THE SOCIAL BURDEN OF MALARIA: WHAT ARE WE MEASURING?

CAROLINE O. H. JONES Department of Infectious and Tropical Diseases/Disease Control and Vector Biology Unit, London School of Hygiene and Tropical Medicine, London, United Kingdom; Malaria Epidemiology Branch, Centers for Disease Control and Prevention, Atlanta, Georgia

Search for other papers by CAROLINE O. H. JONES in
Current site
Google Scholar
PubMed
Close
and
HOLLY A. WILLIAMS Department of Infectious and Tropical Diseases/Disease Control and Vector Biology Unit, London School of Hygiene and Tropical Medicine, London, United Kingdom; Malaria Epidemiology Branch, Centers for Disease Control and Prevention, Atlanta, Georgia

Search for other papers by HOLLY A. WILLIAMS in
Current site
Google Scholar
PubMed
Close
Restricted access

Definitions of the burden of malaria vary by public health discipline. Epidemiologists and economists commonly use a quantitative approach to measure risk factors and associate them with disease outcomes. In contrast, since burden is itself a cultural construct, an anthropologic perspective of the burden of disease considers the sociocultural context in which these risk factors exist. This broader concept of burden is rarely tackled, most likely stemming from a lack of understanding of what is meant by the term social burden. This report describes the concept from an anthropologic perspective. The aim is to provide a better understanding of the process through which social and cultural factors affect the biomedical burden of malaria. The consequences of adopting this perspective for public health in general and malaria interventions in particular are discussed.

Author Notes

  • 1

    Sachs J, Malaney P, 2002. The economic and social burden of malaria. Nature 415 :680–685.

  • 2

    Gallup J, Sachs J, 2001. The economic burden of malaria. Am J Trop Med Hyg 64 (Suppl):85–96

  • 3

    Chima RI, Goodman C, Mills A, 2002. The economic impact of malaria in Africa: a critical review of the evidence. Health Policy 63 :17–36.

  • 4

    Heggenhougen K, 2000. More than just “interesting!” Anthropology, health and human rights. Soc Sci Med 50 :1171–1175.

  • 5

    Keesing RM, 1981. Cultural Anthropology: A Contemporary Perspective. New York: Holt, Reinhart & Winston.

    • PubMed
    • Export Citation
  • 6

    Walley J, Wright J, Hubley J, 2001. Public Health: An Action Guide to Improving Health in Developing Countries. Oxford, United Kingdom: Oxford University Press

    • PubMed
    • Export Citation
  • 7

    Baum F, 1999. The New Public Health: An Australian Perspective. Melbourne: Oxford University Press

    • PubMed
    • Export Citation
  • 8

    Garrett L, 1994. Thirdworldization: the interaction of poverty, poor housing and social despair with disease. Garrett L, ed. The Coming Plague: Newly Emerging Diseases in a World out of Balance. London: Penguin Books, 457–527.

    • PubMed
    • Export Citation
  • 9

    Inhorn MC, Brown PJ, 1997. Introduction. Inhorn MC, Brown PJ, eds. The Anthropology of Infectious Disease: International Health Perspectives. New York: Gordon and Breach, 3–29.

    • PubMed
    • Export Citation
  • 10

    Kendall C, Foote D, Martorell R, 1984. Ethnomedicine and oral rehydration therapy: a case study of ethnomedical investigation and program planning. Soc Sci Med 19 :253–260.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11

    Mull JD, Mull DS, 1988. Mothers’ concepts of childhood diarrhoea in rural Pakistan: what ORS program planners should know. Soc Sci Med 27 :53–67.

  • 12

    Gove S, Pelto GH, 1994. Focused ethnographic studies in the WHO program for the control of acute respiratory infections. Med Anthropol 15 :409–424.

  • 13

    Kroeger A, 1983. Anthropological and socio-medical health care research in developing countries. Soc Sci Med 17 :147–161.

  • 14

    Griffiths M, 1990. Using anthropological techniques in program design: successful nutrition education in Indonesia. Coreil J, Mull JD, eds. Anthropology and Primary Health Care. Boulder, CO: Westview Press, 154–169.

    • PubMed
    • Export Citation
  • 15

    Hausmann Muela S, Muela Ribera J, Tanner M, 1998. Fake malaria and hidden parasites: the ambiguity of malaria. Anthropol Med 5 :43–61.

  • 16

    Farmer P, 1997. Social science and the new tuberculosis. Soc Sci Med 44 :347–358.

  • 17

    Yoder PS, 1997. Negotiating relevance: belief, knowledge and practice in international health projects. Med Anthropol Q 11 :131–146.

  • 18

    Wallman S, 1998. Ordinary women and shapes of knowledge: perspectives on the context of STD and AIDS. Public Understanding Sci 7 :169–185.

  • 19

    Keesing RM, Strathern AJ, 1998. Cultural Anthropology: A Contemporary Perspective. Fort Worth, TX: Harcourt Brace College Publishers.

    • PubMed
    • Export Citation
  • 20

    Biddle BJ, 1979. Role Theory: Expectations, Identities and Behaviors. New York: Academic Press, Inc.

    • PubMed
    • Export Citation
  • 21

    Helman CG, 1994. Doctor-patient interactions. Helman CG, ed. Culture Health and Illness. Oxford, United Kingdom: Butter-worth Heinmann, 101–145.

    • PubMed
    • Export Citation
  • 22

    Parsons T, 1958. Definitions of health and illness in the light of American values and social structure. Jaco EG, ed. Patients, Physicians and Illness. Glencoe, IL: Free Press.

    • PubMed
    • Export Citation
  • 23

    Agyepong I, Manderson L, 1994. The diagnosis and management of fever at household level in the greater Accra region, Ghana. Acta Trop 58 :317–330.

  • 24

    Kengeya-Kayondo J, Seeley J, Kajura-Banjeja E, Kabunga E, Mubiru E, Sembajja F, Mulder D, 1994. Recognition, treatment seeking behaviour and perception of cause of malaria among rural women in Uganda. Acta Trop 58 :267–273.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25

    Ruebush T, Kern M, Campbell C, Oloo A, 1995. Self treatment of malaria in a rural area of western Kenya. Bull World Health Organ 73 :229–236.

  • 26

    Munguti K, 1998. Community perceptions and treatment seeking for malaria in Baringo District, Kenya: Implications for disease control. East Afr Med J 75 :687–691.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 27

    Mwenesi H, Harpham T, Snow R, 1995. Child malaria treatment practices among mothers in Kenya. Soc Sci Med 40 :1271–1277.

  • 28

    Muela SH, Mushi AK, Muela JR, 2000. The paradox of coats and affordability of traditional and government health services in Tanzania. Health Policy Plann 15 :296–302.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 29

    Munguti K, 1998. Social conditions and cultural beliefs on malaria. Afr J Med Pract 5 :286–288.

  • 30

    Ahorlu C, Dunyo S, Afari E, Koram K, Nkrumah F, 1997. Malaria-related beliefs and behaviours in southern Ghana: implications for treatment, prevention and control. Trop Med Int Health 2 :488–499.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 31

    Makemba AM, Winch PJ, Makame VM, Mehl GL, Premji Z, Minjas JN, Schiff CJ, 1996. Treatment practices for degedege, a locally recognized febrile illness, and implications for strategies to decrease mortality from severe malaria in Bagamoyo District, Tanzania. Trop Med Int Health 1 :305–313.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 32

    Parker RG, 1996. Empowerment, community mobilization and social change in the face of HIV/AIDS. AIDS 10 (Suppl 3):s27–s31.

  • 33

    Tanner M, Vlassoff C, 1998. Treatment-seeking behaviour for malaria: A typology based on endemicity and gender. Soc Sci Med 46 :523–532.

  • 34

    Hartigan P, 2001. The importance of gender in defining and improving quality of care: some conceptual issues. Health Policy Plann 16 (Suppl 1):7–12.

  • 35

    Winch PJ, Makemba AM, Makame VR, Mfaume MS, Lynch MC, Premji Z, Minjas JN, Shiff CJ, 1997. Social and cultural factors affecting rates of regular re-treatment of mosquito nets with insecticide in Bagamoyo District, Tanzania. Trop Med Int Health 2 :760–770.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 36

    Molyneux CS, Murira G, Masha J, Snow RW, 2002. Intra-household relations and treatment decision-making for childhood illness: A Kenyan case study. J Biosoc Sci 34 :109–131.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 37

    Hall JJ, Taylor, 2003. Health for all beyond 2000: The demise of the Alma-Ata Declaration and primary health care in developing countries. Med J Aust 178 :17–20.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 38

    Brugha R, Starling M, Walt G, 2002. GAVI, the first steps: lessons from the Global Fund. Lancet 359 :435–438.

  • 39

    Lambert ML, van der Stuyft P, 2002. Editorial: Global health fund or global fund to fight AIDS, tuberculosis, and malaria? Trop Med Int Health 7 :557–558.

  • 40

    Moerman F, Lengeler C, Chimumbwa J, Talisuna A, Erhart A, Coosemans M, D’Alessandro U, 2003. The contribution of health-care service to a sound and sustainable malaria-control policy. Lancet Infect Dis 3 :99–102.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 41

    Morgan LM, 2001. Community participation in health: perpetual allure, persistent challenge. Health Policy Plann 16 :221–230.

  • 42

    Teklehaimanot A, Snow RW, 2002. Commentary. Will the Global Fund help roll back malaria in Africa? Lancet 360 :888–889.

Past two years Past Year Past 30 Days
Abstract Views 942 751 489
Full Text Views 619 10 0
PDF Downloads 316 8 0
 

 

 

 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save