scholarly journals Why is the Vaccination Rate Low in India?

2021 ◽  
Author(s):  
Pramod Kumar Sur
Keyword(s):  
Vaccination Rate ◽  
Jel Classification ◽  
Health Seeking ◽  
Negative Effects ◽  
Healthcare Facilities ◽  
Universal Immunization Program ◽  
Vaccination Rates ◽  
Forced Sterilization ◽  
Seeking Behavior ◽  
Immunization Services

AbstractIndia has had an established universal immunization program since 1985 and immunization services are available for free in healthcare facilities. Despite this, India has one of the lowest vaccination rates globally and contributes to the largest pool of under-vaccinated children in the world. Why is the vaccination rate low in India? This paper explores the importance of historical events in shaping India’s current vaccination practices. We examine India’s aggressive family planning program implemented during the period of emergency rule in the 1970s, under which millions of individuals were forcibly sterilized. We find that greater exposure to the forced sterilization policy has had negative effects on the current vaccination rate. We also find that institutional delivery and antenatal care are currently low in states where policy exposure is high. Together, the evidence suggests that the forced sterilization policy has had a persistent effect on current health-seeking behavior in India.JEL ClassificationN35, I15, I18, O53, Z1

scholarly journals ANALYSIS OF HEALTH-SEEKING BEHAVIOR OF TUBERCULOSIS PATIENTS IN NIGERIA

2021 ◽  
Vol 7 (1) ◽  
pp. 1-7
Author(s):  
Oluwadamisi Tayo-Ladega ◽  
Taye Mohammed Abdullahi
Keyword(s):  
Jel Classification ◽  
Behavioral Pattern ◽  
Health Facilities ◽  
Health Coverage ◽  
Health Seeking ◽  
Tuberculosis Patients ◽  
Free Treatment ◽  
Seeking Behavior ◽  
Private And Public ◽  
Seeking Help

Among several forms of infectious diseases, tuberculosis (TB) cannot be exempted. Even though the treatment of TB is free in Nigeria, the costs incurred by most patients do not reveal the significance of free treatment, and this affects the behavioral pattern of TB patients as a result of the numerous visits of patients to the hospital during the treatment of TB which may or may not yield their expected result. The objective of this study is to examine the behavior of TB patients towards seeking help for their health conditions. The study focused on Kwara and Kebbi States, Nigeria. The findings revealed that most of the Tuberculosis patients were more likely to search for treatment and seek medical advice from secondary health facilities, and they sought treatment first at the out-patient services. The out-patient services are among the secondary health facilities. It is therefore recommended that there is a need for health stakeholders (private and public) to ensure primary health coverage for all patients to prevent the exclusion of certain persons from treatment. This is referred to as inclusiveness. JEL Classification Codes: A19, B10, B25, C10, C53.

scholarly journals SOCIAL SUPPORT AND HEALTHCARE-SEEKING BEHAVIOR OF OLDER PERSONS IN NIGERIA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S143-S144
Author(s):  
Funmi Togonu-Bickersteth ◽  
Joshua O Aransiola ◽  
Catherine O Oyetunji-Alemede ◽  
Opeyemi Ekundayo ◽  
Oluwasegun Oluwaleimu
Keyword(s):  
Social Support ◽  
Older Persons ◽  
Healthcare Facility ◽  
Care Utilization ◽  
Binary Logistic Regression Analysis ◽  
Health Seeking ◽  
Healthcare Facilities ◽  
Healthcare Seeking ◽  
Seeking Behavior ◽  
Healthcare Seeking Behavior

Abstract Abstract The choice of healthcare facility by older persons is an important factor in their healthcare seeking behavior, and this can be associated with a number of factors. This study investigated the relationship between social support and healthcare facility choice of older persons in Nigeria. Other factors associated with the choice of healthcare facilities by older persons were also identified. Quantitative data were collected from a sample of 3,696 elderly aged 60 years above (55.6% male; 44.4% females; mean age = 69.2, SD = 8.60) who were selected through multi-stage systematic random sampling. Binary logistic regression analysis revealed that older persons who received social support were more likely to seek treatment in formal healthcare facilities, while older persons who did not receive any form of social support were more likely to seek treatment in informal healthcare facilities. Membership of social or religious groups was found to be a predictor of health seeking behavior among the older adults. Sex, age, level of education, and ability to handle activities of daily living (ADL), and ease of access to the nearest health facility, were found to be significantly associated with choice of healthcare facilities. The article concludes that there is need for conscious planning to provide formal supports to ease access of older persons to available health facilities. Such facilitation should include financial support and removal of existing physical and cultural barriers to health care utilization by older persons.

scholarly journals U.S. Field Hospitals: A Study on Public Health Emergency Response to COVID-19

2020 ◽  
Author(s):  
Luorongxin Yuan ◽  
Sherryn Sherryn ◽  
Peter Hu ◽  
Fenghao Chen
Keyword(s):  
Public Health ◽  
Utilization Rate ◽  
Health Seeking ◽  
Healthcare Facilities ◽  
Seeking Behavior ◽  
Public Health Emergency Response ◽  
Strict Regulation ◽  
Critical Patients ◽  
Effective Public Health ◽  
Local Healthcare

With the number of confirmed COVID-19 cases rapidly growing in the U.S., many states are experiencing a shortage of hospital-especially ICU-beds. In addition to discharging non-critical patients, expanding local hospitals' capacity as well as re-opening closed healthcare facilities, these states are actively building or converting public venues into field hospitals to fill the gap1. By studying these makeshift hospitals, we found that the states most severely impacted by the pandemic are fast at responding with the first wave of hospitals opening around the date of peak demand and the majority ready to use by the end of April. However, depending on the types of patients the field hospitals accept (COVID-19 vs. non-COVID-19) and how they are incorporated to local healthcare system, these field hospitals have utilization rate ranging from 100% to 0%. The field hospitals acting as alternative site to treat non-COVID-19 patients typically had low utilization rate and often faced the risk of COVID-19 outbreak in the facility. As overflow facilities, the field hospitals providing intensive care were highly relied on by local healthcare systems whereas the field hospitals dedicated to patients with mild symptoms often found it hard to fill the beds due to a combination of factors such as strict regulation on transferring patients from local hospitals, complication of health insurance discouraging health-seeking behavior, and effective public health measure to "flatten the curve" so that the additional beds were no longer needed.

scholarly journals HEALTH SEEKING BEHAVIOR OF PSYCHIATRIC PATIENTS AT AN OUTPATIENT DEPARTMENT OF A TERTIARY CARE HOSPITAL IN LAHORE, PAKISTAN

1970 ◽  
Vol 7 (3) ◽  
pp. 137-141
Author(s):  
Muhammad Ashraf Chaudhry ◽  
Aneeqa Shamshad Butt ◽  
Ejaz Ahmad Khan ◽  
Asma Abdul Latif ◽  
Jalil Kamran ◽  
...  
Keyword(s):  
Common Mental Disorders ◽  
Psychiatric Patients ◽  
Tertiary Care ◽  
Care Hospital ◽  
Health Seeking ◽  
Severe Condition ◽  
Medical Practitioners ◽  
Healthcare Facilities ◽  
Seeking Behavior ◽  
First Time

Background: Mental and psychological disorders are responsible for significant morbidity and disability worldwide. Results of World Mental Health Consortium demonstrate that common mental disorders are highly prevalent globally. Only a limited proportion of patients with psychiatric disorders attend the healthcare facilities, in severe condition. Treatment by unqualified medical practitioners and faith healers is a common practice, which significantly delay the proper treatment. Methods: We conducted this survey at the psychiatry OPD at Jinnah Hospital Lahore from March 2015 to May 2015. 1000 study subjects of 14 -70 years of age from both genders were enrolled for this study randomly, who sought psychiatric opinion for first time. Results: One hundred patients were examined, mean age of subjects was 31 years (SD + 15.02), with 53.0% females. More patients (60.0%) were first time recognized by their family members, remaining sought treatment by themselves. As per history 42.4% patients had consulted to Qualified Medical General Practioners, 19.9% to Piers, 12.0% to Religious Clerics and 10.5% to Hakim, Fakir, Malang etc. and only 2.6% consulted to psychotherapist. Conclusion: It is concluded that in our setting psychiatric illnesses are always recognized late and medical practitioners do not bother to obtain consultative opinion from psychotherapist.  

The health behavior in relation to the oral cavity condition among cardiac patients

2018 ◽  
Vol 68 (3) ◽  
pp. 339-345
Author(s):  
Gabriela Pękała ◽  
Katarzyna Taraszkiewicz-Sulik
Keyword(s):  
Myocardial Infarction ◽  
Oral Cavity ◽  
Health Knowledge ◽  
Post Myocardial Infarction ◽  
Cardiac Patients ◽  
Systemic Diseases ◽  
Health Awareness ◽  
Health Seeking ◽  
Negative Effects ◽  
Seeking Behavior

Introduction. The appropriate oral hygiene and awareness of the importance of healthy dentition in patients with systemic diseases, especially cardiac diseases, are significant in their treatment therapy. The aim of the study. The assessment of health awareness and health behaviors in oral cavity diseases among cardiac patients. Materials and methods. The research was based on 72 cardiac patients, 33 women and 39 men, aged 58-88 years old. 47 post-myocardial infarction patients and 25 patients with other cardiac problems. To assess the health awareness the questionnaire survey was conducted. The results. Only 40,43% of the post-myocardial infarction patients were asked about their dentition by cardiologist. 30,56% of the group do not attend to the dental appointments regularly. 43,06% of the patients do not brush their teeth twice a day and 23,61% of the group noticed gum bleeding during tooth brushing, simultaneously only 44,44% of the patients know that it is a symptom of the disease. 33,33% of the group claims to have dental calculus, but only 12,5% of them remove it once a year, at the same time 41,66% of them is aware of negative effects of calculus on the heart. 30,53% of the patients have dental carious, 18,06% of the population claims to have loose teeth and 97,22% of the patients have their teeth removed, 52,87% of them because of pathologic teeth mobility. 6,64% of the patients admit to be active smokers, 51,39% have stopped smoking, and 41,67% have never smoked the cigarettes. Conclusion. The health knowledge and health seeking behavior among cardiac patients are insufficient. It is necessary to increase patients’ dental knowledge, aiming to increase the responsibility for their own health and to prevent systemic diseases including cardiac problems.

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