Measuring the physical and economic impact of filarial lymphoedema in Chikwawa district, Malawi: a case-control study

Autor: Michelle C. Stanton, Masato Yamauchi, Square Z. Mkwanda, Paul Ndhlovu, Dorothy Emmie Matipula, Charles Mackenzie, Louise A. Kelly-Hope
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Infectious Diseases of Poverty, Vol 6, Iss 1, Pp 1-9 (2017)
Druh dokumentu: article
ISSN: 2049-9957
DOI: 10.1186/s40249-017-0241-2
Popis: Abstract Background Lymphatic filariasis (LF) is one of the primary causes of lymphoedema in sub-Saharan Africa, and has a significant impact on the quality of life (QoL) of those affected. In this paper we assess the relative impact of lymphoedema on mobility and income in Chikwawa district, Malawi. Methods A random sample of 31 people with lymphoedema and 31 matched controls completed a QoL questionnaire from which both an overall and a mobility-specific score were calculated. Two mobility tests were undertaken, namely the 10 m walking test [10MWT] and timed up and go [TUG] test, and a subset of 10 cases-control pairs wore GPS data loggers for 3 weeks to measure their mobility in a more natural setting. Retrospective economic data was collected from all 31 case-control pairs, and each participant undertaking the GPS activity recorded daily earnings and health expenditure throughout the observation period. Results Cases had a significantly poorer overall QoL (cases = 32.2, controls = 6.0, P
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