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논문 기본 정보

자료유형
학술저널
저자정보
Joseph R. Mwanga (National Institute for Medical Research) Godfrey M. Kaatano (National Institute for Medical Research) Julius E. Siza (National Institute for Medical Research) Su Young Chang (Good Neighbors International, Tanzania Western Chapter) Yunsuk Ko (Good Neighbors International, Tanzania Western Chapter) Cyril M. Kullaya (Good Neighbors International, Tanzania Western Chapter) Jackson Nsabo (Good Neighbors International, Tanzania Western Chapter) Keeseon S. Eom (Chungbuk National University School of Medicine) Tai-Soon Yong (Yonsei University College of Medicine) Jong-Yil Chai (Seoul National University College of Medicine) Duk-Young Min (Eulji University School of Medicine) Han-Jong Rim (Korea University) John M. Changalucha (National Institute for Medical Research)
저널정보
대한기생충학열대의학회 Parasites, Hosts and Diseases The Korean Journal of Parasitology Vol.53 No.5
발행연도
2015.10
수록면
553 - 559 (7page)

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Research on micro-level assessment of the changes of socio-economic status following health interventions is very scarce. The use of household asset data to determine wealth indices is a common procedure for estimating socio-economic position in resource poor settings. In such settings information about income is usually lacking, and the collection of individual consumption or expenditure data would require in-depth interviews, posing a considerable risk of bias. In this study, we determined the socio-economic status of 213 households in a community population in an island in the north-western Tanzania before and 3 year after implementation of a participatory hygiene and sanitation transformation (PHAST) intervention to control schistosomiasis and intestinal worm infections. We constructed a household "wealth index" based housing construction features (e.g., type of roof, walls, and floor) and durable assets ownership (e.g., bicycle, radio, etc.). We employed principal components analysis and classified households into wealth quintiles. The study revealed that asset variables with positive factor scores were associated with higher socio-economic status, whereas asset variables with negative factor scores were associated with lower socio-economic status. Overall, households which were rated as the poorest and very poor were on the decrease, whereas those rated as poor, less poor, and the least poor were on the increase after PHAST intervention. This decrease/increase was significant. The median shifted from -0.4376677 to 0.5001073, and the mean from -0.2605787 (SD; 2.005688) to 0.2605787 (SD; 1.831199). The difference in socio-economic status of the people between the 2 phases was highly statistically significant (P<0.001). We argue that finding of this study should be treated with caution as there were other interventions to control schistosomiasis and intestinal worm infections which were running concurrently on Kome Island apart from PHAST intervention.
#Schistosomiasis #intestinal worm #socio-economic status #control #principal components analysis #participatory hygiene and sanitation transformation(PHAST) #Tanzania

목차

Abstract
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

참고문헌 (20)

참고문헌 신청
[단행본] - Deaton A / 1998 / Designing Household Survey Questionnaires for Developing Countries: lessons from ten years of LSMS experience / The World Bank : 1 ~ 78 google schola [학술지(정기간행물)] - Castro-Leal F / 2000 / Public spending on health care in Africa: do the poor benefit? / Bull World Health Org 78 : 66 ~ 74 google schola [학술지(정기간행물)] - Makinen M / 2000 / Inequalities in health care use and expenditures: empirical data from eight developing countries and countries in transition / Bull World Health Org 78 : 55 ~ 65 google schola [학술지(정기간행물)] - Filmer D / 2001 / Estimating wealth effect without expenditure data-or tears: an application to educational enrollments in states of India / Demography 38 : 115 ~ 132 google schola [학술지(정기간행물)] - Fürst, T / 2010 / Effect of an armed conflict on relative socioeconomic position of rural households: case study from western Côte d’Ivoire / Emerg Themes Epidemiol 7 : 6 ~ google schola

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