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LOSS OF HEALTH DUE to VIOLENCE: Time for VALY? Thoughts on Measuring Violence Against Women in India Arindam Basu University of Canterbury
This is What I am Going to Talk About Today … How Much Illness Can be Attributed to Violence Against Women In India? Where’s What’s VALY?
Exposure Versus Outcomes Depression Suicidal Ideations, Self Harm Substance Abuse HIV, STDs, Cancer … DEATH!!! Violence Against Women in All Forms
Exposure Versus Outcomes Depression Suicidal Ideations, Self Harm Substance Abuse HIV, STDs, Cancer … DEATH!!! … Violence Against Women in All Forms
Violence Against her, she dies, DEAD @ 25 years, 50 years lost!
With 50% quality of life, she has lost 25 years out of possible 50 years she could have lived, lost 25 years
So Between the Two Nirbhayas (Jane Does), 75 years of Life Lost! Math Quiz: With Hundreds of Nirbhayas Being Violated Every Year in India, How Many Lives Are Lost?Who Loses? What is the Loss? Why Do We Need to Know This?
DALY = YLL + YLD Disability Adjusted Life Years
DALY = YLL + YLD Years of Life Lost
DALY = YLL + YLD Years Lost Due to Disability
This Simple formula was worked out by Alan Lopez and Chris Murray at Harvard and UQ in 1990 for the Global Burden of Disease, a Study Funded by the World Bank
Link Back Disease Burden to Violence Depression Suicidal Ideations, Self Harm Substance Abuse HIV, STDs, Cancer … DEATH!!! … Violence Against Women in All Forms
Three Sources to Pull Data From Probability of Exposure to Violence Linkage Between Exposure and Disease Burden of Disease Attributable to Violence
Percentage of Disease Burden 67% of the Burden of Disease are from Depression and Suicide
The Case for Violence Adjusted Life Year Estimation: Is Violence an Outcome? Is Violence only an Exposure?
Concepts of VALY • VALY = Violence Adjusted Life Years • Violence Against Women is Common in India • Disease Burden Affected by Living in an Environment of Violence (for Women) • Intimate Partner Violence • Non-intimate Partner Violence • Domestic/Outside of Domestic Violence • Others? • VALY = Years of Life Lost Due to Violence (YLLV) + Years of Life Lost due to Disability owing to Violence • Need for Adjustment for GBD and Local Burden of Disease Estimation