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Title

Snakebite: innovative geospatial approaches to epidemiology, risk, vulnerability, and healthcare accessibility for burden reduction in the Terai region of Nepal

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Defense Thèse de doctorat : Univ. Genève, 2022 - Sc. Bioméd. - S. Glob. 024 - 2022/07/01
Description 155 p.
Abstract This thesis introduces, compiles, and discusses innovative geospatial components developed for and applied to the project SNAKE-BYTE. Focusing on the Terai region of Nepal, we address snakebite disease from a One Health perspective aiming to improve the snakebite situation and prevent its escalation. For this, we developed a multi-cluster, cross-sectional, household random survey covering the Terai region of Nepal and interviewed 13'879 households. The overall objective of this research was to use the collected data and freely available geospatial information to assess the impact of their interactions on snakebite risk and vulnerability, and to propose solutions. We present a literature review, the SNAKE-BYTE project methods for cluster, household, and field data collection, a risk analysis using the INLA geostatistical approach, and a vulnerability analysis that combined risk results with a multi-layered analysis of accessibility to medical treatment. Finally, we propose optimisation measures to improve snakebite health coverage.
Keywords SnakebiteRiskVulnerabilityAccessibility to healthcareGeospatial modellingINLAFloodingGeospatial samplingAccessModTerai, NepalOne Health
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URN: urn:nbn:ch:unige-1637877
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Research groups GeoHealth: approches géospatiales et environnementales en santé globale (1000)
TIGERS
ISE Pôle Informatique environnementale
Project
Swiss National Science Foundation: 315130_176271
Citation
(ISO format)
OCHOA, Carlos. Snakebite: innovative geospatial approaches to epidemiology, risk, vulnerability, and healthcare accessibility for burden reduction in the Terai region of Nepal. Université de Genève. Thèse, 2022. doi: 10.13097/archive-ouverte/unige:163787 https://archive-ouverte.unige.ch/unige:163787

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Deposited on : 2022-09-29

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