Health care utilization for common childhood illnesses in rural parts of Ethiopia: evidence from the 2016 Ethiopian demographic and health survey

This study aimed to assess possible differences in health services utilization among people living with noncommunicable diseases (NCDs) in the Republic of Srpska (RS), Bosnia and Herzegovina, with special reference to NCD multimorbidity. In addition, the relationship between self-perceived health and health care utilization was assessed. Data were retrieved from the 2010 National Health Survey. A cross-sectional study design was used. A total of 4,673 persons aged 18 years and older were identified in the households, of which 4,128 were interviewed. Logistic regression analyses were used to estimate the effects of NCDs on health care utilization in RS. Respondents with NCD multimorbidity more frequently visited family physicians (odds ratio [OR], 2.74; 95% confidence interval [CI], 2.34 − 3.19), dentists (OR, 1.57; CI, 1.28 − 1.92), private doctors (OR, 2.14; CI, 1.74 − 2.64), and urgent care departments (OR, 2.30; CI, 1.75 − 3.03) than their counterparts without NCDs. They also had more hospital admissions (OR, 2.03; CI, 1.56 − 2.64). This is the first study to address the relationship between health care utilization and NCDs in the population of RS. Further research is needed to explore how best to organize health care to meet the needs of people in RS with NCDs, especially with NCD multimorbidity.

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MEN IN MATERNAL CARE: EVIDENCE FROM INDIA

Journal of Biosocial Science ◽

10.1017/s0021932011000502 ◽

2011 ◽

Vol 44 (2) ◽

pp. 129-153 ◽

Cited By ~ 47

Author(s):

APARAJITA CHATTOPADHYAY

Keyword(s):

Health Care ◽

Maternal Health ◽

Health Care Utilization ◽

Antenatal Care ◽

Health Survey ◽

Male Involvement ◽

Maternal Health Care ◽

Gender Violence ◽

Care Utilization ◽

Maternal Health Care Utilization

SummaryMen's supportive stance is an essential component for making women's world better. There are growing debates among policymakers and researchers on the role of males in maternal health programmes, which is a big challenge in India where society is male driven. This study aims to look into the variations and determinants of maternal health care utilization in India and in three demographically and socioeconomically disparate states, namely Uttar Pradesh, West Bengal and Maharashtra, by husband's knowledge, attitude, behaviour towards maternal health care and gender violence, using data from the National Family Health Survey III 2005–06 (equivalent to the Demographic and Health Survey in India). Women's antenatal care visits, institutional delivery and freedom in health care decisions are looked into, by applying descriptive statistics and multivariate models. Men's knowledge about pregnancy-related care and a positive gender attitude enhances maternal health care utilization and women's decision-making about their health care, while their presence during antenatal care visits markedly increases the chances of women's delivery in institutions. From a policy perspective, proper dissemination of knowledge about maternal health care among husbands and making the husband's presence obligatory during antenatal care visits will help primary health care units secure better male involvement in maternal health care.

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The New York State Minority Health Survey: Determinants of Oral Health Care Utilization

Journal of Public Health Dentistry ◽

10.1111/j.1752-7325.2003.tb03494.x ◽

2003 ◽

Vol 63 (3) ◽

pp. 158-165 ◽

Cited By ~ 16

Author(s):

Amit Chattopadhyay ◽

Jayanth V. Kumar ◽

Elmer L. Green

Keyword(s):

Health Care ◽

New York ◽

Oral Health ◽

Health Care Utilization ◽

Health Survey ◽

Minority Health ◽

New York State ◽

Oral Health Care ◽

Care Utilization ◽

York State

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A comparison of the health status and health care utilization patterns between foreigners and the national population in Spain: New evidence from the Spanish National Health Survey

Social Science & Medicine ◽

10.1016/j.socscimed.2009.05.005 ◽

2009 ◽

Vol 69 (3) ◽

pp. 370-378 ◽

Cited By ~ 67

Author(s):

Cristina Hernández-Quevedo ◽

Dolores Jiménez-Rubio

Keyword(s):

Health Care ◽

Health Status ◽

Health Care Utilization ◽

National Health ◽

Health Survey ◽

National Health Survey ◽

Care Utilization ◽

National Population ◽

Utilization Patterns ◽

New Evidence

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Inequity in health care utilization for common childhood illnesses in India: measurement and decomposition analysis using the India demographic and health survey 2015–16

BMC Health Services Research ◽

10.1186/s12913-021-06887-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Tulasi Malini Maharatha ◽

Umakant Dash

Keyword(s):

Health Care ◽

Child Health ◽

Medical Treatment ◽

Health Survey ◽

Concentration Index ◽

Decomposition Analysis ◽

Demographic And Health Survey ◽

Horizontal Inequity ◽

Indian States ◽

Childhood Illnesses

Abstract Background Though child mortality has dropped remarkably, it is considerably high in South Asia. Across the globe, 5.2 million children under 5 years of age died in 2019, and India accounts for a significant portion of these deaths. Common childhood illnesses are the leading cause of these deaths. Seeking care from formal providers can reduce these avoidable deaths. Inequity is a crucial blockage in optimum utilization of medical treatment for children. Hence, the present study analyzes the inequalities and horizontal inequities in utilizing the medical treatment for diarrhea, fever, acute respiratory infection (ARI), and any of these common childhood illnesses in India and across the Indian states. The study also attempts to locate significant contributors to these inequalities. Methods The study used 0 to 59 months children’s data sourced from the Demographic and Health Survey, India (2015–16). Concentration Index (CI) and Erreygers Corrected Concentration Index (EI) were used to measure the inequalities. The Horizontal Inequity Index (HII) was deployed to estimate inequity. The decomposition method introduced by Erreygers was applied to determine the significant contributors of inequalities. Results The EI in medical treatment-seeking for common childhood illnesses was 0.16, while the HII was 0.15. The highest inequality was perceived in the utilization of medical treatment for ARI (0.17). The primary contributing factors of these inequalities were continuum of maternal care (18.7%), media exposure (12%), affordability (9.3%), place of residence (9.1%), mother’s education (8.5%), and state groups (8.8%). The North-Eastern states showed the highest level of inequality across the Indian states. Conclusion The study reveals that the horizontal inequity in medical treatment utilization for children in India is pro-rich. The findings of the study suggest that attuning the efforts of existing maternal and child health programs into one seamless chain of care can bring the inequalities down and improve the utilization of child health care services. The spread of health education through different media sources, reaching out to rural and remote places with adequate health personnel, and easing out the financial hardship in accessing medical treatment could be the cornerstone in accelerating the utilization level amongst the impoverished children.

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