Tuberculosis and utilization of healthcare facilities by the Lepchas of Sikkim

2012 ◽  
Vol 28 (1) ◽  
pp. 49-55
Author(s):  
Yasoda Sharma ◽  
Vijayan K. Pillai
Author(s):  
Elijah Akwarandu Njoku ◽  
Patrick Etim Akpan

Given the effect of locational decisions on access and utilization of healthcare facilities in any society, the current study attempted an evaluation of the locational efficiency of available health facilities in Ikot Ekpene LGA with a view to ascertain the distributional pattern of the health care centers in the study area. It was discovered that health care centers in the area are randomly distributed but moderately concentrated in a few wards leaving more than half the area under-served. Using a WHO population/distance criterion of 1/4km, it is shown that only a small portion of the study area has effective access to healthcare facilities. Potential sites for location of additional health centers were suggested and the capability of Geographical Information System (GIS) in spatial planning and healthcare facility management is demonstrated.


2021 ◽  
Vol 18 (21) ◽  
pp. 387
Author(s):  
Agung Dwi Laksono ◽  
Ratna Dwi Wulandari

Specifically, the characteristics of regions in Indonesia are unique. The situation is because the division of the region refers to the main islands. The study aims to analyze regional disparities of childbirth services in Indonesia. Meanwhile, the analysis in this study uses raw data from the 2017 Indonesian Demographic Health Survey (IDHS). The IDHS used stratification and multistage random sampling. The sample used in this study was 17,769 women aged 15 - 49 years with live births in the last 5 years. The study employed all region (7 regions) in the analysis, and analyzed data using the binary logistic regression test. The result shows national average of the utilization of healthcare facilities for delivery in Indonesia is 72.0 %. The 3 highest-ranking regions were in the Java-Bali region with 89.5 %, Sumatra region 73.5 %, and Kalimantan region 69.1 %. The study shows a significant disparity between all regions than the Papua region, except for Kalimantan and Sulawesi regions. Sumatra region has 1.475 times more possibilities to utilize healthcare facilities for delivery than the Papua region. The Java-Bali region has 3.010 times more potential to use healthcare facilities for delivery than the Papua region. The Nusa Tenggara region has 1.891 times more opportunities to use healthcare facilities for delivery than the Papua region. At the same time, the Maluku region has lower utilization than the Papua region. Maluku region has the possibility of 0.304 times utilizing healthcare facilities for delivery than the Papua region. The study concluded that there were significant disparities between regions in using healthcare facilities for delivery in Indonesia. HIGHLIGHTS Indonesia has made many efforts in shifting labor into health care facilities. However, this increase is still lacking, and in some cases, the community still feels that the health services received are not expected The characteristics of regions in Indonesia are unique. Economic and development movements between regions keep the development gap between areas continuing. Disparity as a result of this development also affects the accessibility of the community to health service facilities The study proved there were disparities between regions in using healthcare facilities for delivery in Indonesia GRAPHICAL ABSTRACT


2017 ◽  
Vol 13 (23) ◽  
pp. 377
Author(s):  
Omotayo Ben Olugbamila ◽  
Samson Ajibola Adeyinka

This paper examines the socio-economic characteristics of residents and their utilization of available healthcare facilities in Owo local government area of Ondo State, Nigeria. The data utilized in the paper draws on systematic sampling of 368 health consumers in the study area. Findings revealed that socio-economic characteristics play a significant role in determining the frequency of visits to healthcare facilities, this is substantiated with the chi-square test result that revealed a significant relationship between marital status and frequency of visits to healthcare facilities with χ² = 29.175 and significant at p = 0.004 level, as well as income of households and the frequency of visits to healthcare facilities with χ² = 20.961 and significant at p = 0.007 levels. The paper therefore concluded that efforts should be put in place to improve the socio-economic status of individuals through multi-sectoral development activities such as micro-credit facilities and provision of employment opportunities which is believed will invariably improve their access and utilization of healthcare facilities.


2019 ◽  
Vol 19 (1) ◽  
pp. 158-166 ◽  
Author(s):  
Agung Dwi Laksono ◽  
Ratna Dwi Wulandari ◽  
Oedojo Soedirham

One indicator to see the quality of health system performance was to look at the disparity in the utilization of healthcare facilities. The research objective was to analyze the disparity between regions in the utilization of health centers in rural areas in Indonesia. The results of the 2013 Basic Health Survey (Riskesdas) were used as analysis material. The 2013 Riskesdas was designed a cross-sectional survey. Respondents obtained 388,598 using the multi-stage cluster random sampling method. Binary Logistic Regression Test was used to analyze data. Data is obtained through a structured questionnaire. The results showed that there were statistically significant disparities between regions. All regions showed better utilization than the Papua region as a reference. The best utilization was in the Sumatra region, which was 3.781 times more utilizing health centers than the Papua region (OR = 3.781; 95% CI = 3.580-3.993). The utilization of health centres that approached the Papua region was the Nusa Tenggara region (OR = 1.582; 95% CI = 1.490-1.679) and the Maluku region (OR = 2.175; 95% 1.999–2.366). All three regions are all in the Eastern part of Indonesia. The research concluded there was a disparity in health center utilization between regions in rural Indonesia. Regions in the western part of Indonesia tend to have better health center utilization in rural areas. Research results could be used as a reference for making policies that focus on equality of services to reduce existing disparities.


2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Muhammad Ihsan ◽  
Dwi Cahya Rahmadiyah

<div><p class="Keywords"><strong>Objective</strong>: This study aimed to identify the characteristics of type 2 diabetes patients, family support, the utilization of healthcare facilities, and their interrelationships.</p><p class="Keywords"><strong>Methods</strong>: This was a quantitative study with cross sectional approach. As many as 100 patients with type 2 diabetes mellitus who visited Tebet Community Health Services were selected using consecutive sampling method. We collected data using the 29- items Hensarling Diabetes Family Support Scale (HDFSS) questionnaire to measure family support. We also developed a 10- items questionnaire to measure the utilization of healthcare facilities.</p><p class="Keywords"><strong>Results</strong>: Most patients received good family support (61%), good informational support (57%), and good rewarded support (55%). The utilization of health care facilities was good (56%). Results of our study showed a significant relationship between family support and the utilization of healthcare facilities (p= 0.0001). Patients with good family support were 348.3 times more likely to use healthcare facilities. There was a significant relationship between informational support and the utilization of healthcare facilities (p = 0.0001). Patients with good informational support were 5.8 times more likely to use healthcare facilities. Likewise, good rewarded support was significantly associated with good utilization of healthcare facilities (p= 0.0001). Patients with good rewarded support were 4.8 times more likely to use healthcare facilities.</p><p class="Keywords"><strong>Conclusion</strong>: The majority patients received good supports and utilized healthcare facilities. Healthcare professionals in the facilities need to involve family in health promotion and education related to patient care at home.</p></div><strong>Key words</strong>: family support, type 2 diabetes, and utilization of healthcare


2020 ◽  
Vol 58 (232) ◽  
Author(s):  
Carmina Shrestha ◽  
Sajan Acharya ◽  
Raksha Sharma ◽  
Roja Khanal ◽  
Jasmin Joshi ◽  
...  

Introduction: Nepal government enforced a lockdown as a social distancing measure to curb the COVID-19 pandemic. The lockdown has led to compromises in day to day choices like food, exercise, sleep, self-care routines and utilization of healthcare facilities - directly and indirectly influencing aspects of health. Identification of compromised health choices can assist in better planning of inevitable future crises. Methods: This is a cross-sectional descriptive study based on an online self -administered questionnaire, done using CHERRIES criteria, conducted from March 30, 2020, to July 31, 2020. Ethical approval for the study was obtained from the Institutional Review Committee of Nepal Health Research Council (Registration number: 2119; 300/2020 P). Descriptive statistics was used for analysis. Results: Our study had 51% (340) female and 48.7% (325) male participants. A total of 67.9% (112) reported decreased consumption of tobacco and 53.6% (178) reported decreased consumption of alcohol during the lockdown period. Participants who reported that they would have visited a hospital if they had a flu-like illness increased from 22.6% (151) pre-pandemic to 58.6% (391) post-pandemic. Increase in news consumption was reported by 79.2% (528). Out of 6.4% (43) participants with a chronic condition, 69.8% (30) reported having missed follow up due to the lockdown. Conclusions: The health of an individual is determined by various choices s/he makes on a day to day basis. Many of those choices are in turn influenced by the availability and accessibility of commodities. Lessons learned from the affected lives due to COVID-19 can be used in proper planning of inevitable future crises.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Foyez Ahmmed

PurposeThis study aims to explore whether there is an association between women's empowerment and the utilization of maternal healthcare facilities.Design/methodology/approachThis study considered four indices for measuring women's empowerment – labor force participation index (LFPI), decision-making power index (DMPI), attitude toward partner’s violence index (ATPVI) and knowledge level index (KLI) – and three healthcare facilities – number of antenatal visits, delivery with healthcare facilities and postnatal checkup after delivery. Data extracted for this study were from the Bangladesh Demographic and Health Survey 2011 and 2014. A chi-square test was used for bivariate analysis, and a three-level logistic regression model was applied for multivariate analysis.FindingsAn increment was observed in the practice of all considered healthcare facilities, and the percentage of highly empowered women in DMPI decreased from 2011 to 2014. This study found that higher empowerment of women in DMPI, KLI and ATPVI significantly (p-value < 0.05) increases the utilization of healthcare facilities. High empowerment of mothers in LFPI was found negatively associated with facility delivery and positively associated with the postnatal checkup.Originality/valueWomen's empowerment was found significantly associated with the utilization of maternal healthcare facilities. This study is seeking the attention of corresponding authority to come up with a more effective intervention program to empower women to utilize maternal healthcare facilities.


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