Lymphatic Filariasis: Epidemiological Analysis of the Situation in Salyantar VDC of Dhading District, Nepal

Byanju, Reena; Gupta, Ranjana

doi:10.3126/jnhm.v26i0.14137

Cited by 4 publications

(6 citation statements)

References 4 publications

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“…The older age group (70 years and above) were found to be more infected. This might be because of high exposure towards outer environment, lack of awareness and carelessness towards the use of mosquito nets [10].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence and clinical aspects of Wuchereria bancrofti among inhabitants of a resource limited irrigation project community, North Central Nigeria

Amaechi¹,

Ohaeri²,

Ukpai³

et al. 2016

Asian Pac J Trop Dis

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Section: Discussionmentioning

confidence: 99%

“…For the planning of a control programme towards a public health disease, it is necessary to gather information on the prevalence and distribution in a given area [9,10]. Reports on the distribution of filariasis due to W. bancrofti in irrigational communities of North Central Nigeria are rather scanty.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and clinical aspects of Wuchereria bancrofti among inhabitants of a resource limited irrigation project community, North Central Nigeria

Amaechi¹,

Ohaeri²,

Ukpai³

et al. 2016

Asian Pac J Trop Dis

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“…The morbidity record collected during MDA from 61 districts showed that a total of 28,529 cases of LF among which majority (19,907) were hydrocele, 5,704 elephantiasis and 2,918 cases of hand & breast swelling and other LF manifestations (2). A study conducted in Nepal found out higher prevalence of LF among men in comparison to women (11). The same study identi ed variation in distribution of micro larial parasite, which was highest in the age group of > 70 years and least in the ≤ 10 years.…”

Section: Introductionmentioning

confidence: 85%

“…Furthermore, a study identi ed that women's perception and knowledge on LF is highly in uenced by the superstitious beliefs and socio-cultural norms when compared to men (9). Poor understanding of causes, modes of transmission, symptoms and preventive measures of LF impairs women's ability to protect themselves and their families from the disease (10,11). Another sequel of incognizance is stigma associated with LF which is widely prevalent in the community resulting in occupational di culty or quitting job, social exclusion, disrupted marital and social relationships (12).…”

Section: Introductionmentioning

confidence: 99%

Understanding gender and its intersection with social stratifiers on prevention and care seeking behavior of Lymphatic Filariasis in Nepal

Arjyal¹,

Parajuli²,

Kharel³

et al. 2023

Preprint

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Background: Lymphatic Filariasis (LF), is a debilitating and painful neglected tropical disease and is one of the leading causes of permanent disability. Division of work within and outside the household and everyday practices influenced by sex and gender intersect with other demographics and social stratifiers that influence exposure to LF, which ultimately impact on disease burden. Hence, this study aimed to explore the influence of gender and its intersection with other social stratifiers for the prevention and care seeking behavior of LF in Nepal. Methods: This qualitative study was conducted using in-depth interviews (IDIs) and focus group discussions (FGDs) as methods for data collection in Bardiya district. Total 22 IDIs and 2 FGDs were conducted with purposively selected adult male and female aged ≥18 years, residing in the selected area for over a year. The data collection was conducted between January and March 2020. The study received ethical approval from Nepal Health Research Council (Reg. no. 656/2019) and Ethics Review Committee of WHO, Geneva. Results: Men spend more time outside their household compared to women while fulfilling their roles and responsibilities which was largely determined by what is socially acceptable. Thus, limited men’s access to preventive health services as they often missed mass drug administration (MDA) programme held every year in their community and had limited resources to adopt preventive measures to protect themselves from mosquito bites while travelling. The ability to prevent exposure varied when some did not have adequate bed nets for all family members. Although, women in most cases made decision on the selection, purchase and use of protective methods, it was influenced by the patriarchal and gender norms as they felt their responsibility to take care of the family members and thus prioritized male, children and elderly members of the household in case of limited availability. Gender, marital status, ethnicity and geographical areas intersected and influenced individual’s ability to access source of information. There existed sex and religion wise differences on preference of health facilities. Conclusion: Access to resources, division of work, norms and values and decision-making power alone and its interaction with various social stratifiers shaped peoples’ vulnerability to disease, ability to prevent exposure and response to illness. Trial registration: Not Applicable

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“…According to a study, gender plays a significant role in shaping understanding of the disease transmission, coping mechanisms, and health-seeking behavior [ 6 ]. Poor understanding of causes, modes of transmission, symptoms and preventive measures of LF impairs women’s ability to protect themselves and their families from the disease [ 3 , 7 ]. Stigma associated with LF is largely prevalent in the community resulting in occupational difficulty or quitting job, social exclusion, disrupted marital and social relationships [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

Understanding gender and its intersection with social stratifiers on prevention and care seeking behavior of lymphatic filariasis in Nepal

Arjyal,

Parajuli,

Kharel

et al. 2023

Infect Dis Poverty

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Background Lymphatic filariasis (LF) is a debilitating and painful neglected tropical disease and is one of the leading causes of permanent disability. In many countries, the intersection of gender with various social stratifiers has influenced exposure to LF and ultimately impacting the disease burden and its elimination. This study aimed to explore the influence of gender and its intersection with other social stratifiers for the prevention and care seeking behavior of LF in Nepal. Methods This study employed qualitative research methods: in-depth interviews (IDIs) and focus group discussions (FGDs) for data collection in Bardiya, Nepal. A total of 22 IDIs (11 male, 11 female) and 2 FGDs (1 male and 1 female) were conducted with the community people between January and March 2020. The participants were purposively selected to represent different social stratifiers including age, sex, ethnicity, occupation. The data collected were analyzed using a thematic framework approach with use of intersectional gender analysis matrix. Results The study findings revealed that men spend more time outside their household compared to women while fulfilling their roles and responsibilities, largely determined by societal expectations and gender norms. This resulted in limited access to preventive health services for men, as they often missed annual mass drug administration programme in their community and limited access to preventive methods. Further traditional occupation, specific to particular ethnicity, influenced the vulnerability to LF for certain ethnic groups. The ability to prevent exposure varied among individuals. Although women made decisions regarding the use of protective methods, it was influenced by patriarchal and gender norms. They often felt a responsibility to take care and priorities males and other family members when resources are limited. The intersectionality of gender with other social stratifiers such as marital status, ethnicity, and geographical areas influenced individual’s ability to access information related to LF and care seeking. Conclusions Overall, the findings emphasized how access to resources, division of work, norms and values and decision-making power alone and its interaction with various social stratifiers shaped peoples’ vulnerability to disease, ability to prevent exposure and response to illness. Graphical Abstract

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Lymphatic Filariasis: Epidemiological Analysis of the Situation in Salyantar VDC of Dhading District, Nepal

Cited by 4 publications

References 4 publications

Prevalence and clinical aspects of Wuchereria bancrofti among inhabitants of a resource limited irrigation project community, North Central Nigeria

Prevalence and clinical aspects of Wuchereria bancrofti among inhabitants of a resource limited irrigation project community, North Central Nigeria

Understanding gender and its intersection with social stratifiers on prevention and care seeking behavior of Lymphatic Filariasis in Nepal

Understanding gender and its intersection with social stratifiers on prevention and care seeking behavior of lymphatic filariasis in Nepal

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