TY - JOUR
T1 - Community perceptions of bloody diarrhoea in an urban slum in South Asia
T2 - implications for introduction of a Shigella vaccine
AU - Arvelo, W
AU - Blum, L
AU - Nahar, N
AU - Von Seidlein, Lorenz
AU - Nahar, L
AU - Pack, R P
AU - Brooks, A W
AU - Pach, A
AU - Breiman, R F
AU - Luby, S P
AU - Ram, P K
PY - 2011/4
Y1 - 2011/4
N2 - Understanding local perceptions of disease causation could help public health officials improve strategies to prevent bloody diarrhoea. A cross-sectional survey was conducted in Dhaka, Bangladesh to elicit community beliefs about the causes of and prevention strategies for bloody diarrhoea. Between March and June 2003, we interviewed 541 randomly selected respondents. Overall, 507 (93%) respondents perceived that a vaccine could prevent bloody diarrhoea. If a vaccine provided lifetime protection, 445 (83%) respondents stated that they would opt to get the vaccine and would pay a median of $0·05 (range U.S.$0·01–0·15) for it, equivalent to <1% of their median weekly income. There was almost universal perception that an effective vaccine to prevent bloody diarrhoea was highly beneficial and acceptable. While respondents valued a vaccine for prevention of bloody diarrhoea, they were only willing to pay minimally for it. Therefore, achieving a high rate of Shigella vaccine coverage may require subsidy of vaccine purchase.
AB - Understanding local perceptions of disease causation could help public health officials improve strategies to prevent bloody diarrhoea. A cross-sectional survey was conducted in Dhaka, Bangladesh to elicit community beliefs about the causes of and prevention strategies for bloody diarrhoea. Between March and June 2003, we interviewed 541 randomly selected respondents. Overall, 507 (93%) respondents perceived that a vaccine could prevent bloody diarrhoea. If a vaccine provided lifetime protection, 445 (83%) respondents stated that they would opt to get the vaccine and would pay a median of $0·05 (range U.S.$0·01–0·15) for it, equivalent to <1% of their median weekly income. There was almost universal perception that an effective vaccine to prevent bloody diarrhoea was highly beneficial and acceptable. While respondents valued a vaccine for prevention of bloody diarrhoea, they were only willing to pay minimally for it. Therefore, achieving a high rate of Shigella vaccine coverage may require subsidy of vaccine purchase.
UR - http://www.scopus.com/inward/record.url?scp=79955695404&partnerID=8YFLogxK
U2 - 10.1017/S0950268810001391
DO - 10.1017/S0950268810001391
M3 - Article
VL - 139
SP - 599
EP - 605
JO - Epidemiology and Infection
JF - Epidemiology and Infection
SN - 0950-2688
IS - 4
ER -