Self-reported illness and household strategies for coping with health-care payments in Bangladesh

Rahman, Mizanur; Gilmour, Stuart; Saito, Eiko; Sultana, Papia; Shibuya, Kenji

doi:10.2471/blt.12.115428

Cited by 44 publications

(33 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This figure was considerably higher than previously reported values in other developing countries (ranged between 27% and 48%). (13) Infectious diseases presented the majority of acute morbidities in the present study (> 90%) which reflects the high prevalence of communicable diseases in Egypt and agrees with the findings revealed by the surveillance of communicable diseases for decision-making in Egypt which has been conducted between 2006 and 2013. (14) This high prevalence of communicable disease in Egypt have been always linked to insanitary water and food supply.…”

Section: Methodssupporting

confidence: 91%

Acute Morbidity Patterns and Health Care Seeking Behavior- a Community Based Study, Mahsama Village, Ismailia Governorate, Egypt

Ahmed

2019

The Egyptian Family Medicine Journal

View full text Add to dashboard Cite

Background: Information on the existing morbidity patterns and health care seeking behavior (HCSB) is essential for the analysis of most health related policy issues and enable governments to provide a need-based health care especially to rural communities. Methods: A community based cross sectional study was conducted from September 1st, 2015 to December1st, 2015 in Mahsama village, Ismailia Governorate, Egypt to determine acute morbidity patterns and HCSB of 839 households. Data were acquired on predesigned and pretested questionnaire. The household heads were considered as the respondents. The questionnaire included information on household incidence of acute illnesses during the preceding 4 weeks and related HCSB. Results: 839 home interviews were conducted with household heads to assess their HCSB and morbidity profile of their family members within the preceding 4 weeks of the study. 442 of respondents (52.7%) reported 984 recent acute illnesses in their families. Upper Respiratory Tract Infection (URTI) presented the most common disease (71.64%). Most patients (53.55%) consulted nonqualified providers. While 46.45% of patients preferred to consult qualified practitioners. The low cost (26.37%) and effectiveness of care (21.82%) were the main reasons behind the selection of the non-qualified providers. Respondents' education level, family income and perception of disease severity were also found to be the main determinants of this pattern of HCSB.Conclusion: it is important to develop a need based health care delivery system and actions focusing on the morbidity patterns and beliefs of local community to direct their HCSB to qualified providers. Key words: Acute morbidity incidence, rural health, health care seeking behavior. Introduction:In rural Egypt, a large number of deaths occurs mostly from preventable and treatable infectious diseases, such as Respiratory Tract Infection (RTI), diarrhea, and malaria. Obtaining reliable estimates of morbidity patterns and HCSB is challenging in resource limited countries like Egypt, where poor people tend to access non-qualified health care providers. Information on the existing morbidity pattern and HCSB is also essential for the analysis of most health related policy issues and enable governments to provide a need-based health care to their communities. (1) Egypt initiated its long-term Health Sector Reform Project in 1997. At the core of the reform was the primary health care (PHC) system. The Egyptian government substantially aiming to shift the focus of healthcare from reliance on specialist care to a less costly and more widely accessible primary care based model. Today around 5000 public primary care practices run by

show abstract

Section: Methodssupporting

confidence: 91%

Acute Morbidity Patterns and Health Care Seeking Behavior- a Community Based Study, Mahsama Village, Ismailia Governorate, Egypt

Ahmed

2019

The Egyptian Family Medicine Journal

View full text Add to dashboard Cite

show abstract

“…A study in Bangladesh showed that about 12% of households either borrow money or sell household assets to pay for diabetes treatment. 41 Consequently, diabetes is not only causing serious health problems but is also placing a financial burden on households.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of diabetes and prediabetes and their risk factors among Bangladeshi adults: a nationwide survey

Akter

Rahman

Abe

et al. 2014

Bull. World Health Organ.

Self Cite

287

260

View full text Add to dashboard Cite

“…Creating a risk pooling mechanism is the most efficient system to mitigate the consequences of relying on out‐of‐pocket healthcare payments, which is a stepping stone toward universal healthcare. High and unpredictable healthcare costs may force a household to resort to difficult solutions for instance, selling productive assets or borrowing at high interest rates . The community focus has been seen as an advantage of the compact nature of the scheme.…”

Section: Introductionmentioning

confidence: 99%

Factors affecting the willingness to join community‐based health insurance (CBHI) scheme: A case study survey from Savannakhet Province, Lao P.D.R.

Bodhisane

Pongpanich²

2018

Health Planning & Management

View full text Add to dashboard Cite

Summary Purpose Community‐based health insurance (CBHI) targets independent worker (self‐employed) is currently struggling with inadequate size of risk pooling, low enrollment, and high dropout rate as well as financial sustainability. The objective of this study is to find out the factors that significantly affect the CBHI enrollment incentive. The study applied cross‐sectional study design to perform situation analysis, in which the Andersen behavioral model was used as a guideline to identify preliminary characteristics that involved with enrolling incentive. Findings The model found that existence of both outpatient department (OPD) and inpatient department (IPD) health service utilization had significant impact on the CBHI enrollment, this statement is strongly related to adverse selection issues. Households resides in Kaysone Phomvihane district had higher probability of joining the scheme in comparison with relatively less‐developed Champhone district. Households with no CBHI knowledge were also more likely to enroll the scheme. Occupation was also found to be a significant factors; of which farmers and laborers had lower possibility enrollment. Conclusions Economic condition of the district has a significant impact on enrolment. However, the increase in personal income does not directly enhance the desire for enrolment. Most of the high‐income households prefer to use a local, private clinic, and foreign hospitals in Thailand or Vietnam. Households with unemployed heads had the highest possibility of enrolling. The reason is the unemployed respondents include the elderly who stay at home without performing major tasks in exchange for their living. That group of people has the highest probability of either OPD or IPD.

show abstract

Self-reported illness and household strategies for coping with health-care payments in Bangladesh

Cited by 44 publications

References 29 publications

Acute Morbidity Patterns and Health Care Seeking Behavior- a Community Based Study, Mahsama Village, Ismailia Governorate, Egypt

Acute Morbidity Patterns and Health Care Seeking Behavior- a Community Based Study, Mahsama Village, Ismailia Governorate, Egypt

Prevalence of diabetes and prediabetes and their risk factors among Bangladeshi adults: a nationwide survey

Factors affecting the willingness to join community‐based health insurance (CBHI) scheme: A case study survey from Savannakhet Province, Lao P.D.R.

Contact Info

Product

Resources

About