scholarly journals Women Empowerment in Punjab: Dimensions, Determinants, and Implications for Access to Healthcare

2021 ◽  
Vol 9 (3) ◽  
pp. 505-514
Author(s):  
Dilshad Ahmad ◽  
Salyha Zulfiqar Ali Shah ◽  
Furrukh Bashir
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Rural Women ◽  
Rural Areas ◽  
Access To Health Care ◽  
Women's Empowerment ◽  
Access To Healthcare ◽  
Women’S Empowerment ◽  
Women Empowerment ◽  
Job Opportunities

In developing countries like Pakistan, because of the complex cultural and socio-demographic milieu women empowerment always remained the contested issue. Overall major indicators of human development of women have been considered lower rather than men. In Pakistan, some considerable measures have focused on women's empowerment however, their status is still miserable specifically in rural areas. This study was aimed to find out, the extent of rural women empowerment and the effect of women empowerment regarding access to healthcare in the Vehari district of Southern Punjab, Pakistan. The study used data of 240 married women respondents and employed Cronbach’s alpha and OLS approaches for various analyses of the study components. Scores of various components regarding women's empowerment were regressed over the scores of women's access to healthcare in the final analysis of the study. The finding of the study indicated that the power of decision-making (0.87), self-esteem (0.79), and mobility (0.89) has positive and significant effects on access to health care whereas control over the resource (0.73) estimates indicated positive while the insignificant impact on health access. Education access, adequate job opportunities, and media information approach considered more appropriate and feasible measures for adequate women empowerment and health care access. Emergency-based State-based policy measures need to be applied such as women schooling at doorstep, increasing females' priority-based job opportunities, and proper access to media for increasing awareness regarding their rights and significant role in society.  

scholarly journals Empowerment and Problems in Health Care Access among Currently Married Women in Myanmar: A Secondary Data Analysis on MDHS 2015-16

2020 ◽  
Author(s):  
Nang Mie Mie Htun ◽  
Zar Lwin Hnin ◽  
Win Khaing
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Access To Health Care ◽  
Extended Family ◽  
Labour Force ◽  
Women's Empowerment ◽  
Policy Formulation ◽  
Married Women ◽  
Women’S Empowerment ◽  
Demographic And Health Surveys

Abstract Background: Women’s health outcomes are influenced by the lack of access to health care and their inability to make decisions for themselves. This study was conducted to identify the association between women's empowerment and the problems in assessing health care among currently married women aged 15-49 years. Method: A secondary analysis by using Myanmar Demographic and Health Survey (MDHS) (2015-16) data, which included all 15 regions of Myanmar. In the study, (7,759) eligible currently married women aged 15-49 years were included. Result: Among eligible women, 52.43% (95% CI: 0.51-0.53) had problems in accessing health care. Women with medium and high empowerment scores were less likely to experience problems in accessing health care compared to women who got low score (aOR=0.85, 95%CI: 0.73-0.98) (aOR=0.55, 95% CI: 0.47-0.65) respectively. Women from rural area (aOR=1.41, 95% CI:1.15-1.72) and women living in Chin State, one of the least developed states, (aOR=1.84, 95% CI: 1.38-2.46) had faced more problems in accessing health care, on the other hand, the problems were seen to be reduced in the case of women aged over 35 years (aOR=0.66, 95% CI: 0.47- 0.94), and those who had an educated husband (aOR=0.76, 95% CI: 0.66-0.86), a husband with a white collar job (aOR=0.71, 95% CI: 0.56-0.89), and those living with an extended family (aOR=0.74, 95% CI: 0.66-0.84). Conclusion: The study showed when the women are more empowered, they might have less problems in accessing health care. These finding would contribute to the policy formulation in reducing health inequity issues in terms of increasing women's empowerment by enabling women getting equal right to education and jobs. Key words: women's empowerment, problems in accessing health care, Demographic and Health Surveys, Myanmar, knowledge, decision power, beating, labour force

Rural Women Veterans Demographic Report: Defining VA Users’ Health and Health Care Access in Rural Areas

2013 ◽  
Vol 30 (2) ◽  
pp. 146-152 ◽  
Author(s):  
Elizabeth Brooks ◽  
Nancy Dailey ◽  
Byron Bair ◽  
Jay Shore
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Rural Women ◽  
Rural Areas ◽  
Women Veterans ◽  
Care Access

Association of spousal violence and women’s empowerment status among the rural women of sub-Saharan Africa

2021 ◽  
pp. 1-19
Author(s):  
Asibul Islam Anik ◽  
Muhammad Ibrahim Ibne Towhid ◽  
M Atiqul Haque
Keyword(s):  
Health Care ◽  
Rural Women ◽  
Significant Risk ◽  
Women's Empowerment ◽  
Sub Saharan Africa ◽  
Women’S Empowerment ◽  
Demographic And Health Surveys ◽  
Spousal Violence ◽  
Index Of Inequality ◽  
Sub Saharan

Abstract Spousal violence (SV) is a global problem for women and its elimination is one of the prime targets of Sustainable Development Goal-5. Data from the Demographic and Health Surveys of seventeen countries, representing two sub-Saharan Africa (SSA) regions (East and Southern Africa [ESA] and West and Central Africa [WCA]), were used to examine the relationship between all types of SV and women’s empowerment status among rural married women aged 15–49 years. Multivariate logistic regression analysis was used to explore adjusted associations, and a relative index of inequality (RII) and slope index of inequality (SII) were used to measure the inequality in experiencing SV by rural women based on their overall empowerment position. Within the period 2015–2019, the reported rate of SV was higher in the ESA (physical SV: 33.55%; sexual SV: 16.96%; any type of SV: 46.14%) than the WCA countries (physical SV: 27.80%; sexual SV: 7.63%; any type of SV: 40.83%), except for emotional SV (WCA: 31.28% vs ESA: 29.35%). In terms of overall empowerment status, rural WCA women were slightly ahead of their counterparts in the ESA region (46.09% and 44.64%, respectively). For both ESA and WCA countries, women who didn’t justify violence and who had access to health care (except physical SV in WCA) showed negative but significant association with all types of SV in the adjusted analysis. Conversely, economic empowerment significantly increased the odds of experiencing physical and any type of SV in both regions. The significant risk ratios obtained from RII, for any SV were 0.83 and 1.09, and the β-coefficients from SII were –0.082 and 0.037 units, respectively, in ESA and WCA. Multi-sectoral microfinance-based intervening programmes and policies should be implemented regionally to empower women, especially in the economic, socio-culture, health care accessibility dimensions, and this will eventually reduce all types of spousal violence in rural SSA.

scholarly journals Women’s empowerment through small-scale dairy farming in Bangladesh: a study on some selected areas of Mymensingh district

2019 ◽  
Vol 3 (2) ◽  
pp. 85-95
Author(s):  
M Rafiqul Islam ◽  
SM Lutful Kabir ◽  
Md Serazul Islam
Keyword(s):  
Rural Women ◽  
Rural Areas ◽  
Dairy Farm ◽  
Women's Empowerment ◽  
Dairy Farming ◽  
Women’S Empowerment ◽  
Small Scale ◽  
Sample Unit ◽  
One Year ◽  
Small Scale Dairy

The study was designed to explore the women’s empowerment through small-scale dairy farming in Bangladesh. Small-scale dairy farm owners constituted the population of the present study. Among the population, the households who were actively engaged in dairy farming activities more than one year in the selected area of Mymensingh district, they were considered as the sample unit. For data collection, 50 households from the sample unit were randomly selected for interview. Simple percentages were calculated to show the frequency distribution at different categories of variables. Through small-scale dairy farming, rural women were able to increase their confidence and decision-making power with regard to their household and personal care and experienced increased self-esteem, expansion of their social circles, and ultimately enhanced empowerment through the breakdown of traditional socio-cultural norms. Thus, the expansion of small-scale dairy farming in other rural areas of Bangladesh is likely to contribute to the empowerment of more rural women. Asian Australas. J. Food Saf. Secur. 2019, 3(2), 85-95

scholarly journals Role of micro finance in women’s empowerment (an empirical study in pondicherry region rural shg’s)

2011 ◽  
Vol 1 (1) ◽  
pp. 1-8 ◽  
Author(s):  
Sarumathi S ◽  
Mohan K
Keyword(s):  
Low Income ◽  
Rural Women ◽  
Rural Areas ◽  
Financial Services ◽  
Women's Empowerment ◽  
Well Being ◽  
Three Dimensions ◽  
Women’S Empowerment ◽  
Primary Data ◽  
To Come

Microfinance is a type of banking service that is provided to unemployed or low-income individuals or groups who would otherwise have no other means of gaining financial services. Micro finance through Self Help Group (SHG) has been recognized internationally as the modern tool to combat poverty and for rural development. Micro finance and SHGs are effective in reducing poverty,empowering women and creating awareness which finally results in sustainable development of the nation. The main aim of microfinance is to empower women. In this paper the role played by Microfinance in women’s empowerment are considered into three dimensions namely psychological,social and economical. The objectives of the study is i) to understand the performance of SHG’s inPondicherry region, ii) to analyze the freedom women members get in SHG’s, iii) to study the problems women members face in SHG’s, iv) to analyze the empowerment of the women psychologically, economically and socially and v) to offer suggestions for the betterment of women’s empowerment in SHG’s. The study is undertaken in rural areas of Pondicherry region. Both primary and secondary data’s are used. Primary data is enumerated from a field survey in the study region.Secondary data is collected from NGOs’ reports and other documents. The researcher has used percentage method, simple correlation coefficient, paired t test and cross tabulation for analysis purpose. Analysis showed that there is a gradual increase in the all the three factors among rural women’s. From the interaction among the respondents it is noticed that some members are expecting the NGO to come up with more training sessions in income generating activities. All they need is away to develop their skills and talents by participating in various training programs. There is a definite improvement in psychological well being and social empowerment among rural women as a result of participating in micro finance through SHG program.

scholarly journals Access to healthcare and self-rated health among refugees in transit and after arrival in Norway

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Haj-Younes ◽  
E Strømme ◽  
W Hasha ◽  
J Igland ◽  
E Abildsnes ◽  
...  
Keyword(s):  
Health Care ◽  
Host Country ◽  
Access To Health Care ◽  
Negative Impact ◽  
Minority Group ◽  
Access To Healthcare ◽  
Syrian Refugees ◽  
Self Rated Health ◽  
Perceived Access ◽  
In Transit

Abstract Background Lack of basic infrastructure and poor provision of health services in conflict settings and during flight can have a negative impact on health. The overall health status of refugees seems to improve after arrival at a safe destination. This may be related to a safer environment and better access to health care services, but prior studies on this topic are limited. This study aims to assess self-perceived access to healthcare and its relationship with self-rated health (SRH) among refugees in transit and when settled in a host country. Methods We used data from the CHART study (Changing Health and health care needs Along the Syrian Refugees' Trajectories to Norway), which includes a cohort of 353 Syrian refugees who were contacted in 2017-2018 in Lebanon while waiting for relocation, and one year after their arrival to Norway. Information on self-perceived access to healthcare and its association with SRH was analyzed separately at each time-point. Data analysis was performed with STATA using logistic regression adjusting for age, gender, ethnicity and years of education and presented as adjusted odds ratios (AOR) with 95% CI. Results Fifteen percent reported good access to healthcare and 62% reported good SRH in Lebanon vs. 91% and 77% respectively, in Norway. Measures in Lebanon showed no association between access to healthcare and good SRH (AOR: 1.2 (0.6-2.2)), and men reported worse access to healthcare than women (AOR: 0.5 (0.3-1.0). In Norway, access to healthcare was strongly associated with good SRH (AOR: 4.7 (2.1-10.7) and was negatively associated with belonging to one specific minority group (AOR: 0.1 (0.0-0.3)). Conclusions Both SRH and perceived access to care improved from being in transit to being settled in Norway, the latter substantially more. There was a significant association between access to healthcare and good SRH after the refugees' arrival to a safe host country but not in transit. Key messages Refugee’s self-reported health and access to healthcare seem to improve shortly after arrival to a host country. To ensure that the UN’S Sustainable Development Goals concerning health equity are reached, refugees’ access to healthcare in transit and its impact on overall health needs to be addressed.

COST CONTAINMENT AND ACCESS TO CARE: THE SHANGHAI HEALTH CARE FINANCING MODEL

2008 ◽  
Vol 53 (01) ◽  
pp. 27-41 ◽  
Author(s):  
WEIZHEN DONG
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Cost Containment ◽  
Access To Health Care ◽  
Health Care Cost ◽  
Health Care Expenditure ◽  
Health Care Financing ◽  
Insurance Scheme ◽  
Health Care Reforms ◽  
Medical Savings Account

The medical savings account (MSA) model of health care financing is viewed as a health care cost containment strategy. Yet, health care expenditure in Shanghai has increased sharply since the adoption of the MSA system. This paper looks into the health care reforms in Shanghai, especially since the introduction of the MSA scheme. From the Labor Insurance Scheme and Government Insurance Scheme to the Medical Savings Account scheme, ordinary Shanghai residents have not benefited from the most recent health care reforms. They have found medical care much less affordable. Disparity in access to health care access has become more evident than ever. Meanwhile, health care cost has increased sharply. China has benefited from an emphasis on prevention and primary care, but the government's recent policies give a high priority to catastrophic disease. This is not a cost-effective approach. Shanghai's health care system needs to break socioeconomic class boundaries if it is to construct a harmonious society. Shanghai's decision makers and various stakeholders have the resources and wisdom to face the challenge.

scholarly journals 482. Impact of COVID-19 Pandemic on Psychosocial and Clinical Factors among people with and without HIV living in Miami

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S308-S308
Author(s):  
Patricia RaccamarichClaudia S Uribe ◽  
Ana S Salazar Zetina ◽  
Emily K Montgomerie ◽  
Douglas Salguero ◽  
Alejandro M Mantero ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Access To Health Care ◽  
People Living With Hiv ◽  
Coping With Stress ◽  
Care Access ◽  
Significant Difference ◽  
Physical Consequences ◽  
The Impact ◽  
Hiv Negative

Abstract Background As the COronaVIrus Disease 2019 (COVID-19) continues to unfold, drastic changes in daily life pose significant challenges on mental and clinical health. While public health interventions such as national lockdowns and social distancing are enforced to reduce the spread of COVID-19, the psychosocial and physical consequences have yet to be determined that may disproportionately affect people living with HIV (PLWH). Methods To evaluate the impact of COVID-related stress on mental and clinical health, we conducted a 20-minute questionnaire eliciting sociodemographic information, clinical and psychological factors from people living in Miami, Fl. All individuals >18 years with or without a history of COVID-19 were included. Participating PLWH were recruited from an existing HIV registry and HIV uninfected participants from community flyers and word of mouth. Results A total of 135 participants were recruited from 05/2020-06/2020. The mean age was 50 years old, 73/135 (54%) were female, and 102/135 (75%) were PLWH. Among participating PLWH, 60/102 (58.8%) self-identified as African American, and 9/102 (8.8%) were positive for COVID-19 by a commercially approved test. Among HIV-negative participants, 15/33 (45.5%) self-identified as White and 11/33 (33%) were positive for COVID-19. Both PLWH and HIV-negative participants described significant disruptions in health care access (47%), difficulty paying basic needs (41%), and feelings of anxiety and depression (48%); there was no statistically significant difference by HIV status. However, HIV negative participants were less likely to experience job loss and income disruption compared to PLWH during the pandemic (70% for HIV-negative vs 48% for PLWH; OR 0.40, p=0.03). Conclusion The impact of COVID-19 on emotional and clinical health is significant in both PLWH and HIV-negative groups. These findings highlight the need for providing mental and physical health care during the pandemic, especially for coping with stress and anxiety during these difficult times and ensuring adequate access to health care. Disclosures All Authors: No reported disclosures

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.

ActionHealthNYC: Effectiveness of a Health Care Access Program for the Uninsured, 2016‒2017

2021 ◽  
pp. e1-e10
Author(s):  
Rishi K. Sood ◽  
Jin Yung Bae ◽  
Adrienne Sabety ◽  
Pui Ying Chan ◽  
Caroline Heindrichs
Keyword(s):  
Public Health ◽  
Health Care ◽  
New York ◽  
Health Care Access ◽  
Access To Health Care ◽  
Controlled Trial ◽  
The Past ◽  
Care Access ◽  
State And Local ◽  
Access Program

Objectives. To evaluate the effectiveness of a novel health care access program (ActionHealthNYC) for uninsured immigrants. Methods. The evaluation was conducted as a randomized controlled trial in New York City from May 2016 through June 2017. Using baseline and follow-up survey data, we assessed health care access, patient experience, and health status. Results.At baseline, 25% of participants had a regular source of care; two thirds had visited a doctor in the past year and reported 2.5 visits in the past 12 months, on average. Nine to 12 months later, intervention participants were 1.2 times more likely to report having a primary care provider (58% vs 46%), were 1.2 times more likely to have seen a doctor in the past 9 months (91% vs 77%), and had 1.5 times more health care visits (4.1 vs 2.9) compared with control participants. Conclusions. ActionHealthNYC increased health care access among program participants. Public Health Implications. State and local policymakers should build on the progress that has been made over the last decade to expand and improve access to health care for uninsured immigrants. (Am J Public Health. Published online ahead of print June 10, 2021: e1–e10. https://doi.org/10.2105/AJPH.2021.306271 )

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