Visceral Leishmaniasis Elimination Program in India, Bangladesh, and Nepal
Author Information
Author(s): Mondal Dinesh, Singh Shri Prakash, Kumar Narendra, Joshi Anand, Sundar Shyam, Das Pradeep, Siddhivinayak Hirve, Kroeger Axel, Boelaert Marleen
Primary Institution: International Centre for Diarrhoeal Diseases Research, Laboratory Sciences Division, Dhaka, Bangladesh
Hypothesis
To estimate the burden of visceral leishmaniasis (VL) and document care-seeking behavior for VL in order to improve case finding and management strategies.
Conclusion
The study found that the estimated annual incidence of VL was significantly higher than the elimination target, highlighting the need for improved case detection and management strategies.
Supporting Evidence
- The estimated annual incidence of VL was on average 22 times higher than the elimination target.
- Household screening detected a high percentage of new cases in districts with poor healthcare services.
- Knowledge about VL was poor in Bangladesh compared to India and Nepal.
Takeaway
This study looked at how many people are getting sick from a disease called visceral leishmaniasis and how they seek help, showing that many people are not getting the care they need.
Methodology
A cross-sectional study using cluster sampling in four VL endemic districts, with household screening and in-depth interviews.
Potential Biases
Potential bias due to reliance on self-reported data and the challenges of accessing health services.
Limitations
The study was conducted in highly endemic districts and may not be representative of other areas.
Participant Demographics
The study included households from four districts in Bangladesh, India, and Nepal, with a focus on impoverished populations.
Statistical Information
P-Value
p<0.05
Confidence Interval
95% CI
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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