scholarly journals Does disability increase households’ health financial risk: evidence from the Uganda demographic and health survey

2022 ◽  
Vol 7 (1) ◽  
Author(s):  
Wilfried Guets ◽  
Deepak Kumar Behera
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Health Survey ◽  
Health Expenditure ◽  
Health Care Services ◽  
Financial Risk ◽  
Demographic And Health Survey ◽  
Health Coverage ◽  
The Public ◽  
Care Services

Abstract Background In the last few years, there has been a worldwide commitment to protect the vulnerable individuals from higher financial risk through out-of-pocket (OOP) health expenditure. This study examines the influence of disability and socio-demographic factors on households’ health financial risks in Uganda. Methods We used nationally representative cross-sectional data from the Uganda Demographic and Health Survey (UDHS) collected in 2016 by the Uganda Bureau of Statistics (UBOS) in Uganda. We measured financial risk (households’ health expenditure) by money paid for health care services. We estimated the “probit” model to investigate the effect of disability on health financial risk. Results A total of 19,305 households were included in this study. Almost 32% of households paid money for health care services access, among which 32% paid through out-of-pocket. Almost 41% of household heads were affected by disability. The majority (73%) of families went to the public sector for health care services. The mean age was 45 years (SD ± 15). We find that disability is significantly associated with the household financial risk (p < 0.01). The private sector’s choice for health care services is likely to positively affect the financial risk compared to the public sector (p < 0.01). The wealthier the household was, the more money paid for health service was (p < 0.01). Conclusion Our results indicated that disability and household socio-demographic characteristics were associated with health financial risk in Uganda. Identifying families with disability and experiencing difficult living conditions constitute an entry point for health authorities to enhance health coverage progress in low and middle-income countries.

scholarly journals Does Disability Increase Households’ Health Financial Risk: Evidence From The Uganda Demographic and Health Survey

2021 ◽  
Author(s):  
Wilfried GUETS ◽  
Deepak Kumar Kumar Behera
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Health Survey ◽  
Health Expenditure ◽  
Health Care Services ◽  
Financial Risk ◽  
Demographic And Health Survey ◽  
The Public ◽  
Care Services ◽  
Low Middle Income Countries

Abstract Background: In the last few years, there has been a worldwide commitment to protect the vulnerable individuals from higher financial risk through out-of-pocket (OOP) health expenditure and provide a platform for universal access to healthcare through a pre-payment insurance mechanism. In a developing country like Uganda, OOP spending represents a significant component of health expenditure. Financial risk protection strategy for the vulnerable is always a debatable issue in these economies. Therefore, this study examines the influence of disability and socio-demographic factors on households’ health financial risks in Uganda.Methods: We used cross-sectional, nationally representative data from the Uganda Demographic and Health Survey (UDHS) collected in 2016 by the Uganda Bureau of Statistics (UBOS) in Uganda. We measured Financial risk (households’ health expenditure) by money paid for health care services. We estimated the “probit” model to investigate the effect of disability on health financial risk.Results: A total of 19,305 households were included in this study. Almost 33% of households paid money for health care services access, among which 32% paid through out-of-pocket. Almost 41% of household heads were affected by disability. The majority (73%) of families went to the public sector for health care services. The mean age was 45 years (SD±15). We find that disability significantly increases the probability of household financial risk (p < 0.01). The private sector’s choice for health care services is likely to increase the financial risk compared to the public sector (p < 0.01). The wealthier the household was, the more money paid for health service was (p < 0.01).Conclusion: Our results indicated that disability and household socio-demographic characteristics were associated with health financial risk in Uganda. Identifying families with disability and experiencing difficult living conditions constitute an entry point for health authorities to enhance health coverage progress in low – middle-income countries.JEL Classification: J14; I14; J1; I32; J71; C83

scholarly journals The contribution of CSR during the covid-19 period in Greece: A step forward

2020 ◽  
Vol 1 (1) ◽  
pp. 238
Author(s):  
Dimitrios Kritas ◽  
Stylianos - Ioannis Tzagkarakis ◽  
Zoi Atsipoulianaki ◽  
Symeon Sidiropoulos
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Private Sector ◽  
Health Care Services ◽  
Scientific Research ◽  
Critical Position ◽  
The Public ◽  
Global Institutions ◽  
Care Services ◽  
The Social

The spread of the Covid-19 brought global institutions, societies, states and economies in a critical position as they encounter a new worldwide multilevel crisis. At the same time, states have had to handle this crisis acquiring an interventionist role, protecting the social and economic cohesion, providing better health care services for their citizens and investing in scientific research, as a means to restrict this new pandemic. In order to handle that situation and its consequences, the use of all the available resources became necessary as well as the improvement of the cooperation between the private and the public sector. In Greece private sector has shown an unprecedented willingness for Greece’s CSR tradition, to contribute government’s efforts.

What do malaysian think of the quality of healthcare delivered?: a qualitative analysis of written impression (Preprint)

2021 ◽  
Author(s):  
Nur Wahida Zulkifli
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Waiting Time ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Opinion Poll ◽  
Healthcare Facilities ◽  
The Public ◽  
Care Services

BACKGROUND The public opinion and experience on the health care services are crucial to provide valuable insight towards improving and strengthening the health care systems. OBJECTIVE This study aims to explore the public perspective regarding the quality of health care services rendered by the health care facilities in Malaysia. METHODS The snowballing strategy was used to reach the target through an online opinion poll with three open-ended questions on the strengths of the healthcare facilities, their expectation and suggestion for improvement along with the sociodemographic characteristic. Data were analysed using a thematic approach. RESULTS A total of 800 participants (68% of females and 32% of males) participated. Their responses were grouped into 5 main themes namely: (1) system; (2) input; (3) service delivery; (4) outputs; (5) outcomes. Public feel that they are respected and treated with care by the healthcare providers. However, most of the participants highlighted the issue of long waiting time when they visited healthcare facilities. In relation to this issue, they suggested the facilities to have more staff especially doctors to improve current service. CONCLUSIONS In conclusion, enhancing service delivery by reducing the waiting time, should be the main focus as viewed by the public. The quality of services provided would certainly be improved by having sufficient resources including healthcare workers.

Case Study E-Tailing Health Services in India

2016 ◽  
pp. 292-308
Author(s):  
Bobby Kurian
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Professionals ◽  
Health Care Services ◽  
Information Dissemination ◽  
Health Providers ◽  
The Public ◽  
Care Services ◽  
The World

This case study has been developed to promote understanding the e-tailing of health services. E-health web portal provides a new medium for information dissemination, interaction and collaboration among institutions, health professionals, health providers and the public. This case study provides a founders perspective in setting up and running a medical website that offers online health care services to customers across the world. The case study discusses the challenges and issues faced by the founders and also the promoter's perspective on the lucrativeness of offering e-tailing services. Using this case study an attempt is made to stress the importance of a flexible e-tailing business model specific to the services offered and need of periodic assessments to ensure that the business runs profitable.

scholarly journals An estimation of willingness to pay for secondary health care services in Tamil Nadu, India

2016 ◽  
Vol 5 (1) ◽  
pp. 12
Author(s):  
K Ramu
Keyword(s):  
Public Health ◽  
Health Care ◽  
Willingness To Pay ◽  
Tamil Nadu ◽  
Health Care Services ◽  
Public Health Care ◽  
The Public ◽  
Care Services ◽  
Secondary Health Care ◽  
User Fee

The present study has estimated the willingness to pay (WTP) for secondary health care services (SHCS) in rural and urban environment of three districts in the state of Tamil Nadu during 2009-2011. Since the governments are struggling to mobilise additional financial        resources to provide essential health care services to the deprived population in the country, assessing the WTP for utilising the public health care services are realised as very important at this juncture. In realizing the importance of augmentation of resources, it has been decided to introduce contingent valuation method (CVM) for WTP of SHCS. A disproportionate systematic random sampling method has been adopted for the selection of 720 households; representing 240 respondents from each of the three districts represent 120 from rural and 120 from urban. A major portion (92%) of the surveyed respondents’ gender was male, literacy was high (90%) and they belonged to productive age group. They generally involve themselves in the farm and non - farm activities and avail employment. Their per capita income is Rs.17871, and it is lower than the India’s PCI. The SHCS are classified into 26 categories as per the guidelines provided by public health medical officers in the state of Tamil Nadu. The different health care services started with entry fee to dental problem. The 98.6 per cent of the total surveyed respondents are ready to pay for SHCS in a public hospital and the remaining 2.4 per cent of them are not willing to pay for the same. The range of WTP for 26 SHCS is Rs. 2 - 7000; the range of mean value is Rs. 6 - 5008 and the range of SD is 2 - 2854. Considering the view of majority of the respondents, this study prescribes to introduce the range of user fee for the identified major public health care services. Since the range is differed significantly, it is suggested to follow the minimum amount initially and in a phased manner, the policy makers may prescribe to enhance the user fee after assessing the ground realities and loopholes. The estimated R2 value for SHCS is 20 per cent, which indicates that the selected 12 independent variables have low influence on WTP for SHCS. The study reports that the other exogenous factors like intensity of disease, accessibility of services, quality, urgency, need and perception are the predominant determinants of WTP for SHCS. The present research contends that constitution of district level co-ordination committee for fixing and implementing user fee for SHCS. Introduction of nominal fee (user fee) for SHCS may be fixed for affordable population, free services for BPL population and it would improve the efficiency and equity of the public health care services for the marginalised population. Finally, it is of utmost importance for health professionals to follow ethics in their profession.

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