The Socio-Economic Impact of Stroke on Households in Livingstone District, Zambia

Thumbnail Image
Mapulanga, Mirriam
Journal Title
Journal ISSN
Volume Title
The study aimed at assessing the socio-economic impact of stroke in households in Livingstone district. A cross sectional study was conducted in Livingstone district to assess the socio-economic impact of stroke on households. A total of 50 households were conveniently selected from the Physiotherapy and CBR registers of Livingstone General Hospital. Self administered questionnaires and Focus group discussions were used to collect quantitative and qualitative data. The study involved interviewing stroke victims and one spouse or caregiver or guardian. The data was analyzed using SPSS and content analysis. Chi square tests to associate age category and period of stroke, period of stroke and change in relationships, change in relationships and sex, Stroke category and family role change were done From the Focus Group Discussions, the social impacts were depression, difficulty, resentfulness, apathy, needy, separation, divorce, general marital problems, and neglect on the part of the victim with low family moods, fear and apathy in households. The study also revealed an association between period of stroke and relationship changes (p=0.003). Sex and relationship changes were highly associated (p> 0.001) more females than males experiencing relationship changes. The chances of having relationship changes in stroke victims were 1.1 times higher.The economic impacts were loss of employment, reduced business activity and loss of business on the part of the victim and reduced food consumption, inability to pay school fees, accommodation problems and loss of financial security in households. The study also showed that the stroke victims mostly lost salaries, followed by businesses, with the majority experiencing economic change after stroke and only a few were receiving economic assistance. The activities forgone by stroke households were feeding, accommodation, and education in order to accommodate the stroke situation in the households. The results of the study show that stroke has considerable socioeconomic impact on households which can deter the victims’ development as well as the household and the nation at large. With its impact on household, stroke victims were all willing to form a support group in Livingstone district.