Determining malaria effects in rural Colombia

Good health is an integral component of the quality of human life, a prerequisite for developing human potential and an important determinant of economic development. When a person is ill from a tropical disease in an agricultural economy, a complex interaction between the individual's welfare...

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Published inSocial science & medicine (1982) Vol. 37; no. 9; pp. 1109 - 1114
Main Authors Bonilla, Elssy, Rodriguez, A.
Format Journal Article
LanguageEnglish
Published Oxford Elsevier Ltd 01.11.1993
Elsevier
Pergamon Press Inc
SeriesSocial Science & Medicine
Subjects
Online AccessGet full text
ISSN0277-9536
1873-5347
DOI10.1016/0277-9536(93)90249-4

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Abstract Good health is an integral component of the quality of human life, a prerequisite for developing human potential and an important determinant of economic development. When a person is ill from a tropical disease in an agricultural economy, a complex interaction between the individual's welfare and the family's welfare is set in motion. So complex are these interactions that few empirical studies exist on this subject and even where they do, empirical quantification of these interactions and economic losses places the analyst in the minefield of valuing time, ability and contribution to economic welfare. Placing monetary values on these commodities is always a little unsatisfactory since dollar values do not adequately reflect the nature of the losses. Secondly, the ill person's struggle to minimize the economic effects of disease on family income will mask its true impact; thirdly, tropical diseases disproportionately affect low-income groups and therefore measuring the income effects of disease amongst these groups will only reach at the earnings effect, and underestimate the economic implications of tropical disease control. Despite these difficulties, quantification of the economic impact of disease is important from a public health point of view. This study is an attempt at such a task, and focuses on the intra-familial struggle to minimize economic losses due to malaria. Using a case-control approach, time-losses and labour reallocations within the household are examined in an attempt to understand the economic consequences of the disease. One conclusion is that there is no symmetry between the disease burden and the economic burden; in this study the disease burden was greatest amongst males, but the economic impact of this burden was greatest amongst females who postponed or carried out their own activities in addition to caring for the sick and replacing them in farm production.
AbstractList Good health is an integral component of the quality of human life, a prerequisite for developing human potential and an important determinant of economic development. When a person is ill from a tropical disease in an agricultural economy, a complex interaction between the individual's welfare and the family's welfare is set in motion. So complex are these interactions that few empirical studies exist on this subject and even where they do, empirical quantification of these interactions and economic losses places the analyst in the minefield of valuing time, ability and contribution to economic welfare. Placing monetary values on these commodities is always a little unsatisfactory since dollar values do not adequately reflect the nature of the losses. Secondly, the ill person's struggle to minimize the economic effects of disease on family income will mask its true impact; thirdly, tropical diseases disproportionately affect low-income groups and therefore measuring the income effects of disease amongst these groups will only reach at the earnings effect, and underestimate the economic implications of tropical disease control. Despite these difficulties, quantification of the economic impact of disease is important from a public health point of view. This study is an attempt at such a task, and focuses on the intra-familial struggle to minimize economic losses due to malaria. Using a case-control approach, time-losses and labour reallocations within the household are examined in an attempt to understand the economic consequences of the disease.
Good health is an integral component of the quality of human life, a prerequisite for developing human potential and an important determinant of economic development. When a person is ill from a tropical disease in an agricultural economy, a complex interaction between the individual's welfare and the family's welfare is set in motion. So complex are these interactions that few empirical studies exist on this subject and even where they do, empirical quantification of these interactions and economic losses places the analyst in the minefield of valuing time, ability and contribution to economic welfare. Placing monetary values on these commodities is always a little unsatisfactory since dollar values do not adequately reflect the nature of the losses. Secondly, the ill person's struggle to minimize the economic effects of disease on family income will mask its true impact; thirdly, tropical diseases disproportionately affect low-income groups and therefore measuring the income effects of disease amongst these groups will only reach at the earnings effect, and underestimate the economic implications of tropical disease control. Despite these difficulties, quantification of the economic impact of disease is important from a public health point of view. This study is an attempt at such a task, and focuses on the intra-familial struggle to minimize economic losses due to malaria. Using a case-control approach, time-losses and labour reallocations within the household are examined in an attempt to understand the economic consequences of the disease.Good health is an integral component of the quality of human life, a prerequisite for developing human potential and an important determinant of economic development. When a person is ill from a tropical disease in an agricultural economy, a complex interaction between the individual's welfare and the family's welfare is set in motion. So complex are these interactions that few empirical studies exist on this subject and even where they do, empirical quantification of these interactions and economic losses places the analyst in the minefield of valuing time, ability and contribution to economic welfare. Placing monetary values on these commodities is always a little unsatisfactory since dollar values do not adequately reflect the nature of the losses. Secondly, the ill person's struggle to minimize the economic effects of disease on family income will mask its true impact; thirdly, tropical diseases disproportionately affect low-income groups and therefore measuring the income effects of disease amongst these groups will only reach at the earnings effect, and underestimate the economic implications of tropical disease control. Despite these difficulties, quantification of the economic impact of disease is important from a public health point of view. This study is an attempt at such a task, and focuses on the intra-familial struggle to minimize economic losses due to malaria. Using a case-control approach, time-losses and labour reallocations within the household are examined in an attempt to understand the economic consequences of the disease.
Good health is an integral component of the quality of human life, a prerequisite for developing human potential and an important determinant of economic development. When a person is ill from a tropical disease in an agricultural economy, a complex interaction between the individual's welfare and the family's welfare is set in motion. So complex are these interactions that few empirical studies exist on this subject and even where they do, empirical quantification of these interactions and economic losses places the analyst in the minefield of valuing time, ability and contribution to economic welfare. Placing monetary values on these commodities is always a little unsatisfactory since dollar values do not adequately reflect the nature of the losses. Secondly, the ill person's struggle to minimize the economic effects of disease on family income will mask its true impact; thirdly, tropical diseases disproportionately affect low-income groups and therefore measuring the income effects of disease amongst these groups will only reach at the earnings effect, and underestimate the economic implications of tropical disease control. Despite these difficulties, quantification of the economic impact of disease is important from a public health point of view. This study is an attempt at such a task, and focuses on the intra-familial struggle to minimize economic losses due to malaria. Using a case-control approach, time-losses and labour reallocations within the household are examined in an attempt to understand the economic consequences of the disease. One conclusion is that there is no symmetry between the disease burden and the economic burden; in this study the disease burden was greatest amongst males, but the economic impact of this burden was greatest amongst females who postponed or carried out their own activities in addition to caring for the sick and replacing them in farm production.
Concludes that there is no symmetry between the disease burden and the economic burden; the disease burden was greatest amongst males, but the economic impact of this burden was greatest amongst females who postponed or carried out their own activities in addition to caring for the sick and replacing them in farm production. (Original abstract-amended)
Quantification of the economic impact of malaria is important from a public health point of view. A study that attempts such a quantification in rural Colombia is offered.
Good health is an integral component of the quality of human life, a prerequisite for developing human potential and an important determinant of economic development. When a person is ill from a tropical disease in an agricultural economy, a complex interaction between the individual's welfare and the family's welfare is set in motion. So complex are these interactions that few empirical studies exist on this subject and even where they do, empirical quantification of these interactions and economic losses places the analyst in the minefield of valuing time, ability and contribution to economic welfare. Placing monetary values on these commodities is always a little unsatisfactory since dollar values do not adequately reflect the nature of the losses. Secondly, the ill person's struggle to minimize the economic effects of disease on family income will mask its true impact; thirdly, tropical diseases disproportionately affect low-income groups and therefore measuring the income effects of disease amongst these groups will only reach at the earnings effect, and underestimate the economic implications of tropical disease control. Despite these difficulties, quantification of the economic impact of disease is important from a public health point of view. This study is an attempt at such a task, and focuses on the intra-familial struggle to minimize economic losses due to malaria. Using a case-control approach, time-losses and labour reallocations within the household are examined in an attempt to understand the economic consequences of the disease. One conclusion is that there is no symmetry between the disease burden and the economic burden; in this study the disease burden was greatest amongst males, but the economic impact of this burden was greatest amongst females who postponed or carried out their own activities in addition to caring for the sick and replacing them in farm production.
Author Bonilla, Elssy
Rodriguez, A.
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Issue 9
Keywords malaria
economic impact
labour lost
women
Infection
Human
Economic analysis
Protozoal disease
Rural environment
Malaria
Socioeconomical impact
Family environment
Agriculture
Cost analysis
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References Bruce-Chwatt (BIB2) 1986
Figures from the Colombia Malaria Erradication Service (SEM).
Nur (BIB3) 1993; 37
Bruce-Chwatt (10.1016/0277-9536(93)90249-4_BIB2) 1986
10.1016/0277-9536(93)90249-4_BIB1
Nur (10.1016/0277-9536(93)90249-4_BIB3) 1993; 37
References_xml – volume: 37
  start-page: 1115
  year: 1993
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  ident: BIB3
  article-title: The impact of malaria on labour use and efficiency in the Sudan
  publication-title: Soc. Sci. Med.
– start-page: 373
  year: 1986
  ident: BIB2
  article-title: Essential Malariology
– reference: Figures from the Colombia Malaria Erradication Service (SEM).
– start-page: 373
  year: 1986
  ident: 10.1016/0277-9536(93)90249-4_BIB2
  article-title: Essential Malariology
– ident: 10.1016/0277-9536(93)90249-4_BIB1
– volume: 37
  start-page: 1115
  year: 1993
  ident: 10.1016/0277-9536(93)90249-4_BIB3
  article-title: The impact of malaria on labour use and efficiency in the Sudan
  publication-title: Soc. Sci. Med.
  doi: 10.1016/0277-9536(93)90250-8
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Snippet Good health is an integral component of the quality of human life, a prerequisite for developing human potential and an important determinant of economic...
Quantification of the economic impact of malaria is important from a public health point of view. A study that attempts such a quantification in rural Colombia...
Concludes that there is no symmetry between the disease burden and the economic burden; the disease burden was greatest amongst males, but the economic impact...
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SubjectTerms Activities of Daily Living
Adolescent
Adult
Biological and medical sciences
Child
Colombia
Colombia - epidemiology
Cross-Sectional Studies
Developing Countries
Disability Evaluation
Economic aspects
Economic impact
Female
Health Care Rationing - economics
Households
Human protozoal diseases
Humans
Incidence
Infectious diseases
labour lost
Malaria
malaria economic impact labour lost women
Malaria, Falciparum - economics
Malaria, Falciparum - epidemiology
Malaria, Falciparum - prevention & control
Malaria, Vivax - economics
Malaria, Vivax - epidemiology
Malaria, Vivax - prevention & control
Male
Measurement
Medical sciences
Middle Aged
Parasitic diseases
Protozoal diseases
Public health
Responses
Rural areas
Social research
Socioeconomic Factors
Tropical medicine
women
Title Determining malaria effects in rural Colombia
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