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 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 Availability, Accessibility, and Quality of Adolescent Sexual and Reproductive Health (SRH) Services in Urban Health Facilities of Rwanda: A survey among social and healthcare providers

2020 ◽  
Author(s):  
Pacifique Ndayishimiye ◽  
Rosine Uwase ◽  
Isabelle Kubwimana ◽  
Jean de la Croix Niyonzima ◽  
Roseline Dine Dzekem ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Health Facilities ◽  
Urban Setting ◽  
World Health ◽  
Care Providers ◽  
Health Seeking ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Survey Tool

Abstract Background: Adolescents are still getting pregnant and contracting Human Immunodeficiency Virus (HIV) and Sexually Transmitted Infections (STIs) in Rwanda as elsewhere. Quality and comprehensive SRH services and information for adolescents is valuable for adolescents’ wellbeing. This study aimed at understanding SRH services providers’ viewpoints on accessibility, availability, and quality of SRH services provided to adolescents in selected cities of Rwanda. Method: The study was a descriptive cross-sectional survey conducted between May 2018 and May 2019 in six selected cities of Rwanda using a mixed-methods approach. A checklist was used to collect data from 159 conveniently selected SRH services providers. The survey tool was validated. SPSS version 20 was used to describe quantitative data and ATLAS TI version 5.2 was used to code and analyze the qualitative data thematically.Results: Qualitatively, health care providers reported that the availability of adolescent SRHS are satisfactory with access to accurate SRH information, contraceptive methods, prevention and management of STIs and HIV services, and counselling. However, the accessibility of some services remains limited. According to respondents, some products such as female condoms are less in demand and often expire before they can be distributed. One nurse clarified that they render services at a low price if an adolescent has insurance medical coverture. Religious leaders and family members may hinder adolescents from health-seeking behavior by promoting abstinence and discouraging use of protective means. Quantitatively, we found that 94.3% of health facilities provide information to adolescents on SRH services that were available and 51.6% affirmed delivering services at a low cost. Only 57.2% of respondents mentioned that adolescents are involved in designing the feedback mechanisms at their facilities.Conclusion: SRH services in Rwanda are available for the general population and are not specifically designed for adolescents. These SRH services seem to be fairly accessible to adolescents with insufficient quality as adolescents themselves do not get to be fully involved in service provision among other aspects of quality SRH as stated by the World Health Organization (WHO). Therefore, there is a need to improve the present quality of these services to meet adolescents’ needs in an urban setting.

scholarly journals Availability, Accessibility, and Quality of Adolescent Sexual and Reproductive Health (SRH) Services in Urban Health Facilities of Rwanda: A survey among social and healthcare providers

2020 ◽  
Author(s):  
Pacifique Ndayishimiye ◽  
Rosine Uwase ◽  
Isabelle Kubwimana ◽  
Jean de la Croix Niyonzima ◽  
Roseline Dine Dzekem ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Health Facilities ◽  
Urban Setting ◽  
World Health ◽  
Care Providers ◽  
Health Seeking ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Survey Tool

Abstract Background: Adolescents are still getting pregnant and contracting Human Immunodeficiency Virus (HIV) and Sexually Transmitted Infections (STIs) in Rwanda as elsewhere. Quality and comprehensive SRH services and information for adolescents is valuable for adolescents’ wellbeing. This study aimed at understanding SRH services providers’ viewpoints on accessibility, availability, and quality of SRH services provided to adolescents in selected cities of Rwanda. Method: The study was a descriptive cross-sectional survey conducted between May 2018 and May 2019 in six selected cities of Rwanda using a mixed-methods approach. A checklist was used to collect data from 159 conveniently selected SRH services providers. The survey tool was validated. SPSS version 20 was used to describe quantitative data and ATLAS TI version 5.2 was used to code and analyze the qualitative data thematically.Results: Qualitatively, health care providers reported that the availability of adolescent SRHS are satisfactory with access to accurate SRH information, contraceptive methods, prevention and management of STIs and HIV services, and counselling. However, the accessibility of some services remains limited. According to respondents, some products such as female condoms are less in demand and often expire before they can be distributed. One nurse clarified that they render services at a low price if an adolescent has insurance medical coverture. Religious leaders and family members may hinder adolescents from health-seeking behavior by promoting abstinence and discouraging use of protective means. Quantitatively, we found that 94.3% of health facilities provide information to adolescents on SRH services that were available and 51.6% affirmed delivering services at a low cost. Only 57.2% of respondents mentioned that adolescents are involved in designing the feedback mechanisms at their facilities.Conclusion: SRH services in Rwanda are available for the general population and are not specifically designed for adolescents. These SRH services seem to be fairly accessible to adolescents with insufficient quality as adolescents themselves do not get to be fully involved in service provision among other aspects of quality SRH as stated by the World Health Organization (WHO). Therefore, there is a need to improve the present quality of these services to meet adolescents’ needs in an urban setting.

scholarly journals Antenatal, intranatal and postnatal practices in Melghat tribal area: a qualitative study

2017 ◽  
Vol 4 (9) ◽  
pp. 3117
Author(s):  
Sourav Goswami ◽  
Subodh S. Gupta ◽  
Abhishek V. Raut ◽  
Bishan S. Garg
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Postnatal Period ◽  
Health Facilities ◽  
Birth Preparedness ◽  
Care Providers ◽  
Government Health

Background: Melghat, the hilly and forest dense area in the northeastern Maharashtra is the home of the Gond and Korku tribes. The maternal and child health indicators in Melghat are poor compared to other parts of Maharashtra. Apart from poor socio-economic development, traditions and social norms prevailing in the area also prevent people to seek reproductive health care. The current study tried to capture the perception of women in reproductive health regarding their practices during the antenatal, natal and postnatal period and reasons for not seeking medical advice during pregnancy or childbirth. Methods: This qualitative study was conducted during September to October 2015 in the selected villages under three PHC areas of Melghat region, where we used in-depth, key informant interviews and focus group discussion with the purposively chosen participants, after taking verbal consent from them. All the interviews were audio recorded which were transcribed for doing the analysis. Ethical clearance was taken from institutional ethical committee. Results: We identified different practices during the antenatal, natal and postnatal period in Melghat, which could be classified into common and deviant. Though some of the mothers go to health facilities for delivery but still there are many others who prefer home delivery due to poor health literacy, family customs, poor communication network, perception regarding quality of health care in government health facilities and more reliance on health seeking from unqualified health care providers and faith healers. Conclusions: More emphasis should be given on counselling for increasing the awareness among the mothers and their families regarding institutional delivery, birth preparedness and maternal deaths in Melghat, along with improvement in quality of services at government health facilities and the inter-sectorial coordination. 

scholarly journals Dynamics of Health Care Seeking Behaviour of Elderly People in Rural Bangladesh

2006 ◽  
Vol 1 (1) ◽  
pp. 69-89 ◽  
Author(s):  
Priti Biswas ◽  
Zarina Nahar Kabir ◽  
Jan Nilsson ◽  
Shahaduz Zaman
Keyword(s):  
Health Care ◽  
Elderly People ◽  
Health Care Providers ◽  
Elderly Persons ◽  
Care Seeking ◽  
Care Providers ◽  
Health Seeking Behaviour ◽  
Contributing Factors ◽  
Health Seeking ◽  
Rural Bangladesh

Bangladesh is projected to experience a doubling of its elderly population from the current level of 7 million to 14 million by the end of the next decade. Drawing upon qualitative evidence from rural Bangladesh, this article focuses on coping strategies in cases of illness of elderly people and the contributing factors in determining the health-seeking behaviour of elderly persons. The sample for this study consisted of elderly men and women aged 60 years or older and their caregivers. Nine focus group discussions and 30 in-depth interviews were conducted. Findings indicate that old age and ill-health are perceived to be inseparable entities. Seeking health care from a formally qualified doctor is avoided due to high costs. Familiarity and accessibility of health care providers play important roles in health-seeking behaviour of elderly persons. Flexibility of health care providers in receiving payment is a crucial deciding factor of whether or not to seek treatment, and even the type of treatment sought.

MALARIA-RELATED HEALTH-SEEKING BEHAVIOUR AND CHALLENGES FOR CARE PROVIDERS IN RURAL ETHIOPIA: IMPLICATIONS FOR CONTROL

2008 ◽  
Vol 40 (1) ◽  
pp. 115-135 ◽  
Author(s):  
WAKGARI DERESSA ◽  
AHMED ALI ◽  
DAMEN HAILEMARIAM
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Prevention And Control ◽  
Malaria Prevention ◽  
Malaria Treatment ◽  
Care Providers ◽  
Health Seeking Behaviour ◽  
Insecticide Treated Nets ◽  
Health Seeking ◽  
And Control

SummaryA range of activities are currently underway to improve access to malaria prevention and control interventions. As disease control strategies change over time, it is crucial to understand the health-seeking behaviour and the local socio-cultural context in which the changes in interventions operate. This paper reflects on how people in an area of seasonal malaria perceive the causes and transmission of the disease, and what prevention and treatment measures they practise to cope with the disease. It also highlights some of the challenges of malaria treatment for health care providers. The study was undertaken in 2003 in Adami Tulu District in south-central Ethiopia, where malaria is a major health problem. Pre-tested structured questionnaires and focus group discussions were conducted among men and women. Malaria, locally known as busa, was perceived as the most important cause of ill health in the area. Respondent’s perception and knowledge about the cause and transmission of the disease were relatively high. The newly introduced insecticide-treated nets were not popular in the area, and only 6·4% of households possessed at least one. The results showed that patients use multiple sources of health care for malaria treatment. Public health facilities, private clinics and community health workers were the main providers of malaria treatment. Despite higher treatment costs, people preferred to use private health care providers for malaria treatment due to the higher perceived quality of care they offer. In conclusion, effort in the prevention and control of malaria should be intensified through addressing not only public facilities, but also the private sector and community-based control interventions. Appropriate and relevant information on malaria should be disseminated to the local community. The authors propose the provision of effective antimalarial drugs and malaria prevention tools such as subsidized or free insecticide-treated nets.

scholarly journals Women who have sex with women’s experiences with healthcare system in low-income countries: qualitative findings from Dar-es-Salaam, Tanzania

2021 ◽  
Vol 2 (3) ◽  
pp. 142-145
Author(s):  
Happiness P. Saronga ◽  
Jackline V. Mbishi ◽  
Saidah S. Bakar ◽  
Switbert R. Kamazima
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Health Care Providers ◽  
Low Income ◽  
Dar Es Salaam ◽  
Health Facilities ◽  
Low Income Countries ◽  
Care Providers ◽  
Public Health Facilities

Introduction: Women who have sex with women (WSW) have a right to access health care. Many studies have reported lower access to health services by sexual minorities in many parts of the world. This study explored WSW’s experiences in accessing health care in Tanzania with the intention of determining specific issues facing WSW when accessing health care services. Methods: This study was cross-sectional descriptive, and retrospective conduced in Dar-es-Salaam region, the largest commercial city in Tanzania. Study population included WSW aged 18 years and above who met inclusion criteria. Data was collected using focus group discussions (FGDs), in-depth interviews (IDIs), observation, and life stories. Data analysis applied thematic analysis. Results: Most WSW receive rightful health services from public and private health providers. However, transgender WSW face stigma, discrimination, and disrespect from some public health facilities. Private health care providers offer trust, privacy and confidentiality to WSW, although at a higher cost of services compared to public health facilities. Conclusion: Negative experiences with care may discourage WSW from seeking care or fully disclosing health concerns to providers limiting the extent of services offered.

scholarly journals Health status and health seeking behaviour among urban and rural nursing students of a tertiary care hospital: a comparative study

2018 ◽  
Vol 5 (10) ◽  
pp. 4419
Author(s):  
Rujuta S. Hadaye ◽  
Ruhi Dass ◽  
Sujata Lavangare
Keyword(s):  
Risk Factors ◽  
Nursing Students ◽  
Health Care Providers ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Leafy Vegetables ◽  
Care Hospital ◽  
Care Providers ◽  
Health Seeking Behaviour ◽  
Health Seeking

Background: Nurses play a very essential role as health care providers and taking care of their health is necessary. Nursing students are believed to be healthy and although morbidity and mortality from non-communicable diseases occur in adulthood, exposure to risk factors begin in early life. Early identification of risk factors is essential considering their role as future nurses and in public health interventions.Methods: A cross-sectional study was carried out among 280 nursing students of a tertiary care hospital of Mumbai, Maharashtra after the ethical clearance. Pretested questionnaire was used for collecting data by interview after obtaining informed consent.Results: Out of the total 280 students, 47% missed at least one of their meals. 67.8% were underweight (BMI <18.5). There was no consumption of dry fruits and non-veg food in 54.64% and 23.9% of the students respectively. 36.07% students consumed green leafy vegetables only once a week. Consumption of water was quite low among the students. 56.07%, were anaemic (Hb <12 gm/dl). Under-nutrition and anaemia was found to be more prevalent in students coming from rural areas. The health seeking behaviour was observed to be better among the urban students.Conclusions: Findings of this study demonstrated that there is a need to increase the awareness among the nursing students regarding the healthy lifestyle and to follow specific strategies for their comprehensive management.

scholarly journals Factors affecting health seeking behaviour in hypertensive patients of Imenti North sub county, Kenya

2020 ◽  
Vol 8 (1) ◽  
pp. 37
Author(s):  
Annarita Kajuju Mwenda ◽  
Consolata Kirigia ◽  
Kamweru P. K. ◽  
Lucy K. Gitonga
Keyword(s):  
Health Care Providers ◽  
Lifestyle Modification ◽  
Medical Attention ◽  
Care Providers ◽  
Health Seeking Behaviour ◽  
Health Seeking ◽  
Cross Sectional ◽  
Hypertensive Patients ◽  
Factors Affecting ◽  
The Government

Background: Prevalence of non-communicable diseases like hypertension is raising hence a burden to low resource countries like Kenya. Purpose of the study was to determine factors affecting health seeking behaviour in hypertensive patients in Imenti North sub county, Kenya.Methods: A cross-sectional study design and cluster random sampling method was used to select five health facilities for study. Purposive sampling was used to select total of 212 patients from selected health facility proportionally. Spearman’s Rho correlation and bivariate logistic regression was used to check for strength of associations.Results: Patients interviewed had an average of 51 years and higher proportions were above 40 years of age. Married and female patients were (66.5%), and 60% respectively. An average of (42%) had a secondary level of education. Knowledge on lifestyle modification strategies was above average (68%).Conclusions: Health education given during hypertensive clinics had positive influence. Slow service delivery, long queues and the long waiting times for laboratory investigation results influenced patients’ health seeking behavior negatively. The study recommends the government of Kenya to develop policies on implementation of support groups among hypertensive patients in all hospitals and intensify campaigns on importance of seeking medical attention early.  This will empower the patients on knowledge of hypertension management. The study also recommends health care providers to ensure reduced waiting time for the patients.

scholarly journals Care-seeking and managing diabetes in rural Bangladesh: a mixed methods study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hannah Maria Jennings ◽  
Joanna Morrison ◽  
Kohenour Akter ◽  
Hassan Haghparast-Bidgoli ◽  
Carina King ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Health Care Providers ◽  
Low Income ◽  
Diabetes Management ◽  
Local Health ◽  
Care Seeking ◽  
Care Providers ◽  
Structured Interviews ◽  
Rural Bangladesh

Abstract Background Type 2 diabetes mellitus poses a major health challenge worldwide and in low-income countries such as Bangladesh, however little is known about the care-seeking of people with diabetes. We sought to understand the factors that affect care-seeking and diabetes management in rural Bangladesh in order to make recommendations as to how care could be better delivered. Methods Survey data from a community-based random sample of 12,047 adults aged 30 years and above identified 292 individuals with a self-reported prior diagnosis of diabetes. Data on health seeking practices regarding testing, medical advice, medication and use of non-allopathic medicine were gathered from these 292 individuals. Qualitative semi-structured interviews and focus group discussions with people with diabetes and semi-structured interviews with health workers explored care-seeking behaviour, management of diabetes and perceptions on quality of care. We explore quality of care using the WHO model with the following domains: safe, effective, patient-centred, timely, equitable and efficient. Results People with diabetes who are aware of their diabetic status do seek care but access, particularly to specialist diabetes services, is hindered by costs, time, crowded conditions and distance. Locally available services, while more accessible, lack infrastructure and expertise. Women are less likely to be diagnosed with diabetes and attend specialist services. Furthermore costs of care and dissatisfaction with health care providers affect medication adherence. Conclusion People with diabetes often make a trade-off between seeking locally available accessible care and specialised care which is more difficult to access. It is vital that health services respond to the needs of patients by building the capacity of local health providers and consider practical ways of supporting diabetes care. Trial registration ISRCTN41083256. Registered on 30/03/2016.

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