scholarly journals Assessment of multi-dimensional poverty in Quang Ngai province

2021 ◽  
Vol 5 (2) ◽  
pp. first
Author(s):  
Phát Đinh Huỳnh
Keyword(s):  
Health Insurance ◽  
Social Services ◽  
Rural Areas ◽  
Urban Areas ◽  
Multidimensional Poverty ◽  
Social Needs ◽  
High Rate ◽  
Access To Health Services ◽  
Poor Households ◽  
Poverty Status

According to the multidimensional poverty line applied for the period 2016 - 2020, the quality of life of impoverished people in Quang Ngai province was dramatically low, forcing residents to face up to a serious shortage of basic social needs. Poverty in terms of their income was the main factor in the poverty structure of Quang Ngai province (generally over 90% of the total poor households). By 2020, the number of poor households who missed the criteria of hygienic toilets was the highest, accounting for 59.59% of the total number of poor households. The figures for the inaccessibility of the marginalized to basic needs were disproportionately high, with 40.64% people lacking telecommunications services such as telephones or the Internet, 40.59% using unhygienic water sources, 35.09% having a housing area per capita of less than 8 square meters and 33.53% living in temporary houses. The indicator with the least deficiency rate was the children’s schooling status and access to health services. However, the number of households whose members did not possess health insurance was extremely high, which might potentially bear the risk of households falling back into the poverty status when a member of the family gets a disease. Changes in multidimensional poverty show that although urban areas have a high rate of people escaping from poverty, the rate of households falling back to poverty status is also higher than that of rural areas; The rate of households falling into poverty in rural areas is much higher than that in urban areas. The Covid 19 pandemic and natural disasters which occurred in 2020 also significantly contributed to increasing the number of poor households. In order to reduce poverty and improve people's capacity to access basic social services, Quang Ngai province needs to pay attention to creating livelihoods, promoting the achievements of education universalization and the health insurance system, and improving the efficiency of investment in infrastructure on the basis of integrating the Target Programs.

scholarly journals The failure of community-based health insurance schemes in Tanzania: opening the black box of the implementation process

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ramadhani Kigume ◽  
Stephen Maluka
Keyword(s):  
Health Insurance ◽  
Community Health ◽  
Rural Areas ◽  
Health Coverage ◽  
Access To Health Services ◽  
Community Based ◽  
Community Based Health Insurance ◽  
Urban Districts ◽  
Health Fund ◽  
The Government

Abstract Background Globally, there is increased advocacy for community-based health insurance (CBHI) schemes. Like other low and middle-income countries (LMICs), Tanzania officially established the Community Health Fund (CHF) in 2001 for rural areas; and Tiba Kwa Kadi (TIKA) for urban population since 2009. This study investigated the implementation of TIKA scheme in urban districts of Tanzania. Methods A descriptive qualitative case study was conducted in four urban districts in Tanzania in 2019. Data were collected using semi-structured interviews, focus group discussions and review of documents. A thematic approach was used to analyse the data. Results While TIKA scheme was important in increasing access to health services for the poor and other disadvantaged groups, it faced many challenges which hindered its performance. The challenges included frequent stock-out of drugs and medical supplies, which frustrated TIKA members and hence contributed to non-renewal of membership. In addition, the scheme was affected by poor collections and management of the revenue collected from TIKA members, limited benefit packages and low awareness of the community. Conclusions Similar to rural-based Community Health Fund, the TIKA scheme faced structural and operational challenges which subsequently resulted into low uptake of the schemes. In order to achieve universal health coverage, the government should consider integrating or merging Community-Based Health Insurance schemes into a single national pool with decentralised arms to win national support while also maintaining local accountability.

Socioeconomic Variation of Multimorbidity in Colombian Older Adults

2021 ◽  
Author(s):  
Silvia Marcela Ballesteros ◽  
José Moreno-Montoya ◽  
Wilhelmus Johannes Andreas Grooten ◽  
Pedro Barrera-López ◽  
José A. De la Hoz-Valle
Keyword(s):  
Mortality Rate ◽  
Rural Areas ◽  
Urban Areas ◽  
Structural Equation ◽  
Strong Association ◽  
High Body Mass Index ◽  
Multidimensional Poverty ◽  
The Elderly ◽  
Cross Sectional ◽  
Multidimensional Poverty Index

Abstract BackgroundMultimorbidity prevalence in the elderly is increasing worldwide. Variations regarding the socioeconomic characteristics of the individuals and their context have been described, mostly in high-income scenarios. This study aims to assess the magnitude and the socioeconomic factors associated with variations on multimorbidity in Colombia.MethodsA cross-sectional multilevel study with a nationally representative sample of 23 694 Colombian adults aged 60 years and older was conducted. Individual socioeconomic, demographic, childhood and health related characteristics, as well as group level variables (multidimensional poverty index and infectious diseases mortality rate) were analyzed. A two-level stepwise structural equation model was used to simultaneously adjust the individual and contextual effects. ResultsMultimorbidity prevalence was 62.3% (95% CI 61.7–62.9). In the multilevel adjusted models, age, female sex, having functional limitations, non-white ethnicity, high body mass index, higher income, physical inactivity, poverty during childhood and living in urban areas were associated with multimorbidity. The mediation analysis showed that living in rural areas was significantly associated with infectious disease mortality rate and other individual associations with multimorbidity were mediated by the multidimensional poverty variable. ConclusionsThis paper demonstrates a strong association between multimorbidity and poverty in a low-middle income country. Differences in the factors involved in the etiology of multimorbidity are expected among wealthy and poor countries regarding availability and prioritization of health services.

scholarly journals Evaluation of Midwifery Care Standard Policy BPJS Health Participants

2020 ◽  
Vol 7 (2) ◽  
pp. 172-184
Author(s):  
Astri Nurdiana ◽  
Ella Nurlailasari
Keyword(s):  
Health Insurance ◽  
Health Service ◽  
National Health Insurance ◽  
Rural Areas ◽  
Urban Areas ◽  
Midwifery Care ◽  
Insurance Program ◽  
Health Insurance Program ◽  
Standard Rate ◽  
Urban And Rural Areas

Enforcement of national health insurance organized through Badan Penyelenggara Jaminan Kesehatan (BPJS) experiences various polemics, one of which relates to financing for midwifery care listed in Permenkes No. 52 of 2016 concerning health service fare standards in the health insurance program, whether the standard rate can cover the needs of services provided by midwives in rural or urban areas or not. The result found that there is no difference in midwifery care fare between urban and rural areas (p>0.05), but there are differences in midwifery care fare between rural and BPJS fare standard (p<0.05) and between urban fare and BPJS fare standard (p< 0.05)

Multiple Dimensions of Impoverishment in Iran

2020 ◽  
pp. 26
Author(s):  
Hosnieh Mahoozi ◽  
Jeurgen Meckl
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Poverty Reduction ◽  
Multidimensional Poverty ◽  
Well Being ◽  
Capital City ◽  
Income Poverty ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Multiple Dimensions

Concerning the demands of Sen’s (1984) Capability Approach to the assessment of human well-being, we estimate multidimensional poverty and compare the results with traditional measures of income poverty in Iran. We detect poverty in urban and rural Iran over 1999-2007, a period with relatively high GDP growth. The results reveal that the pace of income poverty reduction is much faster than the pace of multidimensional poverty alleviation. The pace of poverty reduction is much slower in rural areas than in urban areas and the capital city, Tehran. Hence, inequality between rural and urban areas increased over the time. We also show how policymakers may benefit from applying the multidimensional approach in targeting the subgroups by the most deprived aspects.

scholarly journals Did expansion of health insurance coverage reduce horizontal inequity in healthcare finance? A decomposition analysis for China

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e025184
Author(s):  
Zhonghua Wang ◽  
Xue Zhou ◽  
Yukuan Gao ◽  
Mingsheng Chen ◽  
Andrew J Palmer ◽  
...  
Keyword(s):  
Health Insurance ◽  
Rural Areas ◽  
Urban Areas ◽  
Decomposition Analysis ◽  
Healthcare Financing ◽  
Horizontal Inequity ◽  
Financing System ◽  
Percentage Points ◽  
Out Of Pocket Payments ◽  
Healthcare Finance

Objectives‘Horizontal inequity’ in healthcare finance occurs when people with equal income contribute unequally to healthcare payments. Prior research is lacking on horizontal inequity in China. Accordingly, this study set out to examine horizontal inequity in the Chinese healthcare financing system in 2002 and 2007 through two rounds of national household health surveys.DesignTwo rounds of cross-sectional study.SettingHeilongjiang Province, China.ParticipantsAdopting a multistage stratified random sampling, 3841 households with 11 572 individuals in 2003 and 5530 households with 15 817 individuals in 2008 were selected.MethodsThe decomposition method of Aronsonet alwas used in the present study to measure the redistributive effects and horizontal inequity in healthcare finance.FindingsOver the period 2002–2007, the absolute value of horizontal inequity in total healthcare payments decreased from 93.85 percentage points to 35.50 percentage points in urban areas, and from 113.19 percentage points to 37.12 percentage points in rural areas. For public health insurance, it increased from 17.84 percentage points to 28.02 percentage points in urban areas, and decreased from 127.93 percentage points to 0.36 percentage points in rural areas. Horizontal inequity in out-of-pocket payments decreased from 79.92 percentage points to 24.83 percentage points in urban areas, and from 127.71 percentage points to 53.10 percentage points in rural areas.ConclusionsOur results show that horizontal inequity in total healthcare financing decreased over the period 2002–2007 in China. In addition, out-of-pocket payments contributed most to the extent of horizontal inequity, which were reduced both in urban and rural areas over the period 2002–2007.

scholarly journals Do adult health outcomes in urban population reflect local health risk? A matched cohort analysis of migration effects in Ouagadougou, Burkina Faso

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e029059
Author(s):  
Philippe Bocquier ◽  
Abdramane Bassiahi Soura ◽  
Souleymane Sanogo ◽  
Sara Randall
Keyword(s):  
Health Status ◽  
Health Services ◽  
Health Outcomes ◽  
Health Risks ◽  
Rural Areas ◽  
Urban Areas ◽  
Cohort Analysis ◽  
Local Health ◽  
Access To Health Services ◽  
Access To Health

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.

scholarly journals Estimation and Determinants of Multidimensional Energy Poverty among Households in Nigeria

2020 ◽  
Vol 12 (18) ◽  
pp. 7332
Author(s):  
Waheed Mobolaji Ashagidigbi ◽  
Bashirat Adenike Babatunde ◽  
Adebayo Isaiah Ogunniyi ◽  
Kehinde Oluseyi Olagunju ◽  
Abiodun Olusola Omotayo
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Poverty Reduction ◽  
Energy Use ◽  
Analytical Techniques ◽  
Sub Saharan Africa ◽  
Tobit Regression ◽  
Energy Poverty ◽  
Household Energy ◽  
Poverty Status

The sustainable use of clean and safe sources of energy is indeed a global challenge. Traditional and unsafe forms of energy use is predominant among households in sub-Saharan Africa. This is not only a threat to the environment, but also constitutes health risk to the population. In the Nigeria context, this study provides the first attempt to estimate household energy poverty status and also investigate the driving factors of household energy poverty status using the National Demographic Health Survey (NDHS) dataset. The analytical techniques adopted in this study are based on Multidimensional Energy Poverty Index (MEPI) and Tobit regression model. Our results show that national average MEPI was 0.38, suggesting that majority of the households are energy poor. Energy poverty is however found to be higher in rural areas than in urban areas. We also found that male-headed households, age, rural sector and northeast residents are found to be the energy poverty enhancing factors, while household income and credit access are energy poverty inhibiting factors. The study concludes that income smoothening among other energy poverty reduction interventions should be prioritized, especially among rural households in order to help them exit energy poverty trap.

scholarly journals ‘Active ageing’: a qualitative study in six Caribbean countries

2009 ◽  
Vol 30 (1) ◽  
pp. 79-101 ◽  
Author(s):  
PATRICK CLOOS ◽  
CAROLINE F. ALLEN ◽  
BEATRIZ E. ALVARADO ◽  
MARIA VICTORIA ZUNZUNEGUI ◽  
DONALD T. SIMEON ◽  
...  
Keyword(s):  
Social Services ◽  
Rural Areas ◽  
Urban Areas ◽  
Social Protection ◽  
Economic Status ◽  
Home Care Services ◽  
Active Ageing ◽  
Socio Economic Status ◽  
Care Services ◽  
Urban And Rural Areas

ABSTRACTThe aim of this study was to document the perceptions of elders in six Caribbean countries about ‘active ageing’ and on the basis of their reports to make recommendations to improve their situation. Data were collected principally through 31 focus group discussions conducted in both urban and rural areas. Comparative analysis was carried out of the qualitative information, focusing on three components of ‘active ageing’: health and social services access and use, social support, and economic circumstances. Most of the participants were women, aged 60–79 years, of lower socio-economic status and from urban areas. Large disparities in the responses of Caribbean societies to population ageing were indicated, as well as unequal opportunities to obtain health care and social services, public transport, income and food by both socio-economic status and location. Home-care services are either insufficient or non-existent. Some elders receive social and financial support from relatives while others fear isolation and face deprivation. Social participation varies by place, physical condition, financial situation, association membership, and transport opportunities. Social protection benefits do not provide adequate income and some older people face food insecurity. It was concluded that a comprehensive and multi-sectoral approach using the ‘active ageing’ framework should be implemented to ensure a healthy ageing process.

scholarly journals Inter-Sectoral Cooperation for the Implementation of Social Policy in Rural Areas. Proposal of Research Tool

2018 ◽  
pp. 149-161
Author(s):  
Katarzyna Zajda ◽  
Sławomir Pasikowski
Keyword(s):  
Social Policy ◽  
Social Services ◽  
Rural Areas ◽  
Social Issues ◽  
Public Institutions ◽  
Social Needs ◽  
Research Tool ◽  
Effective Implementation ◽  
Rural Municipalities ◽  
Three Factor

The cooperation of local public institutions with non-governmental organisations and citizens can increase chances for the effective implementation of social policy, understood as a set of activities on behalf of satisfying social needs and resolving social issues. The aim of this article is to present a tool that would enable us to determine the level of cooperation between entities in the scope of co-creation and co-production of social services that satisfy the needs of residents of rural municipalities (gmina). The article contains an overview of analyses conducted in 2018 on a sample of public institutions responsible for satisfying social needs and resolving social issues representative of rural municipalities. In light of these analyses the scale is a three-factor construct and includes the following factors: 1. Seeking entities for cooperation and cooperating with them, 2. Including residents of municipalities in undertakings on their own behalf, 3. Evaluation of cooperation and working towards future cooperation.

scholarly journals Utilization of Maternity Waiting Home (MWH) to Improve Access to Health Services: Systematic Literature Review

2020 ◽  
Vol 7 (3) ◽  
pp. 368-375
Author(s):  
Nuraina Nuraina
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Health Workers ◽  
Emergency Obstetric Care ◽  
Obstetric Care ◽  
Access To Health Services ◽  
Care Services ◽  
Access To Health ◽  
Maternity Waiting Home ◽  
Improve Access

Maternity waiting home (MWH) is a home built in the compound or near to health facilities that provides standard medical and emergency obstetric care services. MWH is considered to be a key strategy to "bridge the geographical gap" in obstetric care between rural areas with poor access to equipped facilities, and urban areas where the services are available. This study aimed to systematically review the utilization of MWH to improve access to health service. The method of finding articles in this study was in the period 2014 to 2018, free full text, human species, and scholarly journals which were then identified using an electronic database from Pubmed, Proquest and Onesearch. Three articles were carried out with thematic analysis to identify the main points. Factors associated with the utilization of MWH included (1) Distance; (2) Complication during pregnancy; and (3) Income. Barrier in the utilization of MWH were (1) Inadequate number of room and postpartum bed; (2) Lack of water and sanitation facilities; and (3) Unavailable electricity. Partnership between health workers in rural facilities, stronger role of stakeholders, and a broader health system, were expected to increase the utilization of MWH.

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