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dc.contributor.authorHurum Harald
dc.contributor.authorHoltedahl Knut
dc.date.accessioned2019-09-23T13:39:10Z
dc.date.available2019-09-23T13:39:10Z
dc.date.created2009-05-19 16:18
dc.date.issued2002
dc.identifieroai:doaj-articles:55b4649293559a341b3921566e98f022
dc.identifierhttp://www.doaj.org/doaj?func=openurl&genre=article&issn=1472698X&date=2002&volume=2&issue=1&spage=2
dc.identifierhttp://www.biomedcentral.com/1472-698X/2/2
dc.identifier.issn1472-698X
dc.identifier.urihttp://hdl.handle.net/20.500.12424/43173
dc.description.abstract<p>Abstract</p> <p>Background</p> <p>In a population-based epidemiological study in Ngaoundere, Cameroon, we studied cross-sectional child morbidity and the cost of necessary investigation and treatment.</p> <p>Methods</p> <p>Three teams of two to three health workers visited haphazardly selected households in all major housing quarters. We asked permission to enter for a health survey. Children with cough, fever or weight loss as well as sick adults were offered free-of-charge local hospital examination and treatment.</p> <p>Results</p> <p>From 177 households with 1777 persons, 51 (2.9%) persons were referred. Thirty-five of them had an undiagnosed disease threatening individual health and in many cases also public health. Seven were hospitalised, including three adults with tuberculosis. Malnutrition was diagnosed in nine small children. Four patients had AIDS, seven had malaria. Average total cost for ambulant patients was 15 USD, for hospitalised patients 110 USD.</p> <p>In the households, almost half of the women 16&#8211;50 years of age had no schooling. Two per cent of women and nine per cent of men were daily smokers. Coughing children were more likely than non-coughing children to live in a household with at least one smoker (OR = 3.58, 95% CI 1.72 to 7.46), and they generally lived in more poor households (P = 0.018). Twelve of 16 children with weight loss were referred from households with a high poverty score.</p> <p>Conclusions</p> <p>Adult smoking and poverty affect children's health. The cost of hospitalisation or long-lasting therapy is beyond the means of most ordinary families. Diseases with severe consequences for public health, like tuberculosis, AIDS and malaria should have national programs with free, decentralised examination and treatment. Access to generic drugs is important. A major educational effort is needed to improve public health.</p>
dc.publisherBioMed Central
dc.sourceBMC International Health and Human Rights
dc.subject.otherBioethics
dc.subject.otherHealth ethics
dc.titleCross-sectional study of morbidity, morbidity-associated factors and cost of treatment in Ngaoundere, Cameroon, with implications for health policy in developing countries and development assistance policy
dc.typeArticle
dc.source.volume2
dc.source.issue1
ge.collectioncode1472-698X
ge.dataimportlabelOAI metadata object
ge.identifier.legacyglobethics:3582940
ge.identifier.permalinkhttps://www.globethics.net/gel/3582940
ge.journalyear2002
ge.lastmodificationdate2019-02-11 19:33
ge.lastmodificationuseradmin@pointsoftware.ch
ge.submissions0
ge.setnameGlobeEthicsLib
ge.setspecglobeethicslib
ge.linkhttp://www.doaj.org/doaj?func=openurl&genre=article&issn=1472698X&date=2002&volume=2&issue=1&spage=2
ge.linkhttp://www.biomedcentral.com/1472-698X/2/2


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