scholarly journals Disparities in Health in State of Haryana

2016 ◽  
Vol 3 (3) ◽  
Author(s):  
Dr. Tarun Bala
Keyword(s):  
Public Health ◽  
Health Care ◽  
Access To Health Care ◽  
Health Care Facilities ◽  
The State ◽  
Public Health Care ◽  
Public Health Services ◽  
Access To Health ◽  
Care Facilities ◽  
The Government

<div><p><em>Equitable health care is feasible through proper resource allocation and access to health care is resolute by health needs and utilization of public health services.</em><em> </em><em>Access to health care, as a determinant of health,  may be unequally distributed if over a period of time  proper policies and reforms are not introduced. Increasing urban-rural socio-economic disparities jeopardized the fairness in social welfare and particularly the equity of access to health care, which has been widely considered a key objective of health care policies, in turn putting the disadvantaged communities in especially vulnerable position by increasing their health risks. The present study is primarily concerned with the analyzing the progress/ availability of public health care facilities during the periods of development in the state of Haryana, India  and  differences in  District level health indicators while discussing the provision, availability, accessibility and utilization of health care facilities in the study area i.e. shortlisted from the State of Haryana. This study concludes disparities in health indictors over a period of time as disparities among the Districts /regions in the   availability of infrastructure and other health indictors. Though, the government has declared socially backwards Districts of Haryana, as  high priority Districts yet, the situation seems as it is and has sans improved or marginally improved .Similarly the lack of proper awareness w.r.t. utilization of available health care facilities  as provided by the Governments both Union and State also contributed to widening of disparities in some backward Districts of Haryana. There has been a dire  need to motivate the people about the proper utilization of available health care services provided by the respective Governments and reconsideration and Redressal of  the health issues  is also required at both levels -  consumption as well services providing provisions .  Access issues is  also essential for informing public decision- and policy-making aimed at  providing better life to its citizen. </em></p></div>

scholarly journals Out-of-pocket health expenditure and fairness in utilization of health care facilities in Cambodia in 2005 and 2010

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 2066 ◽  
Author(s):  
Koustuv Dalal ◽  
Olatunde Aremu ◽  
Gainel Ussatayeva ◽  
Animesh Biswas
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Financing ◽  
Household Survey ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Care Utilization ◽  
Survey Period ◽  
Care Facilities ◽  
The Government

Background: Out-of-pocket (OOP) payments for health care are highly pervasive in several low-and-middle income countries. The Cambodian health system has envisaged massive repositioning of various health care financing to ensure equitable access to health care. This analysis examines catastrophic, economic, as well as fairness, impacts of OOP health care payments on households in Cambodia over time. Methods: Data from two waves of a nationally representative household survey conducted in Cambodia (CDHS Surveys 2005 and 2010) were utilized. Healthcare utilizations based on economic status were compared during 2005 and 2010. Variables of interests were i) where care was sought and the instances of treatments, i.e. was treatment sought the first, second or third time; (ii) the mode of payment for treatment of the respondent or for any household member due to sickness or injury in the last 30 days prior to the survey period. Lorenz curves were applied to assess the degree of distribution of inequality in OOP expenditures between different income brackets. Results: The findings revealed that there was inequality and unfairness in health care payments, and catastrophic spending is more common among the poor in Cambodia. The majority of people from poorer households experienced economic hardship and have taken to catastrophic health care spending through sales of personal possessions.  Conclusion: Based on the findings from this analysis, more attention is needed on effective financial protection for Cambodians to promote fairness. The government should increase spending on services being provided at public health care facilities to reduce ever increasing reliance on private sector providers. These approaches would go a long way to reduce the economic burden of care utilization among the poorest.

Spatial distribution of public health care facilities in rural areas of Nalanda district, Bihar

2020 ◽  
Vol 66 (4) ◽  
pp. 387-399
Author(s):  
Anand Kumar ◽  
◽  
Dhiraj Kumar Sharma ◽  
Satya Prakash ◽  
Ram Sakal Yadava ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Spatial Distribution ◽  
Community Development ◽  
Rural Areas ◽  
Graphical Representation ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Location Quotient ◽  
Care Facilities

At this critical juncture of time when the whole world is facing a health care emergency due to the occurrence of (SARS-CoV-2) pandemic. It becomes necessary to critically evaluate public health care facilities and their availability to common people to tackle the ongoing crisis rationally. In this regard, this paper tries to study the spatial distribution of public health care facilities and their availability in rural areas of Nalanda district. Location quotient, Lorenz curve and Gini's coefficient have been worked out to find unequal concentration, availability and distribution of public health care facilities across the study area. To show the concentration and distribution of health care facilities over space maps have been drawn on ArcGIS. MS Excel and Word have been used for showing the availability of health care facilities through graphical representation and for tabulation purposes. This paper concludes that community development blocks surrounding district headquarter have a higher concentration and larger availability of rural public health care facilities in comparison to peripheral community development blocks of the study area.

Confidentiality and security of information in the public health-care facilities to curb HIV/AIDS trauma among patients in Africa

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ngoako Solomon Marutha ◽  
Olefhile Mosweu
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Chronic Patients ◽  
Aids Patients ◽  
Content Type ◽  
The Public ◽  
Care Facilities ◽  
Hiv Aids

Purpose This study sought to investigate a framework for ensuring the confidentiality and security of information at the public health-care facilities to curb HIV/AIDS trauma among patients in Africa. In most instances, trauma to HIV/AIDS patients accelerate because of their personal information relating to the state of illness leaks to public people. Design/methodology/approach This qualitative study used literature to study confidentiality and security of information at the public health-care facilities to curb HIV/AIDS trauma among patients in Africa. Findings The study revealed that confidentiality and security of information has been neglected, in most instances, at the health-care facilities, and this has, to some extent, affected HIV/AIDS patients negatively, leading to trauma, stigma and skipping of treatment by patients resulting in accelerated mortality among chronic patients. The study recommends that patients’ information be always strictly controlled and kept confidential and secured at all the times, especially that of HIV/AIDS patients. Practical implications The proposed framework can be used by health-care facilities to guide the management and promotion of the confidentiality and security of information in the public health-care facilities to curb additional trauma to HIV/AIDS patients in the context of Africa, and even beyond. Originality/value The study provides a framework to ensure the confidentiality and security of information at the public health-care facilities to curb additional trauma to HIV/AIDS patients.

scholarly journals Patient costs of hypertension care in public health care facilities in Kenya

2019 ◽  
Vol 34 (2) ◽  
Author(s):  
Robinson Oyando ◽  
Martin Njoroge ◽  
Peter Nguhiu ◽  
Fredrick Kirui ◽  
Jane Mbui ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Patient Costs ◽  
Care Facilities

scholarly journals Planning universal accessibility to public health care in sub-Saharan Africa

2020 ◽  
Vol 117 (50) ◽  
pp. 31760-31769
Author(s):  
Giacomo Falchetta ◽  
Ahmed T. Hammad ◽  
Soheil Shayegh
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Sub Saharan Africa ◽  
Public Health Care ◽  
Care Services ◽  
Universal Accessibility ◽  
Care Facilities ◽  
Sub Saharan

Achieving universal health care coverage—a key target of the United Nations Sustainable Development Goal number 3—requires accessibility to health care services for all. Currently, in sub-Saharan Africa, at least one-sixth of the population lives more than 2 h away from a public hospital, and one in eight people is no less than 1 h away from the nearest health center. We combine high-resolution data on the location of different typologies of public health care facilities [J. Maina et al., Sci. Data 6, 134 (2019)] with population distribution maps and terrain-specific accessibility algorithms to develop a multiobjective geographic information system framework for assessing the optimal allocation of new health care facilities and assessing hospitals expansion requirements. The proposed methodology ensures universal accessibility to public health care services within prespecified travel times while guaranteeing sufficient available hospital beds. Our analysis suggests that to meet commonly accepted universal health care accessibility targets, sub-Saharan African countries will need to build ∼6,200 new facilities by 2030. We also estimate that about 2.5 million new hospital beds need to be allocated between new facilities and ∼1,100 existing structures that require expansion or densification. Optimized location, type, and capacity of each facility can be explored in an interactive dashboard. Our methodology and the results of our analysis can inform local policy makers in their assessment and prioritization of health care infrastructure. This is particularly relevant to tackle health care accessibility inequality, which is not only prominent within and between countries of sub-Saharan Africa but also, relative to the level of service provided by health care facilities.

scholarly journals Compliance to prescribing guidelines among public health care facilities in Namibia; findings and implications

2020 ◽  
Vol 42 (4) ◽  
pp. 1227-1236 ◽  
Author(s):  
Qamar Niaz ◽  
Brian Godman ◽  
Stephen Campbell ◽  
Dan Kibuule
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Prescribing Patterns ◽  
National Standard ◽  
Public Healthcare ◽  
National Guidelines ◽  
Care Facilities ◽  
Sub Saharan

Abstract Background The World Health Organization estimates that over 50% medicines are prescribed inappropriately and the main driver of antimicrobial resistance globally. There have only been a limited number of studies evaluating prescribing patterns against national standard treatment guidelines (STGs) in sub-Saharan African countries including Namibia. This is important given the high prevalence of both infectious and non-infectious diseases in sub-Saharan Africa alongside limited resources. Objective Our aim was to assess prescribing practices and drivers of compliance to National guidelines among public health care facilities in Namibia to provide future guidance. Setting Three levels of public healthcare in Namibia. Method A mixed method approach including patient exit and prescriber interviews at three levels of health care in Namibia, i.e. hospital, health centre and clinic. Main outcome measures Medicine prescribing indicators, compliance to and attitudes towards National guidelines. Results Of the 1243 prescriptions analysed, 73% complied with the STGs and 69% had an antibiotic. Of the 3759 medicines (i.e. mean of 3.0 ± 1.1) prescribed, 64% were prescribed generically. The vast majority of prescribers were aware of, and had access to, the Namibian STGs (94.6%), with the majority reporting that the guidelines are easy to use and they regularly refer to them. The main drivers of compliance to guidelines were programmatic, that is access to up-to date objective guidelines, support systems for continued education on their use, and ease of referencing. Lack of systems to regulate noncompliance impacted on their use. Conclusion Whilst the findings were encouraging, ongoing concerns included limited prescribing of generic medicines and high use of antibiotics. A prescribing performance management system should be introduced to improve and monitor compliance to prescribing guidelines in public healthcare.

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