126.140:8080/handle/123456789/41
Tags:	Add Tag No Tags, Be the first to tag this record!

id	oai:103.69.126.140:123456789-41
record_format	dspace
spelling	oai:103.69.126.140:123456789-412022-11-08T10:29:20Z A Study on Socio-economic Determinants and Economic Burden of Japanese Encephalitis in Kailali district of Nepal Communicable/Infectious diseases Adhikari, SR Sharma, BP determinants disability adjusted life years economic burden Japanese encephalitis risk factors Background: Japanese encephalitis is emerging as a serious public health problem in Nepal. The diagnosis and treatment of the JE patient has financial consequences to the society. Methods: The study was based on primary as well as secondary sources. However, the study relied mainly on primary data. For primary data, 60 households with Japanese encephalitis patients, 30 male and 30 female, were randomly selected from the list of Japanese encephalitis patients from the hospital records. Pre-designed, pre-tested questionnaires were administered, to collect quantitative information from the sampled household. Focus group discussion with health personnel, Japanese encephalitis patients, caretakers and key informants were also conducted to obtain in-depth information. Simple statistical tools such as averages, standard deviations, correlations between variables to explain the nature of relationship and test of significance have been used. Disability Adjusted Life Years calculation has been made using the formula outlined by Murray. Results: The direct cost which was the out of pocket cost of Japanese encephalitis treatment involved medical cost, transportation cost, and food expenses. The average total direct cost was Rs. 5281 per patient. A positive relationship (r =» 0.24) between food expenses and per capita income was observed. The average total time loss of the household (both patients and caretakers) was 90 person days. The average total resource cost was Rs. 10613 which was almost 15 percent of the average annual income. Of the total Japanese encephalitis household, 88 percent had borrowed loans for Japanese encephalitis treatment and the maximum amount borrowed was Rs. 9000. The total Disability Adjusted Life Years lost was 493.92. The study estimated a Disability Adjusted Life Years of 365.70 reduced as a result of treatment provided by local health system. The study while analyzing the determinants of Japanese encephalitis identified several risk factors as environmental factors, occupational factors, level of income (poverty) factors, knowledge and behavioral factors and cultural factors. Conclusions: Japanese encephalitis is a rural based disease and a disease of the poor. It imposes multidimensional impact such as economic burden on the household, burden on the local health system, burden on society and increase in the marginal poor. Japanese encephalitis had an impact not only on the income but on the sources of income as well which effected their future income flow and prospects of a better future. Keywords: determinants; disability adjusted life years; economic burden; Japanese encephalitis; risk factors. 2016-10-27T09:08:24Z 2022-11-08T10:10:06Z 2016-10-27T09:08:24Z 2022-11-08T10:10:06Z 2002 Technical Report http://103.69.126.140:8080/handle/123456789/41 en_US application/vnd.openxmlformats-officedocument.wordprocessingml.document
institution	My University
collection	DSpace
language	en_US
topic	determinants disability adjusted life years economic burden Japanese encephalitis risk factors
spellingShingle	determinants disability adjusted life years economic burden Japanese encephalitis risk factors Adhikari, SR Sharma, BP A Study on Socio-economic Determinants and Economic Burden of Japanese Encephalitis in Kailali district of Nepal
description	Background: Japanese encephalitis is emerging as a serious public health problem in Nepal. The diagnosis and treatment of the JE patient has financial consequences to the society. Methods: The study was based on primary as well as secondary sources. However, the study relied mainly on primary data. For primary data, 60 households with Japanese encephalitis patients, 30 male and 30 female, were randomly selected from the list of Japanese encephalitis patients from the hospital records. Pre-designed, pre-tested questionnaires were administered, to collect quantitative information from the sampled household. Focus group discussion with health personnel, Japanese encephalitis patients, caretakers and key informants were also conducted to obtain in-depth information. Simple statistical tools such as averages, standard deviations, correlations between variables to explain the nature of relationship and test of significance have been used. Disability Adjusted Life Years calculation has been made using the formula outlined by Murray. Results: The direct cost which was the out of pocket cost of Japanese encephalitis treatment involved medical cost, transportation cost, and food expenses. The average total direct cost was Rs. 5281 per patient. A positive relationship (r =» 0.24) between food expenses and per capita income was observed. The average total time loss of the household (both patients and caretakers) was 90 person days. The average total resource cost was Rs. 10613 which was almost 15 percent of the average annual income. Of the total Japanese encephalitis household, 88 percent had borrowed loans for Japanese encephalitis treatment and the maximum amount borrowed was Rs. 9000. The total Disability Adjusted Life Years lost was 493.92. The study estimated a Disability Adjusted Life Years of 365.70 reduced as a result of treatment provided by local health system. The study while analyzing the determinants of Japanese encephalitis identified several risk factors as environmental factors, occupational factors, level of income (poverty) factors, knowledge and behavioral factors and cultural factors. Conclusions: Japanese encephalitis is a rural based disease and a disease of the poor. It imposes multidimensional impact such as economic burden on the household, burden on the local health system, burden on society and increase in the marginal poor. Japanese encephalitis had an impact not only on the income but on the sources of income as well which effected their future income flow and prospects of a better future. Keywords: determinants; disability adjusted life years; economic burden; Japanese encephalitis; risk factors.
format	Technical Report
author	Adhikari, SR Sharma, BP
author_facet	Adhikari, SR Sharma, BP
author_sort	Adhikari, SR
title	A Study on Socio-economic Determinants and Economic Burden of Japanese Encephalitis in Kailali district of Nepal
title_short	A Study on Socio-economic Determinants and Economic Burden of Japanese Encephalitis in Kailali district of Nepal
title_full	A Study on Socio-economic Determinants and Economic Burden of Japanese Encephalitis in Kailali district of Nepal
title_fullStr	A Study on Socio-economic Determinants and Economic Burden of Japanese Encephalitis in Kailali district of Nepal
title_full_unstemmed	A Study on Socio-economic Determinants and Economic Burden of Japanese Encephalitis in Kailali district of Nepal
title_sort	study on socio-economic determinants and economic burden of japanese encephalitis in kailali district of nepal
publishDate	2016
url	http://103.69.126.140:8080/handle/123456789/41
work_keys_str_mv	AT adhikarisr astudyonsocioeconomicdeterminantsandeconomicburdenofjapaneseencephalitisinkailalidistrictofnepal AT sharmabp astudyonsocioeconomicdeterminantsandeconomicburdenofjapaneseencephalitisinkailalidistrictofnepal AT adhikarisr communicableinfectiousdiseases AT sharmabp communicableinfectiousdiseases AT adhikarisr studyonsocioeconomicdeterminantsandeconomicburdenofjapaneseencephalitisinkailalidistrictofnepal AT sharmabp studyonsocioeconomicdeterminantsandeconomicburdenofjapaneseencephalitisinkailalidistrictofnepal
_version_	1761500980625539072

A Study on Socio-economic Determinants and Economic Burden of Japanese Encephalitis in Kailali district of Nepal

Similar Items