INPATIENTS’ SOCIOECONOMIC PROFILE OF PUBLIC HOSPITALS IN MIZORAM

Author(s):  
Lalrinkima

Health is not only the absence of illnesses; it is also the ability of people to develop to their potential during their entire lives. In that sense, health is an asset individuals own, which has inherent value (being healthy is an important source of well-being) as well as instrumental value. Researches in social sciences are of empirical in nature and based on the respondents perceptions of socio-economic conditions. Their perceptions are influenced by various socio-economic factors. It is necessary to understand the socio-economic condition of respondents in sociological studies. The study is based on primary data and is conducted between January and March, 2020. For the purpose of the study, 40 indoor patients are randomly selected and interview is done based on the interview schedule which is significant at 10 percent and 90 percent confidence level and hence reflects the entire indoor patients’ population of Civil Hospital, Aizawl. This study shows that patients from the rural area have the highest number of inpatients as compared to urban and other town areas—with a total of 20. The annual expenditure on healthcare of indoor patients’ family shows that a spending below 5,000 INR annually pertains only to BPL and AAY families with 50 percent each on both. People who are poor or living in relative poverty have the highest frequency with 21 (BPL category) which is 52.5 percent out of the total of 40. Those very poor or AAY have 5 families which is 12.5 percent of the total. Together, families who are in relative poverty and extreme poverty contributes 26 or 65 percent of the total indoor patients studied. Patients’ family above the poverty line is 14 or 35 percent of the total. The study concludes that there is a significant relationship between poverty status and the use of public hospital services for inpatients. KEYWORDS: Health Economics, Socioeconomic profile, Healthcare, Public Hospitals

2019 ◽  
Vol 7 (6) ◽  
pp. 585-595
Author(s):  
Asoke Howlader ◽  
Sidhartha Sankar Laha ◽  
Arindam Modak

Purpose of the study: This paper endeavours to re-examine the socio-economic factors influencing empowerment among married women in rural India over two points of time, 2005 and 2012. It examines the interplay of the work status of rural married women and the poverty status of their household in influencing empowerment. Methodology: The study uses the nationally representative multi-topic India Human Development Survey (IHDS). IHDS panel data has been utilized to assess the entry and exit from a workforce of rural married women, to define the components of empowerment among rural married women and analyze the socio-economic factors influencing the empowerment among rural married women. Main Findings: The outcomes show the increase in the overall empowerment rates in spite of their mobility constraints seem to have badly risen during the period 2005-2012, especially in the context of deteriorating work input among rural women. Moreover, working rural married women from BPL (Below Poverty Line) rural households are less likely to be empowered as compared to working rural married women from APL (Above Poverty Line) households. Applications of this study: The rural female work participation rate is declining in the phase of rising economic growth and education. In this context, their empowerment would not only benefit their personal lives but also impact their economic lives, thus contribute to the country`s GDP. This makes it vital to analyze as to what comprises their empowerment in the first place so that it can be promoted through various schemes. Novelty/Originality of this study: Women’s economic empowerment and their participation in work are essential to bringing in the fullest demographic dividend for inclusive economic escalation and sustainable development in India. Thus, empowerment which may not necessarily be implied by employment is conditioned upon the poverty status of the household. However, the empowerment of rural married women is facilitated by higher education of self, husband and other family members.


2020 ◽  
Vol 21 (1) ◽  
pp. 71-80
Author(s):  
Tanggu Dedo Yeremias ◽  
Ernantje Hendrik ◽  
Ignatius Sinu

ABSTRACT This research has been carried out in the Anugerah Mollo Farmer Group, in Netpala Village, North Mollo District, South Central Timor Regency, starting in March - April 2019. This study aims to determine: (1) The dynamic level of the Anugerah Mollo Farmer Group in Netpala Village, North Mollo District, South Central Timor Regency, (2) Relationship between Socio-economic factors of farmer group members and the level of dynamics of the Anugerah Mollo Farmer Group in Netpala Village, North Mollo District, South Central Timor Regency. Determination of the location of the study carried out intentionally (purposive sampling) The type of data collected is primary data obtained from direct interviews with respondents guided by the questionnaire, while secondary data is obtained from the relevant agencies. To find out the first purpose of the data analyzed using a Likert scale, to find out the second purpose of the data analyzed using the Sperman Rank statistical Nonparametric test. The results of this study indicate that: (1) The level of dynamism of the Anugerah Mollo Farmer Group in Netpala Village, North Mollo District, South Central Timor Regency, is in the very dynamic category of 84%, (2) The relationship of socio-economic factors is only one of the five variables that are significantly related namely land area with a coefficient of rs 0.278 and t = 1.782 count greater than t table 1.699 (p> 0.05), while other social factors such as age, formal education, number of family dependents, and experience of farming show no significant relationship with the level of dynamism of Anugerah Mollo Farmers Group in Netpala Village.


Author(s):  
Ipseeta Satpathy ◽  
B. Chandra Mohan Patnaik ◽  
Chandrabhanu Das

The existence of Yoga dates back to more than ten thousand years around India and all nations. The Hindu Mythology considers the genesis of Yoga by incorporating Lord Shiva as Guru and Goddess Parvati as Shishya. Gradually with the development of civilization mankind assessed the benefits of this spiritual discipline and different leaders propagated the Yoga in different ways.In this era of 21st century Baba Ramdev propagated the yoga sutras with simple and effective techniques. The Pranayam and Suryanamaskar are the popular routines practiced by many followers of Baba Ramdev. Today Yoga is practiced as a way of Living to prevent Lifestyle diseases, combat stress and rejuvenate self. Yoga has gained immense popularity over the years with July 21st being celebrated as International Yoga Day. Corporate are also now introducing Yoga for employees as a means to relieve their stress and improve productivity. Long Hours of sitting, standing and excessive use of electronic gadgets puts pressure on bones, joints and responsible for Lifestyle diseases. Yoga is now increasingly used as a wellness solution replacing high cost antibiotic drugs. Employee well-being leads to Cost Savings in terms of personnel by reduced payment of Insurance and Medical Bills. The paper studies the Impact of Yoga to Financial benefits in MSME Organizations in Odisha in light of three different perspectives of Internal Control, Inventory management and Cash Flow. The primary data was collected from a sample of 155 high profile finance executives working in the MSME sector. Ranking Table and Regression Analysis Methodology was used to derive meaningful conclusions. The research takes initiative to transform the effectiveness of Yoga into improved financial health for the Organization. The observation from the study interprets a positive impact of Yoga on good financial health of Organization.


2021 ◽  
Vol 13 (4) ◽  
pp. 2180 ◽  
Author(s):  
Woo Jang ◽  
Fei Yuan ◽  
Jose Javier Lopez

This research aims to analyze how modes of transportation differ according to socio-economic factors in an urban space. The study area is Ramsey County, the most densely populated county in Minnesota. The primary data used were from the recent 2012–2016 Census Transportation Planning Products (CTPP). We performed regression models to identify the relationship between mode of transport and socio-economic variables, and further analyzed disaggregate trip data to provide a more realistic evaluation of commuting patterns by use of multiple variables in combination. The research found that sustainable commuting patterns correlated significantly with both poverty and minority group status, but bore no significant relationship to older workers. Additionally, there was a significant correlation between commuting alone by car with both minority group status and older workers, but not with poverty. This research also confirmed that the sustainable commuting patterns of the working poor were mostly located in the downtown area, while causes of low-income workers driving alone typically involved much longer commutes to and from points throughout the study area, suggesting that more efficient commutes are a significant quality of life factor for the urban poor when evaluating residential and employment opportunities in the central city.


2018 ◽  
Vol 3 (1) ◽  
pp. e000582 ◽  
Author(s):  
Neeraj Sood ◽  
Zachary Wagner

Life-saving technology used to treat catastrophic illnesses such as heart disease and cancer is often out of reach for the poor. As life expectancy increases in poor countries and the burden from chronic illnesses continues to rise, so will the unmet need for expensive tertiary care. Understanding how best to increase access to and reduce the financial burden of expensive tertiary care is a crucial task for the global health community in the coming decades. In 2010, Karnataka, a state in India, rolled out the Vajpayee Arogyashree scheme (VAS), a social health insurance scheme focused on increasing access to tertiary care for households below the poverty line. VAS was rolled out in a way that allowed for robust evaluation of its causal effects and several studies have examined various impacts of the scheme on poor households. In this analysis article, we summarise the key findings and assess how these findings can be used to inform other social health insurance schemes. First, the evidence suggests that VAS led to a substantial reduction in mortality driven by increased tertiary care utilisation as well as use of better quality facilities and earlier diagnosis. Second, VAS significantly reduced the financial burden of receiving tertiary care. Third, these benefits of social health insurance were achieved at a reasonable cost to society and taxpayers. Several unique features of VAS led to its success at improving health and financial well-being including effective outreach via health camps, targeting expensive conditions with high disease burden, easy enrolment process, cashless treatment, bundled payment for hospital services, participation of both public and private hospitals and prior authorisation to improve appropriateness of care.


2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 12042-12042
Author(s):  
Sofia Sánchez-Román ◽  
Yanin Chavarri Guerra ◽  
Andrea Morales Morales Alfaro ◽  
Daniela Ramirez Maza ◽  
Andrea de la O Murillo ◽  
...  

12042 Background: The COVID-19 pandemic has impacted the well-being of people not only due to the disease but also because of stay-at-home orders, social distancing, unemployment, and different kinds of loses. Older adults have particularly suffered during the pandemic, with increased health-related concerns and anxiety leading to increased vulnerability. However, little is known about the effects of the pandemic on older adults with cancer living in developing countries. They are facing issues related to their diagnosis and treatment, as well as the effects of the pandemic on their care and on the well-being of their families. To improve care for this vulnerable population, we studied the concerns and difficulties associated with COVID-19 among older Mexican adults with cancer. Methods: We included patients age ≥65 with the 10 most common tumors in Mexico according to GLOBOCAN and within 3-24 months of cancer diagnosis at two public hospitals in Mexico City. Patients were contacted telephonically and asked to complete a survey reporting the difficulties encountered during the COVID-19 pandemic and to rate their concerns associated with cancer care management using a 0-10 Likert-type scale, with higher ratings meaning increased concerns. Focused interviews were used to describe the individual experience of selected patients and their relatives related to COVID-19 and cancer care. Results: Between April 20, 2020 and December 1, 2021, 67 patients (mean age 71.9, min 65, max 90; 35.8% female; 62.7% living with a partner) were included. The most common tumors were prostate (43%), colon (16%), and lung (12%). 46% had Stage IV disease, and 61% had a life expectancy of more than a year. Twenty-five percent of patients reported encountering at least one difficulty in obtaining cancer care due to the COVID-19 pandemic. 43% of the patients reported difficulties with accessing follow-up cancer care; 39% reported issues with obtaining medications, including chemotherapy; and 34% reported problems obtaining medical care in general, including oncology visits. Regarding concerns, 33% of the patients reported being “very worried” or “extremely worried” about the COVID-19 pandemic. The most relevant concerns were related to getting infected with COVID-19 (or having a family member who became infected) (mean rating 7.9, SD 2.9); not being able to pay for cancer treatments or medical care (mean rating 6.9, SD 3.5); and worsening of cancer due to delayed care during the pandemic (mean rating 6.6, SD 3.7). Conclusions: A significant proportion of older adults with cancer in Mexico faced difficulties obtaining cancer treatment and follow-up care during the COVID-19 pandemic. Their most relevant concerns included getting infected, financial losses, and progression of disease. Creating systems to provide continued cancer care for vulnerable populations in developing countries is essential to face the COVID-19 pandemic.


2016 ◽  
Vol 11 (4) ◽  
pp. 359-378 ◽  
Author(s):  
Alex Jingwei He ◽  
Jiwei Qian

AbstractIn recent years China has witnessed a surge in medical disputes, including many widely reported violent riots, attacks, and protests in hospitals. This is the result of a confluence of inappropriate incentives in the health system, the consequent distorted behaviors of physicians, mounting social distrust of the medical profession, and institutional failures of the legal framework. The detrimental effects of the damaged doctor–patient relationship have begun to emerge, calling for rigorous study and serious policy intervention. Using a sequential exploratory design, this article seeks to explain medical disputes in Chinese public hospitals with primary data collected from Shenzhen City. The analysis finds that medical disputes of various forms are disturbingly widespread and reveals that inappropriate internal incentives in hospitals and the heavy workload of physicians undermine the quality of clinical encounters, which easily triggers disputes. Empirically, a heavy workload is associated with a larger number of disputes. A greater number of disputes are associated with higher-level hospitals, which can afford larger financial settlements. The resolution of disputes via the legal channel appears to be unpopular. This article argues that restoring a healthy doctor–patient relationship is no less important than other institutional aspects of health care reform.


2016 ◽  
Vol 47 (2) ◽  
pp. 260-270 ◽  
Author(s):  
Johannes H De Kock ◽  
Basil J Pillay

The goal of our study was to provide a situation analysis of clinical psychology services in South Africa’s public rural primary healthcare sector. In this setting, the treatment gap between human resources for and the burden of disease for mental illness is as high as 85%. The majority of South Africa’s mental health specialists – clinical psychologists and psychiatrists – practice in the country’s urban and peri-urban private sector. At the advent of South Africa’s democracy, public clinical psychological services were negligible, and the country is still facing challenges in providing human resources. The study was based on the analysis of both primary and secondary data. Primary data were collected by interviewing the heads of 160 public hospitals classified as rural by the Department of Health, while secondary data comprised a literature review. The number of clinical psychologists working in the public sector indicated a substantial growth over the last 20 years, while the number employed and/or doing out-reach to public rural primary healthcare areas shows a shortfall. Clinical psychology’s numbers, however, compare favourably to that of other mental health specialists in public rural primary healthcare settings. Since the National Mental Health Summit of 2012, strategies have been implemented to improve access to mental health care. In clinical psychology’s case relating to human resources, these strategies have showed encouraging results with a substantial amount of participating institutions reporting that clinical psychologists form a part of their proposed future staff establishment.


2019 ◽  
Vol 12 (4) ◽  
pp. 196
Author(s):  
Md. Rahimullah Miah ◽  
Mohamed Sharif Mustaffa ◽  
Samsiah Jayos ◽  
Nor Hasniah Ibrahim ◽  
Sopian Bujang ◽  
...  

The explorative field observation on Environmental Conservation Psychology (ECP) is multi-diversified with collective and conjectural outlook. ECP provides a better understanding of the way in which conservation awareness, attitude, ethics, culture and well-being are affected by physical environments, social settings and built-in environment. The goal is to stimulate more attention be paid to ensure the effectiveness of environmental conservation and highlight psychological instruments required to develop new interdisciplinary approaches with innovative ways in prevailing challenges for the present and upcoming generations. Primary data were collected from a sample of respondents at the Lawachara National Park (LNP) in Moulvibazar district of Bangladesh and secondary data were obtained from diverse sources. The research denoted and investigated by various disciplines and fields including environmental behaviors studies, positive psychology, person-environment studies, human-nature science and ecological psychology. The study showed about 70% of indigenous respondents opined on positive attitudes for environmental conservation to compare with 55% in others. The study identified approximately 65% of respondents stated for development of environmental education among local communities for promoting positive psychology surrounding the national park. This study focuses the importance of understanding this multidimensional psychological research as it is to inform about the environmental conservation perspectives that have contributed to and shaped the learning with high internal conservation stability, dependability, uniformity, and attractiveness with social bonding at LNP. This study represents the environmental design, manage, protect and restore conserving of biodiversity towards national parks that influence human behavior, predict and the likely outcomes when these conditions are not met and diagnose problem situations. This study links at solving complex environmental conservation problems in the pursuit of individual well-being within a longer community through human-environment conservation interactions.


2006 ◽  
Author(s):  
◽  
Bernice Stott

This study will investigate and critically evaluate the reconstitution of African women’s spiritualities in the context of the Amazwi Abesifazane project. This project forms part of the endeavours of Create Africa South, a Non Governmental Organisation situated in Durban, KwaZulu-Natal, which was initiated by the artist Andries Botha. It encourages women, post trauma, to ‘re-member’ themselves by creating memory cloths of embroidery and appliqué reflecting on their experiences in pre- and post-apartheid South Africa. This interdisciplinary study theorises that it is an archive that speaks about African women resisting destructive forces and reconstituting their spiritualities through the therapeutic effects of creativity. The study will not include research into the many other activities undertaken by Create Africa South. Rupture is implied in the use of the word ‘reconstitution’. Reconstitution encompasses the act of constituting again the character of the body, mind and spirit as regards health, strength and well-being of the women (McIntosh, 1970:261). In this study, spirituality is defined as the way in which the women in the Amazwi Abesifazane project reflect upon and live out their belief in God. The power of storytelling is examined from the perspectives of narratology, narrative therapy, sewing and orality/literary studies as resources for the women’s reclamation of their lives. Defining feminisms in South Africa is problematised by issues of race, class and culture. In a context of poverty, everyday survivalist strategies are the diverse forms of resistance seen in the Amazwi Abesifazane project. The women’s stories, cloths and interviews are triangulated as primary data. They are examples of the rich art of resistance against despair and are located in a paradigm of hope. In conclusion, I strongly call for government support in declaring the project a national archive. The multidimensional mediums of the Amazwi Abesifazane/ UbuMama projects nurture the women’s creativity and revitalise their spiritualities towards personal and national transformation.


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