scholarly journals Assessment of Perceived Health Care Access in a Rural Community in Rizal: A Cross-sectional Study

2019 ◽  
Vol 1 (2) ◽  
pp. 100-109
Author(s):  
Kathyrine Calong Calong ◽  
Judalyn Comendador
Keyword(s):  
Health Care ◽  
Rural Community ◽  
Health Care Access ◽  
Access To Health Care ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Care Access ◽  
Access To Health ◽  
Perceived Access

Background: Access to health care is considered a basic right and integral to human life. However, this still remains a challenge especially in developing countries where the majority of the poor reside and suffer from a disproportionate amount of disease. The study determined the six key components of health care access: approachability, availability, accessibility, affordability, acceptability, and accommodation, as perceived by a rural community in Taytay, Rizal, Philippines. Methods: This descriptive-cross sectional study included a convenience sample of 62 participants. The Perceived Access to Health Care Instrument was utilized. Frequency, percentage, mean, standard deviation, and univariate linear regression were used to analyze the data. Results: The study revealed that health care access in terms of approachability was rated as good, whereas availability was rated as good, and accessibility was rated as fair. On the other hand, the affordability of health care services was rated as good, the acceptability was rated as good while the accommodation was rated as fair. It was also revealed that none of the demographic profiles significantly predicted the perceived access to health care Conclusion: Assessment of health care access is an important measure of health care equity and despite several factors previously shown to affect health care access, the results of this study showed that the participants have good access to health care in their community

scholarly journals Access to health care for patients with thalassaemia in Greece: a cross-sectional study

2020 ◽  
Vol 26 (12) ◽  
pp. 1482-1492
Author(s):  
Kyriakos Souliotis ◽  
Christina Golna ◽  
Sofia Nikolaidi ◽  
Georgia Vatheia
Keyword(s):  
Health Care ◽  
Access To Care ◽  
Access To Health Care ◽  
Cross Sectional Study ◽  
Social Needs ◽  
Sectional Study ◽  
Outpatient Services ◽  
Cross Sectional ◽  
Beta Thalassaemia ◽  
Access To Health

Background: The prevalence and clinical burden of beta-thalassaemia in Greece is high. Little information is available on the unmet needs of patients with beta-thalassaemia and barriers to access to care. Aims: This study investigated barriers that patients with transfusion-dependent beta-thalassaemia in Greece face when accessing care and the associations between socioeconomic factors and access to care. Methods: A cross-sectional study was conducted between November 2018 and January 2019. The sample consisted of 116 beta-thalassaemia patient-members of two Panhellenic patient associations for people with thalassaemia. All respondents were transfusion-dependent. The survey customized and used the Patient Access Partnership 5As of access tool to measure participants’ access to health care services (subscales: accessibility, adequacy, affordability, appropriateness and availability). Data on their socioeconomic characteristics were also recorded. The association between the total score of each subscale and patient characteristics was examined using the Mann–Whitney or Kruskal–Wallis tests. Results: Respondents considered inpatient services less adequate and appropriate, and outpatient services and laboratory tests less affordable. Outpatient services were also perceived as less available. Participants’ income was statistically significantly associated with all the subscales except accessibility, and rural residence was significantly associated with all five subscales. Conclusion: Barriers in access to health care among beta-thalassaemia patients receiving transfusions still persist, especially for those who live far from transfusion centres and have lower incomes. It is important to understand and map current unmet medical and social needs of beta-thalassaemia patients in Greece, in order to design and implement a targeted health policy that can measurably improve patients’ lives.

scholarly journals Episodes Of Violence Suffered By Migrants Transiting Through Libya: A Cross Sectional Study

2020 ◽  
Author(s):  
laura reques ◽  
E Aranda-Fernandez ◽  
C Rolland ◽  
A Grippon ◽  
C Reboul ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Violence ◽  
Access To Health Care ◽  
Ad Hoc ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Central Mediterranean ◽  
Cross Sectional ◽  
Access To Health

Abstract Introduction The Central Mediterranean Route (CMR), passing through Libya, is one of the most dangerous for migrants from Africa. Episodes of violence have been documented but have not been accurately quantified. The objective of the study was to estimate the prevalence of episodes of violence suffered in Libya by migrants consulting Médecins du Monde (MdM) programs in France.Methodology Monocentric cross-sectional study. The inclusion criteria included all migrants over the age of 18 who had passed through Libya, who arrived in Europe from 2017 and consulted at the MdM health centre in Paris. The presence of psycho-traumatic events was considered as exclusion criteria. The study was implemented from February to May 2019. An ad-hoc questionnaire was created. The proportion, frequency and factors associated to physical, deprivation and sexual violence were estimated, as well as access to health care and need for psychosocial support.Results 98 people were recruited and 72 were interviewed (17 refused to participate and 9 were excluded). 76.4% were men, the average age was 31.9 years, 76.4% had a low level of education, 66.7% came from Ivory Coast and 59.7% had left their country for security reasons. The median length of stay in Libya was 180 days. The overall proportion of persons having suffered violence was 96.4% for men and 88.2% for women. The prevalence of physical, deprivation and sexual violence was 94.2%, 81.7% and 18.% for men and 80.0%, 86.7% and 53.3% for women, respectively. No statistical differences by other variables were found. Access to health care in Libya was non-existent. 63.9% of participants were oriented for psychosocial support.Conclusions The vast majority of migrants report having been victims of violence during their transit in Libya. Women are at particular risk of sexual violence. Mental health support for these populations is urgent.

Impact of restricting access to health care services on Syrian refugees in Jordan: evidence from cross-sectional surveys

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ibraheem Khaled Abu Siam ◽  
María Rubio Gómez
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Access To Health Care ◽  
Health Care Services ◽  
Health Care Cost ◽  
Syrian Refugees ◽  
Cross Sectional ◽  
Content Type ◽  
Care Access ◽  
Care Services

Purpose Access to health-care services for refugees are always impacted by many factors and strongly associated with population profile, nature of crisis and capacities of hosing countries. Throughout refugee’s crisis, the Jordanian Government has adopted several healthcare access policies to meet the health needs of Syrian refugees while maintaining the stability of the health-care system. The adopted health-care provision policies ranged from enabling to restricting and from affordable to unaffordable. The purpose of this paper is to identify the influence of restricted level of access to essential health services among Syrian refugees in Jordan. Design/methodology/approach This paper used findings of a cross-sectional surveys conducted over urban Syrian refugees in Jordan in 2017 and 2018 over two different health-care access policies. The first were inclusive and affordable, whereas the other considered very restricting policy owing to high inflation in health-care cost. Access indicators from four main thematic areas were selected including maternal health, family planning, child health and monthly access of household. A comparison between both years’ access indicators was conducted to understand access barriers and its impact. Findings The comparison between findings of both surveys shows a sudden shift in health-care access and utilization behaviors with increased barriers level thus increased health vulnerabilities. Additionally, the finding during implementation of restricted access policy proves the tendency among some refugees groups to adopt negative adaptation strategies to reduce health-care cost. The participants shifted to use a fragmented health-care, reduced or delayed care seeking and use drugs irrationally weather by self-medication or reduce drug intake. Originality/value Understanding access barriers to health services and its negative short-term and long-term impact on refugees’ health status as well as the extended risks to the host communities will help states that hosting refugees building rational access policy to protect whole community and save public health gains during and post crisis. Additionally, it will support donors to better mobilize resources according to the needs while the humanitarian actors and service providers will better contribute to the public health stability during refugee’s crisis.

scholarly journals Forum: equity in access to health care. Introduction

2008 ◽  
Vol 24 (5) ◽  
pp. 1159-1161 ◽  
Author(s):  
Claudia Travassos
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Health Care Professionals ◽  
Access To Health Care ◽  
Health Care Systems ◽  
Care Access ◽  
Unethical Practices ◽  
Access To Health ◽  
Care Systems ◽  
Equity In Access

The Introduction outlines this issue's special Forum on equity in access to health care, including three Articles and a Postscript. The Forum represents a continuation of the debates raised during a seminar organized by the Oswaldo Cruz Foundation in the city of Rio de Janeiro, Brazil, in 2006, in collaboration with UNICEF, UNDP, World Bank, the WHO Special Program for Research and Training in Tropical Diseases, and the United Nations Research Institute for Social Development. The authors approach health care access and equity from a comprehensive and contemporaneous perspective, introducing a new conceptual framework for access, in which information plays a central role. Trust is proposed as an important value for an equitable health care system. Unethical practices by health administrators and health care professionals are highlighted as hidden critical aspects of inequities in health care. As a whole, the articles represent a renewed contribution for understating inequalities in access, and for building socially just health care systems.

scholarly journals Magnitude of maternal near misses and the role of delays in Ethiopia: a hospital based cross-sectional study

2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Mulugeta Dile Worke ◽  
Habtamu Demelash Enyew ◽  
Maru Mekie Dagnew
Keyword(s):  
Antenatal Care ◽  
Health Care Access ◽  
Cross Sectional Study ◽  
Near Miss ◽  
Sectional Study ◽  
Cross Sectional ◽  
Near Misses ◽  
Care Access ◽  
Referral Hospitals

Abstract Objectives This study was aimed to assess the magnitude of maternal near misses and the role of delays including other risk factors. A Hospital based cross sectional study was conducted at three referral hospitals of Amhara region on 572 mothers who came to obtain obstetrics care services from February 01 to July 30, 2018. Results The magnitude of maternal near miss was 26.6% (95% CI 23, 30). With regards to delays, 83 (14.5%), 226 (39.5%), and 154 (26.9%) of women delayed in the decision to seek care, in reaching care, and in receiving care respectively. Women who had no antenatal care [AOR = 3.16; CI (1.96, 5.10)], who stayed in hospital 7 days or more [AOR = 2.20; CI (1.33, 3.63)] and those who had delay in reaching health facility [AOR = 1.99; CI (1.10, 3.61)] were more likely to be near miss. While, women whose husband was able to read and write [AOR = 0.29; CI (0.09, 0.96)] and those with monthly household income between 2001 and 3000 ETB [AOR = 0.35; CI (0.18, 0.70)] were 71% and 65% less likely to be near misses respectively. Promoting antenatal care and increasing maternal health care access could have significant impact in reducing maternal near misses.

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