Abstract:
BACKGROUND:While access to healthcare has been a focus of international development, populations around the world continue to lack proper access to care. Identifying at-risk demographic groups can help advance efforts both regionally and internationally. There are only a small number of studies that previously have assessed physical barriers and attitudes in Nepal. METHODS:This study assessed the factors and attitudes associated with healthcare accessibility in a rural population outside of Lumbini, Nepal. This descriptive cross-sectional study used a volunteer-sampling approach to collect 585 questionnaire responses from the area formerly known as the Madhuwani Village Development Committee. RESULTS:The study found that the population was more likely to access private care than public, and reported longer times to access a hospital than the national average. Across almost all findings, those with lower than a secondary education had significantly larger barriers, lower satisfaction and higher reported difficulty in accessing healthcare. Females were shown to have significantly larger transportation barriers in accessing care and lower satisfaction compared with males. CONCLUSIONS:Results identify women and the less-educated as having larger barriers to accessing healthcare. Further research should focus on how inequities in access affect health outcomes among these identified vulnerable groups.
journal_name
Int Healthjournal_title
International healthauthors
Ashworth HC,Roux TL,Buggy CJdoi
10.1093/inthealth/ihz008subject
Has Abstractpub_date
2019-11-13 00:00:00pages
528-535issue
6eissn
1876-3413issn
1876-3405pii
5420709journal_volume
11pub_type
杂志文章abstract:BACKGROUND:This study assessed the prevalence of chronic disease among rural residents in Jiangxi, China, analyzed influencing factors and provided scientific rationale for chronic disease prevention and control. METHODS:Multi-stage stratified cluster random sampling was used to get a representative sample of rural re...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihu022
更新日期:2014-06-01 00:00:00
abstract::Acute flaccid paralysis (AFP) surveillance is a key strategy used by the Global Polio Eradication Initiative (GPEI) to measure progress towards reaching the global eradication goal. Supported by a global polio laboratory network, AFP surveillance is conducted in 179 of 194 WHO member states. Active surveillance visits...
journal_title:International health
pub_type: 杂志文章,评审
doi:10.1093/inthealth/ihx016
更新日期:2017-05-01 00:00:00
abstract::Hypertension is the most common cause of cardiovascular diseases, accounting for at least half of haemorrhagic and ischaemic strokes, heart failure and renal failure in sub-Saharan Africa. However, population-based data to inform policies are scarce. Using the WHO STEPwise approach to chronic disease risk factor surve...
journal_title:International health
pub_type: 杂志文章
doi:10.1016/j.inhe.2012.09.005
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:We analyzed the role that the launch of new drugs has played in reducing the number of years of life lost (YLL) before three different ages (85, 70 and 55 y) due to 66 diseases in 27 countries. METHODS:We estimated two-way fixed-effects models of the rate of decline of the disease- and country-specific age-...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihz003
更新日期:2019-09-02 00:00:00
abstract:BACKGROUND:Data on home-based records (HBRs) practices within national immunization programmes are non-existent, making it difficult to determine whether current efforts of immunization programmes related to basic recording of immunization services are appropriately focused. METHODS:During January 2014, WHO and the Un...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihv014
更新日期:2015-07-01 00:00:00
abstract::The availability of female-initiated HIV prevention options does not necessarily lead to their uptake. We investigated if married men were willing to support open or covert use of microbicides by their spouses in Pune, India. Data was collected using an interview-administered questionnaire from 151 consenting married ...
journal_title:International health
pub_type: 杂志文章
doi:10.1016/j.inhe.2012.06.005
更新日期:2012-09-01 00:00:00
abstract::The Global Trachoma Mapping Project (GTMP) is the largest infectious disease survey ever undertaken. With 60 partners, 2.6 million people were examined across 29 countries for the blinding neglected tropical disease (NTD) trachoma, establishing the prevalence of the disease globally. Such an achievement was only made ...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihy054
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Ensuring the quality and effectiveness of counselling is imperative for enabling people living with HIV to cope with treatment adherence. Countrywide assessment of antiretroviral therapy (ART) centres was undertaken to assess the quality and effectiveness of counselling. The insights gained from the assessme...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihy100
更新日期:2019-11-13 00:00:00
abstract:BACKGROUND:Limited data exist on malnutrition prevalence in Madagascar. We aimed to assess the point prevalence of childhood malnutrition in the Anivorano region, and to explore mothers' perceptions of barriers to proper nutrition. METHODS:In a mixed methods study we measured height and weight for 313 children, aged 6...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihv016
更新日期:2015-11-01 00:00:00
abstract::The very large difference in mortality rates between Kimberley diamond miners and Witwatersrand gold miners during the 1918 influenza pandemic has never been explained. We examined extant epidemiological records from South African mining operations and other related activities to determine if mortality risk factors co...
journal_title:International health
pub_type: 杂志文章
doi:10.1016/j.inhe.2009.12.001
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Anaemia is a global public health problem affecting both developing and developed countries with major consequences for human health and socioeconomic development. This paper examines the possible relationship between Hb concentration and severity of anaemia with individual and household characteristics of c...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/iht034
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:School surveys provide a convenient platform to obtain large child cohorts from multiple communities and are widely used as a proxy to determine community prevalence of neglected tropical diseases. The purpose of this study was to compare trachoma prevalence between preschool- and school-aged children and ch...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/iht027
更新日期:2013-12-01 00:00:00
abstract:BACKGROUND:Access to prompt and effective treatment of malaria is a fundamental right of all populations at risk; many countries have not met the target of 60% of children treated with effective antimalarial drugs within 24 h of fever onset. While community case management of malaria is effective for increasing coverag...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/iht017
更新日期:2013-09-01 00:00:00
abstract::Snakebite is an important cause of mortality among rural dwellers in the savannah region of West Africa. We conducted a retrospective review of snakebite patients managed by experienced medical staff at Kaltungo in north-eastern Nigeria to determine the cause of death. During a 36 month period there were 94 deaths amo...
journal_title:International health
pub_type: 杂志文章
doi:10.1016/j.inhe.2010.08.001
更新日期:2011-03-01 00:00:00
abstract::Policy-makers require information on the potential benefits of and economic case for pneumococcal conjugate vaccination in middle-income countries. We built decision analysis models to evaluate a three-dose infant series of the 7-, 10- or 13-valent pneumococcal conjugate vaccines in 77 middle-income countries compared...
journal_title:International health
pub_type: 杂志文章
doi:10.1016/j.inhe.2011.08.004
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Oxygen is an essential medical therapy that is poorly available globally. We evaluated the quality of oxygen therapy in 12 secondary-level Nigerian hospitals, including access to oxygen equipment, equipment functionality, healthcare worker knowledge and appropriateness of use. METHODS:We conducted a three-p...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihz009
更新日期:2020-01-01 00:00:00
abstract:Background:The State of Meghalaya, India, has some of the worst newborn health outcomes in the country. State health authorities commissioned an assessment of newborn service delivery to improve services. This study proposes bottleneck analysis (BNA) and quality improvement (QI) methods as a combined method to improve ...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihy062
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Health aid to Nigeria increased tremendously in the last decade and a significant portion of the funds were earmarked for HIV-associated programs. Studies on the impact of HIV-specific aid on the delivery of non-HIV health services in sub-Saharan Africa have yielded mixed results. This study assessed if ther...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihv036
更新日期:2016-03-01 00:00:00
abstract::After 30 years of treatment with Mectizan (ivermectin), cutaneous and ocular complications of Onchocerca volvulus infection are now scarce in endemic communities. Indeed, transmission has been interrupted and the O. volvulus- associated disease has disappeared in some African foci. Despite this success, onchocerciasis...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihx051
更新日期:2018-03-01 00:00:00
abstract:Background:This study aims to determine the indicators for assessing the functionality of clubfoot clinics in a low-resource setting. Methods:The Delphi method was employed with experienced clubfoot practitioners in Africa to rate the importance of indicators of a good clubfoot clinic. The consistency among the partic...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihy033
更新日期:2018-09-01 00:00:00
abstract:BACKGROUND:Community health workers (CHWs) are an essential cadre in the health systems of many low- and middle-income countries. These workers provide a wide variety of services and are key to ongoing processes of task shifting within human immunodeficiency virus programmes in particular. Ward-based outreach teams (WB...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihz082
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:Governance of a country may have widespread effects on the health of its population, yet little is known about the effect of governance on child mortality in a country that is undergoing urbanization, economic development, and disease control. METHODS:We obtained indicators of six dimensions of governance (...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihu018
更新日期:2014-09-01 00:00:00
abstract::Since HIV infection and its consequence, AIDS, were first described, many initial assumptions have proven to be wrong. In Africa, it is women who bear the greater burden of the disease. In many ways they are less visible than men, although at least as much at risk, often even more so. Marriage is no protection against...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihu029
更新日期:2014-12-01 00:00:00
abstract::Product Development Partnerships (PDPs) are playing an increasingly important role in the development of new medicines for neglected diseases of the developing world; however, there has been limited information on their funding and expenditure patterns. This paper analyses funding for the 14 PDPs working on neglected ...
journal_title:International health
pub_type: 杂志文章
doi:10.1016/j.inhe.2010.04.002
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND:In recent years there have been several reports of outbreaks of dengue fever (DF) in Yemen. This study aimed to describe the prevailing knowledge, attitude and preventive practices regarding DF, and to investigate the factors associated with poor preventive practices in rural areas of Yemen. METHODS:A popul...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihv021
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Declines in late-life cognitive functioning differ greatly between socio-economic status (SES) groups, but little is known about whether these effects are related to child and adult SES versus SES effects that accumulate over the individual's life course. METHODS:An 18-year longitudinal national sample of o...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihu046
更新日期:2014-12-01 00:00:00
abstract:Background:In 2015, over 850 000 refugees, asylum seekers and migrants arrived in Greece. In response to an overwhelming need for access to healthcare for them, Doctors of the World established the Refugee Ferry Project, which comprised of a clinic providing primary health care, and integrated mental health and psychos...
journal_title:International health
pub_type: 杂志文章,评审
doi:10.1093/inthealth/ihx032
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:This study was designed to identify the extent to which self-reported Mandrax use impacts condom-use beliefs amongst South African prison inmates. METHODS:Participants were inmates from four prisons in the provinces of KwaZulu-Natal and Mpumalanga. In total, 357 inmates participated in the parent study of w...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihv048
更新日期:2016-03-01 00:00:00
abstract:Background:This article examines risk factor and health differences between Antillean migrants in the Netherlands and Antillean and Dutch non-migrants, and relates these findings to four commonly used explanations for migrant health disparities. Methods:Nationally representative data from the 2012 Dutch Public Health ...
journal_title:International health
pub_type: 杂志文章
doi:10.1093/inthealth/ihy026
更新日期:2018-07-01 00:00:00
abstract::Mycobacterium ulcerans infection results in significant disfiguring morbidity, and treatment is expensive. To estimate the cost of treatment in the antibiotic era, a retrospective study of 71 patients diagnosed and treated for M. ulcerans in the Bellarine Peninsula (Victoria, Australia) between 1998 and 2006 was perfo...
journal_title:International health
pub_type: 杂志文章
doi:10.1016/j.inhe.2011.12.005
更新日期:2012-06-01 00:00:00