Does “the injury poverty trap” exist?

Thanh, Nguyen Xuan; Hang, Hoang Minh; Chúc, Nguyễn Thị Kim; Rudholm, Niklas; Emmelin, Anders; Lindholm, Lars

doi:10.1016/j.healthpol.2005.10.003

Cited by 20 publications

(8 citation statements)

References 11 publications

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“…poor people in rural areas) to approach affordable cardiac care services at convenient places in a timely fashion and to cut down the extra costs of treatment (e.g. transportation fees, expenses for relatives, opportunity cost) thus avoiding the "medical poverty trap" [28-30]. For chronic diseases requiring lifelong treatments such as hypertension, available and well-qualified facilities at primary healthcare level would improve treatment adherence, promote changes of behavioural risk factors and eventually contribute to local secondary and primary prevention activities.…”

Section: Discussionmentioning

confidence: 99%

Implementing a hypertension management programme in a rural area: local approaches and experiences from Ba-Vi district, Vietnam

et al. 2011

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BackgroundCostly efforts have been invested to control and prevent cardiovascular diseases (CVD) and their risk factors but the ideal solutions for low resource settings remain unclear. This paper aims at summarising our approaches to implementing a programme on hypertension management in a rural commune of Vietnam.MethodsIn a rural commune, a programme has been implemented since 2006 to manage hypertensive people at the commune health station and to deliver health education on CVD risk factors to the entire community. An initial cross-sectional survey was used to screen for hypertensives who might enter the management programme. During 17 months of implementation, other people with hypertension were also followed up and treated. Data were collected from all individual medical records, including demographic factors, behavioural CVD risk factors, blood pressure levels, and number of check-ups. These data were analysed to identify factors relating to adherence to the management programme.ResultsBoth top-down and bottom-up approaches were applied to implement a hypertension management programme. The programme was able to run independently at the commune health station after 17 months. During the implementation phase, 497 people were followed up with an overall regular follow-up of 65.6% and a dropout of 14.3%. Severity of hypertension and effectiveness of treatment were the main factors influencing the decision of people to adhere to the management programme, while being female, having several behavioural CVD risk factors or a history of chronic disease were the predictors for deviating from the programme.ConclusionOur model showed the feasibility, applicability and future potential of a community-based model of comprehensive hypertension care in a low resource context using both top-down and bottom-up approaches to engage all involved partners. This success also highlighted the important roles of both local authorities and a cardiac care network, led by an outstanding cardiac referral centre.

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Section: Discussionmentioning

confidence: 99%

Implementing a hypertension management programme in a rural area: local approaches and experiences from Ba-Vi district, Vietnam

et al. 2011

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“…Key messages that travelers and travel medicine providers might share during advocacy efforts include (Figure 3): 90% of the near 6 million injury deaths annually occur in developing countries; 1 in 5 of these deaths is a child; 2, 54 Two-thirds of injuries are preventable; 12, 13 Families of the injured are frequently forced into poverty due to medical costs or lost wages, placing them at higher injury risk and creating an injury-poverty cycle; 55–57 Road injury alone costs the world more than 500 billion dollars annually; some countries lose more on injury than they spend on healthcare; 56, 58 andInjury control is as cost-effective as HIV/AIDS treatment and vaccination. 59, 60 …”

Section: Opportunity For Advocacymentioning

confidence: 99%

“…Families of the injured are frequently forced into poverty due to medical costs or lost wages, placing them at higher injury risk and creating an injury-poverty cycle; 55–57 …”

Section: Opportunity For Advocacymentioning

confidence: 99%

Road Traffic and Other Unintentional Injuries Among Travelers to Developing Countries

Stewart

Yankson

Afukaar

et al. 2016

Medical Clinics of North America

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Synopsis Injuries result in nearly 6 million deaths and incur 52 million disability-adjusted life years annually, comprising 15% of the global disease burden. More than 90% of this burden occurs in low- and middle-income countries (LMICs). Given this burden, it’s not unexpected that injuries are the leading cause of death among travelers to LMICs, namely from road traffic crashes and drowning. Opportunely, the majority of injuries are preventable. Therefore, pre-travel advice regarding foreseeable dangers and how to avoid them may significantly mitigate injury risk, such as: wearing seatbelts, helmets and personal flotation devices when appropriate; responsibly consuming alcohol; and closely supervising children. Upon return, travelers to LMICs are in a unique position; having shared injury risks while abroad, travelers can advocate for injury control initiatives that might make the world safer for travelers and local populations alike.

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“… 5 Therefore, LMICs have a higher probability of being affected by injuries, fatal as well as non-fatal. 6 …”

Section: Introductionmentioning

confidence: 99%

Socioeconomic and disability consequences of injuries in the Sudan: a community-based survey in Khartoum State

et al. 2013

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BackgroundFatal and non-fatal injuries are of increasing public health concern globally, particularly in low and middle-income countries. Injuries sustained by individuals also impact society, creating a loss of productivity with serious economic consequences. In Sudan, there is no documentation of the burden of injuries on individuals and society.MethodsA community-based survey was performed in Khartoum State, using a stratified two-stage cluster sampling technique. Households were selected in each cluster by systematic random sampling. Face-to-face interviews during October and November 2010 were conducted. Fatal injuries occurring during 5 years preceding the survey and non-fatal injuries occurring during 12 months preceding interviews were included.ResultsThe total number of individuals included was 5661, residing in 973 households. There were 28 deaths due to injuries out of a total of 129 reported deaths over 5 years. A total of 441 cases of non-fatal injuries occurred during the 12 months preceding the survey. The number of disability days differed significantly between mechanisms of injury. Road traffic crashes and falls caused the longest duration of disability. Men had a higher probability than women of losing a job due to an injury.ConclusionsThis study demonstrates the importance of prioritising prevention of road traffic crashes and falls. The loss of productivity in lower socioeconomic strata highlights the need for social security policies. Further research is needed for estimating the economic cost of injuries in Sudan.

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Does “the injury poverty trap” exist?

Cited by 20 publications

References 11 publications

Implementing a hypertension management programme in a rural area: local approaches and experiences from Ba-Vi district, Vietnam

Implementing a hypertension management programme in a rural area: local approaches and experiences from Ba-Vi district, Vietnam

Road Traffic and Other Unintentional Injuries Among Travelers to Developing Countries

Socioeconomic and disability consequences of injuries in the Sudan: a community-based survey in Khartoum State

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