Kala-azar in pregnancy in Mymensingh, Bangladesh: a social autopsy
Rahman, Kazi Mizanur, Olsen, Anna, Harley, David, Butler, Colin D., Mondal, Dinesh, Luby, Stephen P., and Sleigh, Adrian C. (2014) Kala-azar in pregnancy in Mymensingh, Bangladesh: a social autopsy. PLoS Neglected Tropical Diseases, 8 (5). e2710.
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Abstract
Kala-azar, meaning “black-fever,” is the local term in South Asia for visceral leishmaniasis. Kala-azar is targeted for elimination from South Asia by 2015. The control programme aims to reduce the annual incidence to less than one per 10,000 people [1]. The disease is usually fatal if untreated [1], and the case fatality rate is higher among women than men [2], [3]. Kala-azar among pregnant women places the foetus and mother at high risk of fatal outcomes [4], [5]. Moreover, women experience longer delays than men in seeking care and treatment for kala-azar, a problem well documented in Bangladesh [2]. Few studies have explored the personal and social dimensions of kala-azar, and even fewer have addressed the issues faced by women in pregnancy [2].