scholarly journals Attitude of Rural Community Towards Health Care Utilization at Primary

1970 ◽  
Vol 9 (2) ◽  
pp. 69-74
Author(s):  
Md Ziaul Islam ◽  
Sanjoy Kumar Chowdhury ◽  
Sharmin Farjana
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Utilization ◽  
Rural Community ◽  
Family Income ◽  
Health Facilities ◽  
Care Utilization ◽  
Primary Level ◽  
Public Health Facilities ◽  
Monthly Family Income

Objective: The study was conducted to assess the attitude of rural community towards health care utilization at primary level public health facilities. Study Design: Descriptive cross sectional study carried out over a period of six months from June to November 2007. Study Setting: A randomly selected village (Lohagach) of Sreepur Upazila under Gazipur district. Subjects: 305 randomly selected adult (age 15-60 years) household members who are permanent residents of the said area. Materials and methods: Data was collected by face to face interview with a semi-structured questionnaire. Results: Among the 305 respondents, 55.40% are male and 44.60% are female with mean age of 32.39 years (± SD 11.94). Most respondents have educational qualification up to secondary level (32.10%) while some up to primary level (21%). Majority of the respondents are housewives (35.40%) and Service holders (20.30%) having an average monthly family income of TK.7805.57 (± SD 6442.24). It is evident from the study that; females, respondents from older age group, and those from higher monthly family income has less appreciation for existing primary level public health facilities. Also, the higher the education level of the respondent, the lower was the level of satisfaction regarding healthcare received at primary level public health facilities. As regards to availability of healthcare; insufficiency of doctors (52.8%) & prescribed medicine supply (75.4%) and lack of appropriate and necessary laboratory investigation (64.6%) & surgical treatment facilities (62.6%) are identified by the respondents as major setbacks. The study reveals key impediments pointed out by the respondents which interfere with their easy access to quality healthcare at these facilities; including long waiting time (60.3%), insufficient waiting room facilities (64.9%) and inadequate duration of consultation with physician (50.2%). Major constraints associated with primary health care utilization are mostly due to lack of awareness (22.66%) and transportation problem (22.6%). Key words: Attitude of Rural Community, Health Care Utilization, Primary Level Public Health Facilities   DOI = 10.3329/jom.v9i2.1433 J MEDICINE 2008; 9 : 69-74

scholarly journals An Econometric Analysis Of Health Care Utilization In Kenya

2016 ◽  
Vol 12 (16) ◽  
pp. 443 ◽  
Author(s):  
Diana N. Kimani ◽  
Mercy G. Mugo ◽  
Urbanus M. Kioko
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Utilization ◽  
Healthcare Utilization ◽  
Household Head ◽  
Econometric Analysis ◽  
Health Facilities ◽  
Public Health Care ◽  
Care Utilization

Background: Increasing access to health care has been a policy concern for many governments, Kenya included. The Kenyan government introduced and implemented a number of initiatives in a bid to address the healthcare utilization challenge. These initiatives include 10/20 policy, exemptions for user fees for some specific health services (treatment of children less than five years, maternity services in dispensaries and health centers, Tuberculosis treatment in public health facilities), and increase in the number of health facilities and health workforce. These initiatives notwithstanding, healthcare utilization in Kenya remains a challenge. The Kenya Household Health Expenditure and Utilization Survey of 2007 found that 17 percent of those who needed health care services could not access the services from both government and private health facilities largely due to financial constraints. This paper employed econometric analysis to examine what could be constraining health care utilization in Kenya despite all the efforts employed. Methods: Using the 2007 Kenya Household Health Expenditures and Utilization Survey (KHHEUS) data (n = 8414), this paper investigates the factors that affect health care utilization in Kenya by estimating a count data negative binomial model. The model was also applied to public and private health facilities to better understand the specificities of poverty in these two facility types. Common estimation problems of endogeneity, heterogeneity, multicollinearity and heteroskedasticity are addressed. Findings: The econometric analysis reveals that out-of-pocket expenditures, waiting time, distance, household size, income, chronic illness area of residence and working status of the household head are significant factors affecting health care utilization in Kenya. While income and distance are significant factors affecting public health care utilization they are not significant in explaining healthcare utilization in private facilities. In addition, working status of the household head, insurance cover and education are significant in explaining private and not public health care utilization. A striking finding is the positive relationship between distance and health care utilization implying that people will travel long distances to obtain treatment. This is perhaps associated with expectations of higher quality of care at far away higher level facilities, especially in rural areas. Conclusion: The paper confirms the existing evidence of the negative effects of Out-of-Pocket (OOP) expenditures and other determinants of health care utilization. With a better understanding of why people use or do not use health services, health care organizations can seek to improve the quality of human life. The bypassing of health facilities for higher level far away facilities implies that it is not so much about availing health facilities, but the quality of the services offered in those facilities. The government should therefore assure quality to increase utilization of the lower level facilities, especially in the rural areas.

Health care utilization during the Covid-19 pandemic in Mexico: the cascade of care

2021 ◽  
Vol 63 (6, Nov-Dic) ◽  
pp. 743-750
Author(s):  
M. Arantxa Colchero ◽  
Rouselinne Gómez ◽  
Carlos J Pineda-Antúnez ◽  
Sergio A Bautista-Arredondo
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Facilities ◽  
Care Utilization ◽  
Lower Probability ◽  
Nutrition Survey ◽  
Public Health Facilities ◽  
Health And Nutrition ◽  
Cascade Of Care ◽  
Utilization Patterns

Objective. The objective of the study is to describe trends in selected services offered at public health facilities and utilization patterns during the Covid-19 epidemic in Mexico. Materials and methods. We used administrative data and the National Health and Nutrition Survey Covid-19, 2020. Results. We found a reduction in the rates of diabetes and detection screening during 2020 compared to 2014-2019. From the demand side, we found that 18.6% of the population reported health needs, and only 34% of them received care in public health facilities. The use of private health services was extensive even among the population with social security. The uninsured and the population with high and medium socioeconomic status had a lower probability of receiving care in public health facilities. Conclusion. We document trends in selected services, as well as the cascade of care during the Covid-19 epidemic in Mexico and its potential impact on displaced health care.

scholarly journals Uptake of evidence in policy development: the case of user fees for health care in public health facilities in Uganda

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Juliet Nabyonga-Orem ◽  
Freddie Ssengooba ◽  
Rhona Mijumbi ◽  
Christine Kirunga Tashobya ◽  
Bruno Marchal ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Policy Development ◽  
Health Facilities ◽  
User Fees ◽  
Public Health Facilities

scholarly journals Roles of Technology Enhanced Learning in Tackling Antimicrobial Resistance among Laboratory Professionals in Public Health Facilities in Nigeria

2020 ◽  
pp. 18-24
Author(s):  
Nura Bawa ◽  
Hafsat Yusuf Imam
Keyword(s):  
Public Health ◽  
Health Care ◽  
Antimicrobial Resistance ◽  
Health Care Professionals ◽  
Health Facilities ◽  
Technology Enhanced Learning ◽  
Laboratory Equipment ◽  
Public Health Facilities ◽  
Enhanced Learning ◽  
Share Information

Technology has been found effective in almost all aspects of life. This includes its effectiveness in the field of education through technology enhanced learning. This paper aimed to look at roles of technology enhanced learning in tackling antimicrobial resistance among laboratory professionals in public health facilities in Nigeria. Qualitative research design was adopted for the study. Population of the study included all 75300 laboratory professionals in the North-west Nigeria. Convenience sampling technique was used to select 382 participants as sample for the study. This was guided by Research Advisors Model for selection of sample size. The instrument (open ended questionnaire) was used to gather data for the study. It was validated by experts, pilot study was conducted, and reliability index of 0.88 was obtained. It was found from the study that most of the health care professionals lamented not only they lack modern laboratory equipment but also lack technical knows how to operate the modern laboratory equipment/tools/apparatuses. It also was gathered that vast majority of them use handheld devices (smart phones) with few of them using laptops and in extreme cases desktops computers for learning and other day-to-day activities. Based on the findings from the study, it was concluded that in the 21st Century, collaborations through technology has become imminent. Thus, technology enhanced professional learning will not only help share information about global challenges but also help in providing lasting solutions to it. The study recommended that workshops and regular trainings should be organized to teach health care professionals on how to effectively collaborate, generate and share information through social media platforms.

scholarly journals Recours À L’avortement Provoqué Chez Les Femmes En Union Des Quartiers Précaires De Yopougon À Abidjan

2016 ◽  
Vol 12 (33) ◽  
pp. 319
Author(s):  
Doumbia Mohamed
Keyword(s):  
Public Health ◽  
Traditional Healers ◽  
Health Facilities ◽  
Financial Resources ◽  
Urban Context ◽  
Maternal Deaths ◽  
Level Of Education ◽  
Primary Level ◽  
Public Health Facilities ◽  
National Statistics

In Côte d’Ivoire, 15 % of maternal deaths are related to illegal abortions. Despite the known consequences, abortion practice is increasing more and more in a restrictive legislative context. Few formal studies and national statistics on the phenomenon exist, much less at the level of precarious slums of Abidjan. This article is a contribution to the understanding of abortion practice in the unprivileged urban context of Yopougon in Abidjan. It aims to analyze the logics and conditions of abortion in the precarious slums of Yopougon. A survey of a sample of 309 women aged 15 to 49 years, living in union in six precarious slums and, an investigation in three public health facilities and five private clinics and among traditional healers were conducted. Results indicate an overall prevalence of 11%. Women who aborted are generally young (85.3%), with no education (35.30%) or primary level of education (32.35%). Proportion of women who aborted increase with parity up to three children and decreases from the fourth child. The lack of financial resources (79.41%) and the fear and stigma (47.05%) are the main reasons of abortion. The majority of abortions took place in private clinics (58.82%).

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