Unveiling the gendered abyss: exploring the case of women with lymphatic filariasis and the path to inclusive care in India

Abstract Introduction Lymphatic filariasis (LF), a neglected tropical disease (NTD), affects tropical regions marked by poor socioeconomic conditions and often results in non-curable filarial lymphedema. The impact of LF is often disproportionate, adversely affecting women due to a multitude of inte...

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Main Authors: Arya Rahul, Anoop C. Choolayil, Dharani Govindasamy, Gnanasekaran Vijayalakshmi, Sadhasivam Anbusivam, Vijesh Sreedhar Kuttiatt
Format: Article
Language:English
Published: BMC 2025-02-01
Series:International Journal for Equity in Health
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Online Access:https://doi.org/10.1186/s12939-025-02397-3
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author Arya Rahul
Anoop C. Choolayil
Dharani Govindasamy
Gnanasekaran Vijayalakshmi
Sadhasivam Anbusivam
Vijesh Sreedhar Kuttiatt
author_facet Arya Rahul
Anoop C. Choolayil
Dharani Govindasamy
Gnanasekaran Vijayalakshmi
Sadhasivam Anbusivam
Vijesh Sreedhar Kuttiatt
author_sort Arya Rahul
collection DOAJ
description Abstract Introduction Lymphatic filariasis (LF), a neglected tropical disease (NTD), affects tropical regions marked by poor socioeconomic conditions and often results in non-curable filarial lymphedema. The impact of LF is often disproportionate, adversely affecting women due to a multitude of intersecting disadvantages. There has been little effort to understand the unique illness experience of women with LF. Methods To explore the interplay between gender and the illness experience of women afflicted with filarial lymphoedema, this qualitative study mapped the experience of 18 women and the perceptions of 18 men with lymphatic filariasis. Data collection involved 12 in-depth interviews and four focus group discussions, with equal gender separation. The content generated was analyzed using a hybrid thematic analysis approach. Results The study shows that individuals with filarial lymphedema, regardless of gender, encounter numerous challenges. However, certain aspects, like cultural gender norms paired with socioeconomic disadvantages, exert a disproportionate burden on women, which adversely affects their physical health, health-seeking behavior, and mental health. While the study highlights the intersectional lived experiences of women with LF, its focus on women’s experiences may limit broader generalizability across genders. Conclusions Addressing the factors that impact the lived experiences of women with lymphatic filariasis is an essential but complex task that requires positive changes across various domains. Targeted mental health interventions and robust family support systems can play a pivotal role in improving the health outcomes of affected individuals. Also, gender-informed intersectional research on the illness experiences of women with LF can give valuable insights to tailor better morbidity management policies and practices.
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spelling doaj-art-bfc75f1a89ab4b459caac3d120e3b2a12025-08-20T03:10:53ZengBMCInternational Journal for Equity in Health1475-92762025-02-0124111210.1186/s12939-025-02397-3Unveiling the gendered abyss: exploring the case of women with lymphatic filariasis and the path to inclusive care in IndiaArya Rahul0Anoop C. Choolayil1Dharani Govindasamy2Gnanasekaran Vijayalakshmi3Sadhasivam Anbusivam4Vijesh Sreedhar Kuttiatt5Indian Council of Medical Research-Vector Control Research Centre, Government of IndiaIndian Council of Medical Research-Vector Control Research Centre, Government of IndiaIndian Council of Medical Research-Vector Control Research Centre, Government of IndiaIndian Council of Medical Research-Vector Control Research Centre, Government of IndiaIndian Council of Medical Research-Vector Control Research Centre, Government of IndiaIndian Council of Medical Research-Vector Control Research Centre, Government of IndiaAbstract Introduction Lymphatic filariasis (LF), a neglected tropical disease (NTD), affects tropical regions marked by poor socioeconomic conditions and often results in non-curable filarial lymphedema. The impact of LF is often disproportionate, adversely affecting women due to a multitude of intersecting disadvantages. There has been little effort to understand the unique illness experience of women with LF. Methods To explore the interplay between gender and the illness experience of women afflicted with filarial lymphoedema, this qualitative study mapped the experience of 18 women and the perceptions of 18 men with lymphatic filariasis. Data collection involved 12 in-depth interviews and four focus group discussions, with equal gender separation. The content generated was analyzed using a hybrid thematic analysis approach. Results The study shows that individuals with filarial lymphedema, regardless of gender, encounter numerous challenges. However, certain aspects, like cultural gender norms paired with socioeconomic disadvantages, exert a disproportionate burden on women, which adversely affects their physical health, health-seeking behavior, and mental health. While the study highlights the intersectional lived experiences of women with LF, its focus on women’s experiences may limit broader generalizability across genders. Conclusions Addressing the factors that impact the lived experiences of women with lymphatic filariasis is an essential but complex task that requires positive changes across various domains. Targeted mental health interventions and robust family support systems can play a pivotal role in improving the health outcomes of affected individuals. Also, gender-informed intersectional research on the illness experiences of women with LF can give valuable insights to tailor better morbidity management policies and practices.https://doi.org/10.1186/s12939-025-02397-3Lymphatic filariasisGenderHealth experienceHealth sociologyWomen
spellingShingle Arya Rahul
Anoop C. Choolayil
Dharani Govindasamy
Gnanasekaran Vijayalakshmi
Sadhasivam Anbusivam
Vijesh Sreedhar Kuttiatt
Unveiling the gendered abyss: exploring the case of women with lymphatic filariasis and the path to inclusive care in India
International Journal for Equity in Health
Lymphatic filariasis
Gender
Health experience
Health sociology
Women
title Unveiling the gendered abyss: exploring the case of women with lymphatic filariasis and the path to inclusive care in India
title_full Unveiling the gendered abyss: exploring the case of women with lymphatic filariasis and the path to inclusive care in India
title_fullStr Unveiling the gendered abyss: exploring the case of women with lymphatic filariasis and the path to inclusive care in India
title_full_unstemmed Unveiling the gendered abyss: exploring the case of women with lymphatic filariasis and the path to inclusive care in India
title_short Unveiling the gendered abyss: exploring the case of women with lymphatic filariasis and the path to inclusive care in India
title_sort unveiling the gendered abyss exploring the case of women with lymphatic filariasis and the path to inclusive care in india
topic Lymphatic filariasis
Gender
Health experience
Health sociology
Women
url https://doi.org/10.1186/s12939-025-02397-3
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