'My feet cannot stand on their own': podoconiosis patient healthcare expenditures and income impacts in Rwanda.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-09-02 DOI:10.1093/trstmh/trae006

Janna M Schurer, Ursin Bayisenge, Dieudonne Hakizimana, Ellen Rafferty

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Abstract

Background: Podoconiosis is a progressive and debilitating form of tropical lymphoedema endemic to Rwanda. Although the physical and psychological consequences are well known, few studies have evaluated the financial burden of podoconiosis.

Methods: This cross-sectional, quantitative study aimed to characterize direct treatment costs and impacts on annual earnings among individuals living with podoconiosis. Participants from two highly endemic districts were invited to complete a survey focused on health-seeking history, insurance status, out-of-pocket costs and income changes. Direct treatment costs included medical expenditures (consultation, diagnostics, medication) and non-medical expenditures (food, transportation, accommodation).

Results: Overall, 226 adults (≥18 y of age) diagnosed with podoconiosis participated. Most had access to community-based health insurance (91.6%) but were unable to work (71.7%). Respondents sought care from health centres/posts (61.9%), hospitals (25.1%), traditional healers (5.8%) and/or community health workers (4.0%). On average, study participants paid US$32.50 (range US$0-779.23) annually, or 11.7% of their household salary, on podoconiosis treatments.

Conclusions: This study demonstrates the significant financial burden of podoconiosis on individuals and their communities. Increased attention on integrating podoconiosis management into primary care systems and testing cost-effective solutions is needed to protect those who are most vulnerable.

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我的脚无法独立站立"：卢旺达足癣患者的医疗支出和收入影响。

背景：足癣是卢旺达特有的一种进展性热带淋巴水肿，会使人衰弱。虽然足癣对患者的身体和心理造成的后果众所周知，但很少有研究对足癣的经济负担进行评估：这项横断面定量研究旨在了解足癣患者的直接治疗费用及其对年收入的影响。我们邀请了两个高流行区的参与者完成一项调查，主要内容包括求医史、保险状况、自付费用和收入变化。直接治疗费用包括医疗支出（咨询、诊断、药物）和非医疗支出（食品、交通、住宿）：共有 226 名确诊患有足癣的成年人（年龄≥18 岁）参加了调查。大多数人有社区医疗保险（91.6%），但无法工作（71.7%）。受访者向保健中心/站（61.9%）、医院（25.1%）、传统医士（5.8%）和/或社区保健员（4.0%）寻求治疗。平均而言，研究参与者每年支付 32.50 美元（0-779.23 美元不等）用于治疗足癣，占家庭工资的 11.7%：这项研究表明，足癣给个人及其社区造成了沉重的经济负担。我们需要更加重视将足癣治疗纳入初级保健系统，并测试具有成本效益的解决方案，以保护那些最脆弱的群体。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.