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- W4214756922 abstract "Chronic kidney disease of uncertain etiology (CKDu) has become a critical health hazard in dry zone areas in Sri Lanka since the 1990s, devastating agricultural communities in affected villages. The disease was identified by local health care providers by accident after investigating patients who visited their institutions seeking treatment for various symptoms. Social scientific investigations indicate that structural violence and political economy of agricultural modernization as causal factors for this emerging disease. The present paper is based on ethnographic exploration carried out in two highly prevalent areas in a dry zone by adopting qualitative methodology. The paper explores how CKDu reinforces persistent inequalities among agricultural communities in the dry zone region and analyzes the State response to the emerging health hazard, the lived experience of affected communities with reference to psychosocial implications, issues related to healthcare-seeking behaviour, drawbacks in essential services provision and deficiency in the process of determining the uncertain etiology of disease. Findings reveal that CKDu is associated with stigma and communities being labelled as ‘CKDu hot spots’ carry adverse effects on victims reinforcing intergroup inequalities. Family vulnerability increases due to illness, pushing farmers into a new type of poverty. Significant gaps have been identified in service delivery points and the lack of cultural competency from local health care providers. In conclusion, disadvantaged socio-economic circumstances contribute in reinforcing persistent inequalities among agricultural communities through health hazards and widening disparities in health outcomes.KeywordsCKDuAgricultural communitiesLived experienceIntergroup inequalities" @default.
- W4214756922 created "2022-03-02" @default.
- W4214756922 creator A5014095542 @default.
- W4214756922 date "2022-01-01" @default.
- W4214756922 modified "2023-10-18" @default.
- W4214756922 title "Social Epidemiology of Chronic Kidney Disease with Uncertain Etiology (CKDu) in Sri Lanka: Persistent Inequalities Among Agricultural Communities in a Dry Zone" @default.
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- W4214756922 doi "https://doi.org/10.1007/978-981-16-6917-0_19" @default.
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