Geographical inequality in cataract surgery among Iranians between 2006 and 2011

Alinia, Cyrus; Mohammadi, Seyed Farzad; Jabbarvand, Mahmoud; Hashemi, Hassan

doi:10.26719/2018.24.7.664

Cited by 5 publications

(3 citation statements)

References 12 publications

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“…In the final section, this study recommends facilitating the accessibility of the required services for women, particularly those of reproductive age [25]. Other studies have found that regional disparity in Iran also occurs in cataract surgery services [26] and Iranian children and adolescents [27]. Regional differences in Iran may occur due to the unequal input of health resources between regions [28][29][30].…”

Section: Resultsmentioning

confidence: 99%

Regional Disparities of Facility-Based Childbirth in Indonesia

Laksono

Wulandari

2021

Trends Sci

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Specifically, the characteristics of regions in Indonesia are unique. The situation is because the division of the region refers to the main islands. The study aims to analyze regional disparities of childbirth services in Indonesia. Meanwhile, the analysis in this study uses raw data from the 2017 Indonesian Demographic Health Survey (IDHS). The IDHS used stratification and multistage random sampling. The sample used in this study was 17,769 women aged 15 - 49 years with live births in the last 5 years. The study employed all region (7 regions) in the analysis, and analyzed data using the binary logistic regression test. The result shows national average of the utilization of healthcare facilities for delivery in Indonesia is 72.0 %. The 3 highest-ranking regions were in the Java-Bali region with 89.5 %, Sumatra region 73.5 %, and Kalimantan region 69.1 %. The study shows a significant disparity between all regions than the Papua region, except for Kalimantan and Sulawesi regions. Sumatra region has 1.475 times more possibilities to utilize healthcare facilities for delivery than the Papua region. The Java-Bali region has 3.010 times more potential to use healthcare facilities for delivery than the Papua region. The Nusa Tenggara region has 1.891 times more opportunities to use healthcare facilities for delivery than the Papua region. At the same time, the Maluku region has lower utilization than the Papua region. Maluku region has the possibility of 0.304 times utilizing healthcare facilities for delivery than the Papua region. The study concluded that there were significant disparities between regions in using healthcare facilities for delivery in Indonesia. HIGHLIGHTS Indonesia has made many efforts in shifting labor into health care facilities. However, this increase is still lacking, and in some cases, the community still feels that the health services received are not expected The characteristics of regions in Indonesia are unique. Economic and development movements between regions keep the development gap between areas continuing. Disparity as a result of this development also affects the accessibility of the community to health service facilities The study proved there were disparities between regions in using healthcare facilities for delivery in Indonesia GRAPHICAL ABSTRACT

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Section: Resultsmentioning

confidence: 99%

Regional Disparities of Facility-Based Childbirth in Indonesia

Laksono

Wulandari

2021

Trends Sci

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“…We estimated the LC and calculated the GI for the years 2000 and 2015 to ascertain any changes in inequality among countries for each selected development indicator. Many studies have applied these calculations to address levels of inequality in different disciplines (Yang et al 2019;Chowdhury et al 2018;Alinia et al 2018;Malakar et al 2018;Saez et al 2018;Stensrud and Valberg 2017). In this study, we use the cumulative percentage of a given indicator for each country to derive a global GI.…”

Section: Methodsmentioning

confidence: 99%

Assessing Changes in Inequality for Millennium Development Goals among Countries: Lessons for the Sustainable Development Goals

Fuller

Dwivedi

2019

Social Sciences

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In 2000, the United Nations adopted the Millennium Development Goals (MDGs), a set of eight global development goals to be achieved between 2000 and 2015. We estimated the Lorenz Curve and Gini Index for determining any changes in inequality at the global level with countries as a unit of analysis for eight development indicators (proportion of population undernourished, school enrollment rates, the percentage of women in parliament, infant mortality rates, maternal mortality rates, HIV (Human Immunodeficiency Virus) rates, access to improved water sources, and access to a cellular device), representing one MDG each. All of the selected indicators improved on average between 2000 and 2015. An average improvement in an indicator does not necessarily imply a decrease in inequality. For instance, the average infant mortality rate decreased from 39.17 deaths per 1000 births in 2000 to 23.40 in 2015, but the Gini Index remained almost stable over the same period, suggesting no reduction in inequality among countries. For other indicators, inequality among countries decreased at varying rates. A significant data gap existed across countries. For example, only 91 countries had data on primary school enrollment rates in 2000 and 2015. We emphasize developing a global data collection and analysis protocol for measuring the impacts of global development programs, especially in reducing inequality across social, economic, and environmental indicators. This study will feed into currently enacted Sustainable Development Goals (SDGs) for ensuring more inclusive and equitable growth worldwide.

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“…Current visual health guidelines in Peru do not adequately address the socioeconomic and health disparities in access to and utilization of eye care services (24)(25)(26). These differences in eye care can negatively impact older adults, reducing their quality of life, functional independence and increasing the risk of accidents (27)(28)(29)(30)(31). This study aimed to assess socioeconomic disparities in evaluating the vision of older adults with cataracts in Peru, looking at differences in accessing eye care services and treatment results.…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic Inequalities in the Visual Assessment of Older Adults with Cataracts in Peru

Intimayta-Escalante,

Vitteri-Soto

2024

Preprint

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IntroductionIn Peru, one in six adults over 50 years old has cataracts. This proportion increases due to the lack of routine visual assessments among older adults. Therefore, the objective of this research was to evaluate the socioeconomic inequalities in visual assessments among older adults with cataracts in Peru.MethodsThis analytical cross-sectional study was conducted using data from the Demographic and Family Health Survey in Peru from 2013 to 2023. Socioeconomic conditions such as gender, age, educational level, wealth quintile, area or place of residence, health insurance status, and comorbidities were evaluated. Inequalities were estimated using the concentration index (CI) and Erreyger’s modification (ECI).ResultsOf the 6,367 older adults with cataracts included in the study, 93.1% (95%CI: 92.2–93.9) had a visual assessment. The average age of the participants was 76.7 years, with over half of them being women (56.2%). Conditions such as educational level, wealth quintile, area or place of residence, and comorbidities mediated differences in the proportion of adults with cataracts who had visual assessments (p<0.001). Adults without education (ECI: -0.16), residents of rural areas (ECI: -0.41), or those outside Lima (ECI: -0.51) exhibited greater inequalities in receiving visual assessments.ConclussionAmong older adults with cataracts, living in rural areas or outside Lima and having a low educational level were identified as key factors mediating greater inequality in visual assessments.

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Geographical inequality in cataract surgery among Iranians between 2006 and 2011

Abstract: To reduce this inequality, policy-makers should improve financial and physical access to cataract surgery, especially in the relatively deprived provinces, and tackle physician-induced demand.

Cited by 5 publications

References 12 publications

Regional Disparities of Facility-Based Childbirth in Indonesia

Regional Disparities of Facility-Based Childbirth in Indonesia

Assessing Changes in Inequality for Millennium Development Goals among Countries: Lessons for the Sustainable Development Goals

Socioeconomic Inequalities in the Visual Assessment of Older Adults with Cataracts in Peru

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