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“It Is Me Who Endures but My Family That Suffers”: Social Isolation as a Consequence of the Household Cost Burden of Buruli Ulcer Free of Charge Hospital Treatment

Despite free of charge biomedical treatment, the cost burden of Buruli ulcer disease (Bu) hospitalisation in Central Cameroon accounts for 25% of households' yearly earnings, surpassing the threshold of 10%, which is generally considered catastrophic for the household economy, and calling into...

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Autores principales: Peeters Grietens, Koen, Um Boock, Alphonse, Peeters, Hans, Hausmann-Muela, Susanna, Toomer, Elizabeth, Muela Ribera, Joan
Formato: Texto
Lenguaje:English
Publicado: Public Library of Science 2008
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2562517/
https://www.ncbi.nlm.nih.gov/pubmed/18923711
http://dx.doi.org/10.1371/journal.pntd.0000321
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author Peeters Grietens, Koen
Um Boock, Alphonse
Peeters, Hans
Hausmann-Muela, Susanna
Toomer, Elizabeth
Muela Ribera, Joan
author_facet Peeters Grietens, Koen
Um Boock, Alphonse
Peeters, Hans
Hausmann-Muela, Susanna
Toomer, Elizabeth
Muela Ribera, Joan
author_sort Peeters Grietens, Koen
collection PubMed
description Despite free of charge biomedical treatment, the cost burden of Buruli ulcer disease (Bu) hospitalisation in Central Cameroon accounts for 25% of households' yearly earnings, surpassing the threshold of 10%, which is generally considered catastrophic for the household economy, and calling into question the sustainability of current Bu programmes. The high non-medical costs and productivity loss for Bu patients and their households make household involvement in the healing process unsustainable. 63% of households cease providing social and financial support for patients as a coping strategy, resulting in the patient's isolation at the hospital. Social isolation itself was cited by in-patients as the principal cause for abandonment of biomedical treatment. These findings demonstrate that further research and investment in Bu are urgently needed to evaluate new intervention strategies that are socially acceptable and appropriate in the local context.
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spelling pubmed-25625172008-10-15 “It Is Me Who Endures but My Family That Suffers”: Social Isolation as a Consequence of the Household Cost Burden of Buruli Ulcer Free of Charge Hospital Treatment Peeters Grietens, Koen Um Boock, Alphonse Peeters, Hans Hausmann-Muela, Susanna Toomer, Elizabeth Muela Ribera, Joan PLoS Negl Trop Dis Research Article Despite free of charge biomedical treatment, the cost burden of Buruli ulcer disease (Bu) hospitalisation in Central Cameroon accounts for 25% of households' yearly earnings, surpassing the threshold of 10%, which is generally considered catastrophic for the household economy, and calling into question the sustainability of current Bu programmes. The high non-medical costs and productivity loss for Bu patients and their households make household involvement in the healing process unsustainable. 63% of households cease providing social and financial support for patients as a coping strategy, resulting in the patient's isolation at the hospital. Social isolation itself was cited by in-patients as the principal cause for abandonment of biomedical treatment. These findings demonstrate that further research and investment in Bu are urgently needed to evaluate new intervention strategies that are socially acceptable and appropriate in the local context. Public Library of Science 2008-10-15 /pmc/articles/PMC2562517/ /pubmed/18923711 http://dx.doi.org/10.1371/journal.pntd.0000321 Text en Peeters Grietens et al. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Peeters Grietens, Koen
Um Boock, Alphonse
Peeters, Hans
Hausmann-Muela, Susanna
Toomer, Elizabeth
Muela Ribera, Joan
“It Is Me Who Endures but My Family That Suffers”: Social Isolation as a Consequence of the Household Cost Burden of Buruli Ulcer Free of Charge Hospital Treatment
title “It Is Me Who Endures but My Family That Suffers”: Social Isolation as a Consequence of the Household Cost Burden of Buruli Ulcer Free of Charge Hospital Treatment
title_full “It Is Me Who Endures but My Family That Suffers”: Social Isolation as a Consequence of the Household Cost Burden of Buruli Ulcer Free of Charge Hospital Treatment
title_fullStr “It Is Me Who Endures but My Family That Suffers”: Social Isolation as a Consequence of the Household Cost Burden of Buruli Ulcer Free of Charge Hospital Treatment
title_full_unstemmed “It Is Me Who Endures but My Family That Suffers”: Social Isolation as a Consequence of the Household Cost Burden of Buruli Ulcer Free of Charge Hospital Treatment
title_short “It Is Me Who Endures but My Family That Suffers”: Social Isolation as a Consequence of the Household Cost Burden of Buruli Ulcer Free of Charge Hospital Treatment
title_sort “it is me who endures but my family that suffers”: social isolation as a consequence of the household cost burden of buruli ulcer free of charge hospital treatment
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2562517/
https://www.ncbi.nlm.nih.gov/pubmed/18923711
http://dx.doi.org/10.1371/journal.pntd.0000321
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