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Self-care as a response to diarrhoea in rural Bangladesh: Empowered choice or enforced adoption?

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  • Edgeworth, Ross
  • Collins, Andrew E.

Abstract

The literature is growing on the subject of coping strategies. However, with the exception of some work on the promotion of oral rehydration therapy (ORT), very few studies have examined coping strategies as a response to the ongoing diarrhoeal disease burden. This is particularly relevant in the case of self-care, previously documented as the most readily implemented treatment in the developing world and an increasingly common health behaviour in rural Bangladesh. This study analysed the socioeconomic factors that influence the adoption of self-care and the role that varied asset availability plays in relation to households choosing, or being forced to implement, a coping strategy. Qualitative methods were used to collect data from three villages in Nilphamari District, North West Bangladesh, in 2004. The findings produced a detailed picture of asset availability and its influence on household use of self-care treatment practices. The strong role of aspects of social capital in building human capital was highlighted, as well as how these aspects of social capital can assist household welfare through self-care in times of diarrhoeal disease. In contrast, households exhibiting weakened social and human capital were more excluded from information on appropriate self-care treatments. Development agencies and health care policies might therefore strengthen levels of household resilience to diarrhoeal disease more cost-effectively by focusing on activities that facilitate self-care through support of social networks and education channels.

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  • Edgeworth, Ross & Collins, Andrew E., 2006. "Self-care as a response to diarrhoea in rural Bangladesh: Empowered choice or enforced adoption?," Social Science & Medicine, Elsevier, vol. 63(10), pages 2686-2697, November.
    • Handle: RePEc:eee:socmed:v:63:y:2006:i:10:p:2686-2697
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    1. Feldman, Shelley, 1983. "The use of private health care providers in rural Bangladesh: A response to Claquin," Social Science & Medicine, Elsevier, vol. 17(23), pages 1887-1896, January.
    2. World Bank, 2003. "Private Sector Assessment for Health, Nutrition and Population in Bangladesh," World Bank Publications - Reports 14667, The World Bank Group.
    3. Matin, Imran & Hulme, David, 2003. "Programs for the Poorest: Learning from the IGVGD Program in Bangladesh," World Development, Elsevier, vol. 31(3), pages 647-665, March.
    4. Kickbusch, Ilona, 1989. "Self-care in health promotion," Social Science & Medicine, Elsevier, vol. 29(2), pages 125-130, January.
    5. Barrett, Bruce, 1993. "Health care behavior on Nicaragua's Atlantic coast," Social Science & Medicine, Elsevier, vol. 37(3), pages 355-368, August.
    6. Dean, Kathryn, 1989. "Conceptual, theoretical and methodological issues in self-care research," Social Science & Medicine, Elsevier, vol. 29(2), pages 117-123, January.
    7. Chima, Reginald Ikechukwu & Goodman, Catherine A. & Mills, Anne, 2003. "The economic impact of malaria in Africa: a critical review of the evidence," Health Policy, Elsevier, vol. 63(1), pages 17-36, January.
    8. Moser, Caroline O. N., 1998. "The asset vulnerability framework: Reassessing urban poverty reduction strategies," World Development, Elsevier, vol. 26(1), pages 1-19, January.
    9. Sauerborn, R. & Adams, A. & Hien, M., 1996. "Household strategies to cope with the economic costs of illness," Social Science & Medicine, Elsevier, vol. 43(3), pages 291-301, August.
    10. Abosede, O. A., 1984. "Self-medication: An important aspect of primary health care," Social Science & Medicine, Elsevier, vol. 19(7), pages 699-703, January.
    11. Leyva-Flores, Rene & Luz Kageyama, M. & Erviti-Erice, Joaquina, 2001. "How people respond to illness in Mexico: self-care or medical care?," Health Policy, Elsevier, vol. 57(1), pages 15-26, July.
    12. Rahaman, M.M. & Aziz, K.M. & Munshi, M.H. & Patwari, Y. & Rahman, M., 1982. "A diarrhea clinic in rural Bangladesh: influence of distance, age, and sex on attendance and diarrheal mortality," American Journal of Public Health, American Public Health Association, vol. 72(10), pages 1124-1128.
    13. Fwu‐Ranq Chang & Pravin K. Trivedi, 2003. "Economics of self‐medication: theory and evidence," Health Economics, John Wiley & Sons, Ltd., vol. 12(9), pages 721-739, September.
    14. Corbett, Jane, 1988. "Famine and household coping strategies," World Development, Elsevier, vol. 16(9), pages 1099-1112, September.
    15. Kamat, Vinay R. & Nichter, Mark, 1998. "Pharmacies, self-medication and pharmaceutical marketing in Bombay, India," Social Science & Medicine, Elsevier, vol. 47(6), pages 779-794, September.
    16. Sauerborn, R. & Nougtara, A. & Hien, M. & Diesfeld, H. J., 1996. "Seasonal variations of household costs of illness in Burkina Faso," Social Science & Medicine, Elsevier, vol. 43(3), pages 281-290, August.
    17. Ayeni, Bola & Rushton, Gerard & McNulty, Michael L., 1987. "Improving the geographical accessibility of health care in rural areas: A Nigerian case study," Social Science & Medicine, Elsevier, vol. 25(10), pages 1083-1094, January.
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