Costly Absences, Coercive Presences: Health Care in Rural North India

2010 ◽  
Author(s):  
PATRICIA JEFFERY ◽  
ROGER JEFFERY
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Services ◽  
Uttar Pradesh ◽  
North India ◽  
State Investment

This chapter discusses health care in rural north India. It examines the access of villagers in the Bijnor district of western Uttar Pradesh to health care during the early 2000s. The liberalisation, health care, and health status in India is studied, along with the declining state investment in health services. Limiting fertility and removing polio in India is examined in the latter portion of the chapter.

Indian Health Services, Continued

PEDIATRICS ◽  
1973 ◽  
Vol 52 (5) ◽  
pp. 756-756
Author(s):  
Daniel P. Kohen ◽  
Gerald Yost ◽  
Jerry Lyle
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Service ◽  
Health Services ◽  
American Indian ◽  
Indian Population ◽  
Health Needs ◽  
Indian Health Service ◽  
American Indian Population ◽  
Indian Health

We applaud Dr. Edward Mortimer's Commentary on the health status of the American Indian population (Pediatrics, 51:1065, 1973). Public statements that "Indian health care is inadequate because it is inadequately funded" and ". . . less than the minimum (money) is provided" are long overdue, and we concur completely with the necessity for us all to help Indians express and fulfill their health needs. We wish, however, to take issue with several remarks regarding the quality and scope of care provided in and through the Indian Health Service.

Health Services Use and Costs for Americans With Intellectual and Developmental Disabilities: A National Analysis

2018 ◽  
Vol 56 (2) ◽  
pp. 101-118 ◽  
Author(s):  
Glenn T. Fujiura ◽  
Henan Li ◽  
Sandy Magaña
Keyword(s):  
Health Care ◽  
Health Status ◽  
Developmental Disabilities ◽  
Health Services ◽  
Health Care Expenditures ◽  
Medical Expenditure ◽  
Intellectual And Developmental Disabilities ◽  
Medication Costs ◽  
Study Results ◽  
National Analysis

Abstract Health services and associated costs for adults with intellectual and developmental disabilities (IDD) were nationally profiled and the predictors of high expense users statistically modeled. Using linked data from the National Health Interview Survey and Medical Expenditure Panel Survey for the years 2002 through 2011, the study found a mixed pattern of differences in rates of service use and costs when compared to the general population depending upon personal characteristics, health status, and type of health care service. Prescription medication costs were the primary driver of total health care expenditures for Americans with IDD. The presence of secondary chronic health conditions and poor mental health status were the consistent predictors of high expense users across types of health care. Study results are discussed in terms of implications for more nuanced evaluations of health care costs and need for recurring surveillance of health care for Americans with IDD in the years following passage of the Patient Protection and Affordable Care Act.

scholarly journals Health issues in female Moldovan migrants in a north-eastern Italian region

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Buja ◽  
F A Vianello ◽  
F Zaccagnini ◽  
C Pinato ◽  
P Maculan
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Literacy ◽  
Health Services ◽  
Health Care Services ◽  
Care Services ◽  
Access To Health ◽  
North Eastern ◽  
Reported Health ◽  
Italian Women

Abstract Background Migration from Eastern Europe to Italy is still massively expanding, with a subsequent increase of migrants in the job market who are traditionally employed in low specialized and high strain jobs. In this context Health Literacy is a known factor contributing to immigrant health disparities. The purpose of this study was to evaluate the health status of a population of migrant Moldovan women and their access to health care services in northern Italy by age class and health literacy level. Methods We administered an ad-hoc questionnaire to adult Moldovan women to assess their lifestyles, employment status, reported health status, access to Health Services and Health Literacy. Moreover, the study compared our data with a sample of Italian women of the same age range living in North-Eastern region interviewed in 2015. Analysis employs descriptive statistics. Results The sample included 170 Moldovan women (age 46.5 ±12.3). Prevalence of active smokers was found double in women with a low Health Literacy. Health Literacy status also determined the different access to Public Health Services, with women with higher literacy using more programmed health services and screening programs, and women with lower literacy conversely using more emergency health services. Overall reported health status was found worse in our sample than in Italian women and reported disease prevalence among age ranges was different than Italian ones with an increased probability for allergies, lumbar diseases and depression. Conclusions Some diseases have a higher prevalence in Moldovan than in Italian women. Health literacy is associated with lifestyles and use of health care services also in migrants, as previously demonstrated for native population. Key messages Tailored prevention programs and intervention should be designed in Moldovan women to address high prevalence diseases in this population. Strategy to improve health literacy should involve immigrants. Some diseases resulted well-spread over the whole sample and not influenced by age or employment; the difficulties migrants have to overcome might influence their health status.

scholarly journals Health status of female Moldovan immigrants to Italy by health literacy level and age group: a descriptive study

2020 ◽  
Author(s):  
Alessandra Buja ◽  
Francesca Alice Vianello ◽  
Federica Zaccagnini ◽  
Carlo Pinato ◽  
Pietro Maculan
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Literacy ◽  
Health Services ◽  
Health Care Services ◽  
Care Services ◽  
Health Literacy Level ◽  
Care Workers ◽  
Access To Health ◽  
Literacy Level

Abstract Background: Migration flows from Eastern Europe to Italy have been large and continue to grow. The purpose of this study was to examine the health status of a population of Moldovan immigrant women, and their access to health care services in northern Italy, by age group and health literacy level. Methods: We administered an ad-hoc questionnaire to adult Moldovan women to assess their lifestyles, self-reported health status (symptoms and diseases), access to health services, and health literacy. Then, using descriptive statistics, we compared our data with findings for a sample of Italian women of the same age living in the north-east of the country. Results: Our sample included 170 Moldovan women (aged 46.5 ± 12.3) in five occupational categories: home care workers (28.2%); cleaners (27.1%); health care workers (5.9%); other occupations (28.8%); and unemployed (10%). Active smokers were twice as prevalent among the women with a low health literacy. Health literacy level also determined access to healthcare services: women with a higher health literacy tended to use scheduled health services and screening programs, while those with a lower health literacy relied more on emergency health services. For all age groups, the Moldovan sample reported a higher prevalence of allergies, lumbar disorders and depression than the Italian controls. Conclusions: The reported prevalence of some diseases was higher among Moldovan immigrant women than among Italian resident women. Health literacy was associated with the immigrant women’s lifestyle and the use of health care services, as previously seen for the autochthonous population.

scholarly journals Maternity Entitlements in India: Women's Rights Derailed

2021 ◽  
Author(s):  
Jean Drèze ◽  
Reetika Khera ◽  
Anmol Somanchi
Keyword(s):  
Health Care ◽  
Weight Gain ◽  
Uttar Pradesh ◽  
North India ◽  
Average Weight ◽  
Quality Health Care ◽  
Indian Women ◽  
Maternity Benefits ◽  
Quality Health ◽  
Weight Gain During Pregnancy

Maternity benefits of at least Rs. 6,000 per child are a legal right of all Indian women under the National Food Security Act, 2013. In practice, a large majority are still deprived of maternity benefits. A recent survey, conducted in six states of north India, brings out that pregnant women’s basic needs for nutritious food, proper rest and health care are rarely satisfied. Among women who had delivered a child during the 6 months preceding the survey, about half said that they had been eating less rather than more during pregnancy, and nearly 40 per cent complained of a lack of rest at that time. The figures are much worse in states like Uttar Pradesh, where, for instance, one third of the same women had not had a single ante-natal checkup. Average weight gain during pregnancy was just 7 kg over nine months in this sample, down to 4 kg in Uttar Pradesh. Aside from poor nutrition, lack of rest appears to be a major factor of low weight gain during pregnancy. There is an urgent need for better recognition of the special needs of pregnancy, provision of maternity benefits in accordance with the law, and better support for pregnant women including quality health care.

scholarly journals Risk Factors and Treatment Needs among Orphan School Children

2017 ◽  
Vol 18 (10) ◽  
pp. 893-898 ◽  
Author(s):  
Malleedi Shanthi ◽  
EV Soma Sekhar Goud ◽  
G Padmanabha Kumar ◽  
Jagdeesh P Rajguru ◽  
Subramaniam Ratnasothy ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Health Status ◽  
Oral Health ◽  
Health Services ◽  
School Children ◽  
Oral Health Status ◽  
Kuala Lumpur ◽  
Treatment Needs ◽  
Oral Health Services

ABSTRACT Aim The aim of the study was to identify risk factors and treatment needs of orphan children of Selangor, Kuala Lumpur, Malaysia. Objectives (1) To identify the association between the frequency of snacking and caries among orphan schoolchildren, (2) To assess Streptococcus mutans and Lactobacilli (microbiological assessment) in saliva of orphan children, and (3) To formulate treatment needs for orphan children. Materials and methods A cross-sectional study was done among 253 children of 5-, 12-, and 15-year-olds living in various orphanage houses of Selangor, Kuala Lumpur, Malaysia. Demographic data, and dietary and oral hygiene practices were collected through a structured questionnaire. Clinical examinations of children were conducted to assess oral health status and recorded in the World Health Organization oral health assessment form (1997). Stimulated saliva was collected for S. mutans and Lactobacilli levels. The statistical software, namely, Statistical Package for the Social Sciences version 19.0 was used for the analysis of the data. Results The final data analysis included 253 children of which 116 (45.8%) were boys and 137 (54.2%) were girls. 140 (55.33%) children were caries-free and 113 (44.66%) children presented with caries (decayed/missing/filled surface >0). High levels of salivary microbiological counts (S. mutans and Lactobacilli), i.e., ≥ 105, stress the importance of necessary preventive oral health services. Treatment needs among orphan children showed that most of the children, i.e., 58 (22.9%), need preventive or caries-arresting care followed by 49 (19.4%) who require two-surface filling as an immediate measure. Conclusion From the results of our study, orphan children have low utilization of preventive and therapeutic oral health services. Urgent attention is required to plan a comprehensive dental health-care program to improve their oral health status. Clinical significance Parents are the primary caretakers of children, but woefully some of them have to lead their lives without parents, the latter either being dead or incapable of bringing up their children. Such a group of children is known as orphans. As oral health is an integral part of general health, it is essential for health-care policy makers to address oral health needs of this underprivileged group of society. This article highlights the risk factors and treatment needs among orphan schoolchildren. How to cite this article Shanthi M, Goud EVSS, Kumar GP, Rajguru JP, Ratnasothy S, Ealla KKR. Risk Factors and Treatment Needs among Orphan School Children. J Contemp Dent Pract 2017;18(10):893-898.

scholarly journals Medical pluralism for community health in Thammasen sub-district, Photharam district, Ratchaburi province, Thailand

2018 ◽  
Vol 32 (4) ◽  
pp. 313-321
Author(s):  
Wipanun Muangsakul ◽  
Sunti Srisuantang ◽  
Ravee Sajjasophon
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Services ◽  
Community Health ◽  
Health Professionals ◽  
Herbal Remedies ◽  
Medical Pluralism ◽  
Content Type ◽  
Local Leaders ◽  
Folk Healers

Purpose When reviewing Community Health Development, it is necessary to understand the community context, including community health and details of medical pluralism (MP). The purpose of this paper is to correlate and predict between community health and related factors and delineate phenomenon of MP in Thammasen, Ratchaburi province, Thailand. Design/methodology/approach A mixed-methods sequential explanatory design was applied in this research. The quantitative survey was conducted by using an interview questionnaire. The 400 respondents were selected by simple random sampling from 11 villages. For the qualitative study, in-depth interviews were conducted with 37 key informants from selected health professionals, folk healers and local leaders. Findings The respondents were 56.5 percent female with a mean age of 53.8 years. The factors relating to community health included: health care behaviors, perceived health status, attitudes toward health care and access to health services. Considering the four predictive variables as a group revealed a 26.2 percent variation in community health. The phenomenon of MP was covered by the following three main aspects: self-health care (SHC)—healthy people pay attention to self-care and used herbal remedies to reduce early symptoms; folk medicine (FM)—some folk healers provide holistic healing, use herbal remedies and transfer knowledge to people who are interested and professional medicine (PM)—some health professionals adopt the concept of integrated medicines such as recommending that patients practice SHC and promote the use of Thai traditional medicine (TTM) and complementary and alternative medicine (CAM). Originality/value Health professionals, folk healers and local leaders should provide effective action domains that focus on the following four factors of community health: effective health care behavior, concern for health status, positive attitudes toward health care and accessibility to health services. Regarding MP, integrated medical and health care models should be developed to link SHC, FM and PM (including TTM/CAM).

Quality of health and health services in people with fragile X syndrome: perspective of their parents

2017 ◽  
Vol 3 (3) ◽  
pp. 125-130
Author(s):  
Michael Seidel
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Services ◽  
Fragile X Syndrome ◽  
Access To Health Care ◽  
Fragile X ◽  
Autism Spectrum ◽  
Content Type ◽  
Family Doctors ◽  
Health Related

Purpose People with fragile X syndrome (FXS), a monogenetic disorder with frequent autism spectrum disorder symptoms, are confronted with many health-related needs, especially concerning behavioural and mental problems. The number of publications about health inequalities or the usage of health services in persons with FXS is scarce in general. There is no information about the situation in Germany. The paper aims to discuss this issue. Design/methodology/approach Assessment of health status, access to, and satisfaction with health care in people with fragile X by a questionnaire completed by their parents. Findings A total of 74 questionnaires were included in the assessment. While children and adolescents with FXS often (40 per cent) utilised specialised services for the coordination of health-related services, adults most often made use of family doctors. Most parents described the health status of their relatives as good to excellent (89 per cent). However, the satisfaction with health care-related demands by family doctors, medical specialists, and psychotherapists was rated in the average to above average range. Research limitations/implications This paper is of special value as it gives insight into the perspective of parents concerning access to health care of FXS in Germany. Originality/value This paper gives a first insight concerning access of people with FXS to the German health care system.

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