Equity in Access to Health Services for People in Poor Urban Areas in Alexandria

BackgroundSelective migration may affect health indicators in both urban and rural areas. Sub-Saharan African urban areas show evidence of both negative and positive selection on health status at outmigration. Health outcomes as measured in urban populations may not reflect local health risks and access to health services.MethodsUsing the Ouagadougou Health and Demographic Surveillance System and a migrant follow-up survey, we measured differences in health between matched non-migrants and outmigrants. We applied Cox and competing risks models on migration and death.ResultsControlling for premigration health status, migrants who moved out of Ouagadougou have higher mortality (HR 3.24, 95% CI 1.23 to 8.58) than non-migrants and migrants moving to other Ouagadougou areas. However, these effects vanish in the matched sample controlling for all interactions between death determinants. These and other results show little evidence that migration led to higher mortality or worse health.ConclusionsHealth outcomes as measured in Ouagadougou population do reflect local health risks and access to health services despite high migration intensity. However, neither the hypothesis of effect of health on migration nor the hypothesis of negative effect of migration on health or survival was confirmed.

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Expanding the use of community health workers in urban settings: a potential strategy for progress towards universal health coverage

Health Policy and Planning ◽

10.1093/heapol/czz133 ◽

2019 ◽

Cited By ~ 3

Author(s):

Brian Wahl ◽

Susanna Lehtimaki ◽

Stefan Germann ◽

Nina Schwalbe

Keyword(s):

Health Services ◽

Community Health ◽

Low Income ◽

Urban Areas ◽

Access To Health Services ◽

Middle Income ◽

Urban Settings ◽

Middle Income Countries ◽

Access To Health ◽

Low And Middle Income

Abstract Community health worker (CHW) programmes have been used for decades to improve access to health services in rural settings in low- and middle-income countries. With more than half of the world’s population currently living in urban areas and this population expected to grow, equitable access to health services in urban areas is critically important. To understand the extent to which CHW programmes have been successfully deployed in low-income urban settings, we conducted a review of the literature between 2000 and 2018 to identify studies evaluating and describing CHW programmes implemented fully or partially in urban or peri-urban settings. We identified 32 peer-reviewed articles that met our inclusion criteria. Benefits have been documented in several urban settings in low- and middle-income countries including those to address TB/HIV, child health, maternal health and non-communicable diseases through a variety of study designs.

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Equity in Access to Health Services in Developing Countries

Revue d économie du développement ◽

10.3917/edd.235.0009 ◽

2009 ◽

Vol 17 (5) ◽

pp. 9

Author(s):

Jean-Claude Berthélemy ◽

Juliette Seban

Keyword(s):

Developing Countries ◽

Health Services ◽

Access To Health Services ◽

Access To Health ◽

Equity In Access

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Is there equity in access to health services for ethnic minorities in Sweden?

European Journal of Public Health ◽

10.1093/eurpub/11.2.147 ◽

2001 ◽

Vol 11 (2) ◽

pp. 147-152 ◽

Cited By ~ 59

Author(s):

A. Hjern

Keyword(s):

Health Services ◽

Ethnic Minorities ◽

Access To Health Services ◽

Access To Health ◽

Equity In Access

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Equality Analysis of Main Health Indicators among Children under 5 Years in Uganda

Ethiopian Journal of Health Sciences ◽

10.4314/ejhs.v29i2.8 ◽

1970 ◽

Vol 29 (2) ◽

Author(s):

Adel Hussein Elduma

Keyword(s):

Child Health ◽

Health Services ◽

Rural Areas ◽

Urban Areas ◽

Health Indicators ◽

Great Effort ◽

Access To Health Services ◽

Data Set ◽

Access To Health ◽

Children Under 5

BACKGROUND: Inequality in the access to health services is a major cause of health problemsamong children under five old. The aim of this analysis is to measure the inequality among children under-5 years in relation to main health indicators inUganda.METHOD: Main child health indicators data in Uganda were obtained from WHO inequity data set for the years 1995, 2000, 2001 and 2011. Indicators such as under-5 years mortality rate, underweight prevalence and full vaccination converge and child with infection access to health facilities were included in th analysis. For simple indicators, inequality difference wascalculated, and relative concentration index for complex order indicators was used. Four different inequality dimensions were used to work as stratifies for these indicators.RESULTS: Inequality regarding child health indicators was observed in different dimensions. It was clear that inequality among people living in rural areas were more than urban areas. Femaleshad high inequality than males. Poor and uneducated people are more likely to have inequality than rich and educated people.CONCLUSION: Great effort should be made to decrease inequality among children less than five years through access to health services for all groups in different areas.

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Gambaran Akses Pelayanan Kesehatan pada Balita di Indonesia

Buletin Penelitian Sistem Kesehatan ◽

10.22435/hsr.v22i1.439 ◽

2019 ◽

Vol 22 (1) ◽

pp. 54-61

Author(s):

Zainul Khaqiqi Nantabah ◽

Zulfa Auliyati A ◽

Agung Dwi Laksono

Keyword(s):

Health Services ◽

Health Center ◽

Rural Areas ◽

Golden Age ◽

Urban Areas ◽

Inpatient Care ◽

Health Care Facilities ◽

Access To Health Services ◽

Access To Health ◽

The Rich

ABSTRAK Anak balita merupakan periode masa yang disebut golden age. Akses pelayanan kesehatan untuk kelompok ini menjadi perhatian karena kesinambungan hidup pada kelompok tersebut menjadi salah satu tolok ukur pembangunan kesehatan. Penelitian ini merupakan analisis lanjut data Riskesdas 2013, yang disajikan secara deskriptif kuantitatif. Analisis dilakukan pada variabel-variabel cakupan kunjungan balita ke pelayanan kesehatan. Pelayanan kesehatan dimaksud adalah Rumah Sakit, Puskesmas/Pustu, Praktik Dokter/Klinik, dan Polindes/Praktik Bidan. Hasil penelitian menunjukkan bahwa balita yang tinggal di perkotaan dan pada kelompok kaya dan sangat kaya memiliki akses yang lebih baik di Rumah Sakit dan praktik dokter/klinik pada akses rawat jalan dan rawat inap. Sementara mereka yang tinggal di perdesaan dan pada kelompok miskin memiliki akses yang lebih baik ke Puskesmas/Pustu dan Polindes/praktik bidan baik di rawat jalan maupun rawat inap. Berdasarkan hasil penelitian dapat disimpulkan bahwa balita yang tinggal di perkotaan dan pada kelompok kaya memiliki akses yang lebih baik pada pelayanan kesehatan rujukan, sementara mereka yang tinggal di perdesaan dan pada kelompok miskin memiliki akses yang lebih baik di fasilitas pelayanan kesehatan dasar. Kata kunci: akses, pelayanan kesehatan, balita ABSTRACT Toddler is a period of time called golden age. Access to health services for this group is a concern because the continuity of life in the group is one of the benchmarks for health development. This research is an advance analysis of the Riskesdas 2013, which is presented in quantitative descriptive manner. Analysis was carried out on the variables of coverage of toddler visits to health services. The intended health services are hospitals, health center/Pustu, doctor/clinic, and Polindes/midwife, both on outpatient visits and inpatients. The results showed that toddlers who lived in urban areas and in the rich and very rich groups had better access in hospitals and doctor/clinic practices on access to outpatient and inpatient care. While those who live in rural areas and the poor have better access to health center/Pustu and Polindes/ midwives both in outpatient and inpatient care. Based on the results of the study it can be concluded that toddlers who live in urban areas and in rich groups have better access to referral health services, while those who live in rural areas and in poor groups have better access to basic health care facilities. Keyword: access, health services, toddler

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If the Pillars are Shaky, Does Faith in Medicare Crumble?

Healthcare Management Forum ◽

10.1016/s0840-4704(10)60607-2 ◽

2003 ◽

Vol 16 (1) ◽

pp. 11-16 ◽

Cited By ~ 4

Author(s):

Rein Lepnurm ◽

Roy Dobson ◽

Allen Backman

Keyword(s):

British Columbia ◽

Health Insurance ◽

Health Services ◽

Healthcare System ◽

Urban Areas ◽

Mail Survey ◽

Access To Health Services ◽

Full Coverage ◽

Family Practitioners ◽

Access To Health

The objectives of the study described in this article were to determine whether the faith of physicians in the Canadian system of health insurance depends on their assessment of quality and access to health services and whether their assessments of quality and access to health services affect their support of out-of-pocket and other methods of financing healthcare. To this end, a mail survey of 600 physicians in British Columbia and 240 physicians in Saskatchewan was conducted. The sample was stratified to ensure equal representation from urban and non-urban areas and between female and male specialists and family practitioners. Our conclusions indicate that physicians seem to be open minded in their views on financing. Their overriding concerns are to ensure the provision of sufficient resources to the healthcare system and to maintain full coverage of the population.

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