2013
DOI: 10.1371/journal.pntd.0002350
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Health Access Livelihood Framework Reveals Potential Barriers in the Control of Schistosomiasis in the Dongting Lake Area of Hunan Province, China

Abstract: BackgroundAccess to health care is a major requirement in improving health and fostering socioeconomic development. In the People's Republic of China (P.R. China), considerable changes have occurred in the social, economic, and health systems with a shift from a centrally planned to a socialist market economy. This brought about great benefits and new challenges, particularly for vertical disease control programs, including schistosomiasis. We explored systemic barriers in access to equitable and effective con… Show more

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Cited by 13 publications
(10 citation statements)
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“… 2 , 4 , 5 , 6 , 7 , 8 The more comprehensive of these frameworks, such as the Health Access Livelihood Framework (ACCESS) described below, acknowledges a dynamic interaction between demand (user) and supply (service). 2 , 5 , 6 , 8 , 9 , 10 For instance, an accessible service will attempt to structure hours of operation (supply) in accordance with the schedule of users (demand).…”
Section: Introductionmentioning
confidence: 99%
See 2 more Smart Citations
“… 2 , 4 , 5 , 6 , 7 , 8 The more comprehensive of these frameworks, such as the Health Access Livelihood Framework (ACCESS) described below, acknowledges a dynamic interaction between demand (user) and supply (service). 2 , 5 , 6 , 8 , 9 , 10 For instance, an accessible service will attempt to structure hours of operation (supply) in accordance with the schedule of users (demand).…”
Section: Introductionmentioning
confidence: 99%
“…In this article, ACCESS 2 , 9 , 10 is used to explore health care access for vulnerable groups in a specific setting. According to this framework, healthcare access constitutes five dimensions: availability, accessibility, affordability, adequacy and acceptability, as defined in Table 1 .…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…A further ethnographic study in Tanzania commented on how district-level health staff considered handling multiple NTD interventions simultaneously as more of a burden than a cost-saving strategy [ 21 ]. Cairncross et al [ 50 ] discussed 13 years of stagnation in dracunculiasis eradication in Ghana (due partially to the implementation of a sector-wide approach, government decentralisation and staff transfers) while Balen et al [ 78 ] drew attention to more subtle social equity issues in China for schistosomiasis, where barriers to treatment were driven by the lack of medical insurance among the poor, despite a well planned and integrated programme.…”
Section: Reviewmentioning
confidence: 99%
“…The Chinese government has been paying a high amount of attention to the control of schistosomiasis, and a multitude of control programs have been implemented over the past 60 years [ 8 , 13 , 14 ]. The latest two control programs at the national level were the World Bank Loan Project (WBLP) that started from 1992 to 2001 [ 15 ], which mainly emphasized praziquantel-based morbidity control on humans and domestic animals [ 16 ], and the integrated control program implemented since 2005, which emphasized infection source control [ 17 ]. The disease burden, therefore, has been decreased significantly, and the disease transmission has been blocked in many areas that were previously endemic [ 8 , 16 , 18 ].…”
Section: Introductionmentioning
confidence: 99%