Community Medicine

Permanent URI for this community

http://41.93.62.172:4000/handle/123456789/147

Browse

Browsing Community Medicine by Subject "AIDS"

Now showing 1 - 3 of 3
  • Thumbnail Image
    Item
    Measuring the Impact of Fatal Adult Illness in Sub-Saharan Africa; An Annotated Household Questionnaire Papers 90.
    (World Bank, 1992) Semali, Innocent A.
    This paper describes the developmentand content of a household questionnairedesignedto measurethe economicimpactof adultmorbidityand mortalityin an African country. The questionnaire is the main data collectioninstrumentof the research project on "The EconomicImpact of Fatal Adult Illness due to AIDS and Other Causes in Sub-SaharanAfrica", conductedby a research team from the WorldBank and the Universityof Dar es Salaam. The main objectivesof theproject are: (1) to measure the impactof fatal adult illnesson individuals,householdsand communities;and (2) to estimatethe costs and effects of alternativepoliciesto assist the survivors. The household questionnairewas adaptedfrom the questionnaireof the World Bank's Living Standards MeasurementSurvey (LSMS)to measurethe well-beingand copingbehaviorsof individuals and householdsin responseto fatal illnessamongadults. Key innovationsin the householdquestionnaire include: adaptationfor a longitudinalresearch design, including "inter-wave" consistencychecks; an expanded set of questionson acute and chronic illness and their costs; a module on the mortality of household membersand relatives; a consumptionmodule that allows for seasonality;and collectionof more data at the individuallevel, to facilitateanalysisof intra-householddistributionof resources
  • Thumbnail Image
    Item
    A Profile of traditional healers in an area hard-hit by the AIDS Epidemic: Kagera region, Tanzania.
    (World Bank, 1995) Semali, Innocent A.
    Throughout Sub-Saharan Africa, traditional medical practitioners are often the most accessible source of medical care, particularly in rural areas where modern care is relatively scarce. …
  • Thumbnail Image
    Item
    User’s guide to the Kagera health and development survey datasets. Development Research Group.
    (The World Bank, 2004) Semali, Innocent A.
    It has long been established that poverty worsens health. It has been more difficult to establish that poor health worsens poverty or that health improvements can stimulate economic growth. The AIDS epidemic has dramatically raised the mortality rate among adults in their most productive years in Sub-Saharan Africa. What will be the impact on poverty and human capital, in a region where incomes, schooling, and health status are already low? To answer this question and to contribute to improved design of cost-effective programs to deal with the impact on households, the Population and Human Resources Department and the Africa Technical Department of the World Bank jointly launched a research project on “The Economic Impact of Fatal Adult Illness from AIDS and Other Causes in Sub-Saharan Africa” in 1991.1 To measure the impact of adult mortality and morbidity on the welfare of individuals and households, the research project launched a longitudinal household survey, known as the Kagera Health and Development Survey (KHDS), in the Kagera region of Tanzania from 1991-94. This region of 1.9 million people, located on the western shore of Lake Victoria adjacent to Uganda and Rwanda and not far from Zaire, is at a political and economic crossroads that is also at the epicenter of the AIDS epidemic in East Africa. The first case of AIDS in Tanzania was identified in Kagera in 1983, and subsequent serological studies have found infection rates among adults as high as 24% in the regional capital of Bukoba in the late 1980s (Killewo and others 1990). The KHDS interviewed more than 800 households from nearly 50 communities in all five districts of Kagera. Households, community leaders, health facilities, schools, and market vendors were queried in 6-7 month intervals for up to four survey periods. Traditional healers were also interviewed once. Although the KHDS questionnaires were adapted from the World Bank’s Living Standards Measurement Study (LSMS) questionnaires, the KHDS was unique because it was fully longitudinal.2 The panel design offered the researchers the opportunity to measure the change in household consumption and assets between interviews, and thus, to estimate household saving or dissaving—key household-level coping mechanisms. This document describes the KHDS research design, sampling and survey organization, the questionnaires, and the basic structure of the data for researchers who wish to use the KHDS datasets. Copies of all questionnaires and the interviewer and supervisor manuals can be obtained from the Living Standards Measurement Study web site