Socio-economic status and malaria-related outcomes in Mvomero District, Tanzania.
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While policies often target malaria prevention and treatment - proximal causes of malaria and related health outcomes - too little attention has been given to the role of household- and individual-level socio-economic status (SES) as a fundamental cause of disease risk in developing countries. This paper presents a conceptual model outlining ways in which SES may influence malaria-related outcomes. Building on this conceptual model, we use household data from rural Mvomero, Tanzania, to examine empirical relationships among multiple measures of household and individual SES and demographics, on the one hand, and malaria prevention, illness, and diagnosis and treatment behaviours, on the other. We find that access to prevention and treatment is significantly associated with indicators of households' wealth; education-based disparities do not emerge in this context. Meanwhile, reported malaria illness shows a stronger association with demographic variables than with SES (controlling for prevention). Greater understanding of the mechanisms through which SES and malaria policies interact to influence disease risk can help to reduce health disparities and reduce the malaria burden in an equitable manner.
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Published Version (Please cite this version)10.1080/17441692.2010.539573
Publication InfoDickinson, KL; Kramer, Randall A; Randell, HF; & Shayo, EH (2012). Socio-economic status and malaria-related outcomes in Mvomero District, Tanzania. Glob Public Health, 7(4). pp. 384-399. 10.1080/17441692.2010.539573. Retrieved from https://hdl.handle.net/10161/6498.
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Juli Plant Grainger Professor of Global Environmental Health
Randall Kramer is the Juli Plant Grainger Professor of Global Environmental Health in the Nicholas School of the Environment and the Duke Global Health Institute. Before coming to Duke in 1988, he was on the faculty at Virginia Polytechnic Institute and State University. He has held visiting positions at IUCN--The World Conservation Union, the Economic Growth Center at Yale University, and the Indonesian Ministry of Forestry. He has served as a consultant to the World Bank, World Heal