Presentation on VALY at the NZIRI Conference in Wellngton (Draft)

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This is a draft presentation I will offer at Wellington, New Zealand on 29 August, 2013 at the New Zealand India Research Institute Symposium.

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Presentation on VALY at the NZIRI Conference in Wellngton (Draft)

  1. 1. LOSS OF HEALTH DUE to VIOLENCE: Time for VALY? Thoughts on Measuring Violence Against Women in India Arindam Basu University of Canterbury
  2. 2. This is Where I Work
  3. 3. This is Where I live
  4. 4. This is What I am Going to Talk About Today …
  5. 5. Is Violence Against Women in India Increasing?
  6. 6. Violence Against Women 0 50000 100000 150000 200000 250000 300000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Total Number of Crime Against Women
  7. 7. Cruelty Against Women (%) 0 5 10 15 20 25 30 35 40 45 50 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Really Cruel Crime Against Women (%)
  8. 8. Dowry Related Violence as % 5.6 5.8 6 6.2 6.4 6.6 6.8 7 7.2 7.4 7.6 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Dowry Related Violence (%)
  9. 9. Violence Against Women (VAW) in India (2001-2012) 9 9.5 10 10.5 11 11.5 12 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Percentage of Rape of All Crimes
  10. 10. Assaults (% of) 0 5 10 15 20 25 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Percentage of Assaults Against Women of All Crimes Committed
  11. 11. So, What’s The Story?
  12. 12. How Does This Affect Women’s Health and Well Being?
  13. 13. Exposure Versus Outcomes Depression Suicidal Ideations, Self Harm Substance Abuse HIV, STDs, Cancer … DEATH!!! Violence Against Women in All Forms
  14. 14. Exposure Versus Outcomes Depression Suicidal Ideations, Self Harm Substance Abuse HIV, STDs, Cancer … DEATH!!! Violence Against Women in All Forms …
  15. 15. Need a Summary Measurement …
  16. 16. At Birth, her Life Expectancy was 75 years
  17. 17. Violence Against her, she dies, DEAD @ 25 years, 50 years lost!
  18. 18. She Survives, but with 50% Quality of Life
  19. 19. With 50% quality of life, she has lost 25 years out of possible 50 years she could have lived, lost 25 years
  20. 20. 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?
  21. 21. DALY = YLL + YLD
  22. 22. DALY = YLL + YLD Disability Adjusted Life Years
  23. 23. DALY = YLL + YLD Years of Life Lost
  24. 24. DALY = YLL + YLD Years Lost Due to Disability
  25. 25. 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
  26. 26. Top 10 DALYs, 1999
  27. 27. Link Back Disease Burden to Violence Depression Suicidal Ideations, Self Harm Substance Abuse HIV, STDs, Cancer … DEATH!!! Violence Against Women in All Forms …
  28. 28. Three Sources to Pull Data From Probability of Exposure to Violence Linkage Between Exposure and Disease Burden of Disease Attributable to Violence
  29. 29. Source of Data
  30. 30. Risk of Exposure to Violence for Women
  31. 31. Exposure-Disease Linkages
  32. 32. Results
  33. 33. Percentage of Disease Burden 0.00 5.00 10.00 15.00 20.00 25.00 30.00 35.00 40.00 45.00 50.00 Femicide HIV Syphilis Chlamydia Abortion Low Birthweight Alcohol Abuse Depression Suicide Injuries 67% of the Burden of Disease are from Depression and Suicide
  34. 34. The Case for Violence Adjusted Life Year Estimation: Is Violence an Outcome? Is Violence only an Exposure?
  35. 35. 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

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