scholarly journals Women's Use of Private and Government Health Facilities for Childbirth in Nairobi's. Informal Settlements

2009 ◽  
Vol 40 (1) ◽  
pp. 39-50 ◽  
Author(s):  
Eva S. Bazant ◽  
Michael A. Koenig ◽  
Jean-Christophe Fotso ◽  
Samuel Mills
Keyword(s):  
Informal Settlements ◽  
Health Facilities ◽  
Government Health

scholarly journals SKILLINGEN, BRODEREN OG TABLETTEN: Penge og sundhed i det østlige Uganda

2004 ◽  
Author(s):  
Hanne O. Mogensen
Keyword(s):  
Health Care ◽  
Everyday Life ◽  
Health Care System ◽  
Health Care Providers ◽  
Social Relations ◽  
Health Facilities ◽  
Care Providers ◽  
The Public ◽  
Government Health ◽  
The Government

Complaints about fees at the government health facilities in Uganda are incessant, and so are the more general statements about lack of money and problems of poverty. These complaints, however, cannot be reduced to questions of cost and the availability of resources. We also need to look at the kinds of exchanges money is made part of. Health has long been part of the economic sphere in Uganda, and people compensate healers and practitioners of different kinds for their services. The article explores why, then, people experience it as far more problematic to pay for treatment in the public health care system than to pay other health care providers. To answer this question requires a discussion of money, not as destructive to social relations, but as creative potential for relationships in all spheres of everyday life. In Uganda, as elsewhere, money can be used both to pay somebody and to give somebody something. Money is being made part of different modalities of exchange. In order to understand what takes place in various kinds of clinical interaction we need to look at the complex intersection of social relations, modalities of exchange, and the objects exchanged.

scholarly journals Health Seeking Behaviour among Past and Current Tuberculosis Patients in a Low-Income Country

2021 ◽  
Vol 9 (3) ◽  
pp. 194-203
Author(s):  
Gokul Mishra
Keyword(s):  
Health Care Providers ◽  
Low Income ◽  
Health Facilities ◽  
Diagnosis And Treatment ◽  
Easy Access ◽  
Care Providers ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Government Health ◽  
Incident Cases

In Nepal, the estimated incident cases are 0.07 million, of them, 0.03 million people are diagnosed and enrolled in the treatment annually, and numbers of undiagnosed people living with tuberculosis (TB) might be a threat to achieving END TB strategy targets. Understanding health-seeking behaviour and care pathways is crucial to reducing missed cases and decreasing TB transmission. The objective of the study was to identify the health-seeking behavior of TB patients and understand the reasons behind TB diagnostic and treatment delays in Nepal. This was a cross-sectional, population-based survey carried out in 99 clusters of 55 districts (total of 77) of Nepal. Primary Sampling Units were Village Development Committees or Municipalities and wards selected using systematic proportional to population size method. Of the total 54,200 people who attended in the survey, 1,825 had a history of TB and asked their health-seeking practice. 62% and 72% of the TB patients utilised the government health facilities for diagnosis and treatment. 18% of the TB patients said that they received diagnosis services, and 16% of patients took their treatment from outside of the country, especially India, due to fear of stigma and easy access to the services. The majority of the TB patients utilised government health facilities to receive diagnosis and treatment services. Some of the participants sought TB services from private health care providers, and a significant proportion of participants received them from India due to difficulty in accessing local services and fear of stigma and discrimination. Keywords: Community Based Directly Observed Treatment, Health Seeking Behaviour, Prevalence Survey, Tuberculosis.

scholarly journals Knowledge of Family Planning and Access to Sexual and Reproductive Health Services by Immigrant Youth in Hillbrow, South Africa: A Cross-sectional Study.

2022 ◽  
Author(s):  
Nkechi C. Obisie-Nmehielle ◽  
Ishmael Kalule-Sabiti ◽  
Martin Palamuleni
Keyword(s):  
Family Planning ◽  
Sexual And Reproductive Health ◽  
Universal Access ◽  
Immigrant Youth ◽  
Cross Sectional Study ◽  
Health Facilities ◽  
Sexually Active ◽  
Sources Of Information ◽  
Cross Sectional ◽  
Government Health

Abstract Background: For countries to achieve the Sustainable Development Goals (SDGs) especially SDG3.7- universal access to Sexual and Reproductive Health (SRH) care services including information and education for family planning, immigrant youth must be ensured access to SRH services. This study examines the determinants of knowledge about family planning (KFP) and access to SRH services by sexually active immigrant youth in Hillbrow, South Africa.Methods: This cross-sectional study of 467 immigrant youth aged 18-34 years used a multistage-sampling technique. Data were collected using interviewer-administered questionnaires on socio-demographic, migration, KFP and access to SRH services from government health facilities. Unadjusted and adjusted logistic regression models were used to determine levels of KFP and access to SRH services among 437 sexually active youth. Results: The main sources of information on SRH issues were radio/television (38.7%) and friends (22.8%). Over half of the respondents have adequate KFP, while two out of five indicated a lack of access to SRH services from government health facilities. In the adjusted models, the determinants of having KFP were being a female (AOR= 3.85, CI: 2.33–6.35, belonging to the age groups 25–29 years (AOR=2.13, CI: 1.12–4.04; and 30–34 years (AOR=3.88, CI: 2.00–7.53); belonging to the middle and rich wealth index (AOR=1.84, CI: 1.05–3.20) and (AOR=2.61 (1.34–5.08) respectively. Not having received information about family planning (AOR=0.16, CI=0.09–0.28) and not using a contraceptive at the time of the survey (AOR=0.36, CI: 0.18–0.70) were associated with reduced odds of KFP. The determinants of having access to government health facility for SRH services were being a female (AOR=2.95, CI: 1.87–4.65), being 30–34 years of age (AOR=1.91, CI: 1.08–3.39), and not having received information about family planning (AOR=0.44, CI=0.27–0.73). Conclusion: Majority of the survey respondents lack access to information about family and SRH services provided by government health facilities, which resulted in them depending on unreliable sources of information about SRH issues. There is a need to advocate for universal access to SRH services, inclusive of immigrant youth in South Africa, to curb negative SRH outcomes and to achieve SDG 3.7.

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