Equity of access to reproductive health services among youths in resource-limited suburban communities of Mandalay City, Myanmar.

Abstract:

BACKGROUND:Inequity of accessibility to and utilization of reproductive health (RH) services among youths is a global concern, especially in resource-limited areas. The level of inequity also varies by cultural and socio-economic contexts. To tailor RH services to the needs of youths, relevant solutions are required. This study aimed to assess baseline information on access to and utilization of RH services and unmet needs among youths living in resource-limited, suburban communities of Mandalay City, Myanmar. METHODS:A community-based, cross-sectional study was conducted in all resource-limited, suburban communities of Mandalay City, Myanmar. A total of 444 randomly selected youths aged between 15 and 24 years were interviewed for three main outcomes, namely accessibility to and utilization of RH services and youth's unmet needs for these services. Factors associated with these outcomes were determined using multivariate logistic regression. RESULTS:Although geographical accessibility was high (79.3%), financial accessibility was low (19.1%) resulting in a low overall accessibility (34.5%) to RH services. Two-thirds of youths used some kind of RH services at least once in the past. Levels of unmet needs for sexual RH information, family planning, maternal care and HIV testing were 62.6%, 31.9%, 38.7% and 56.2%, respectively. Youths living in the south or south-western suburbs, having a deceased parent, never being married or never exposed to mass media were less likely to access RH services. Being a young adult, current student, working as a waste recycler, having ever experienced a sexual relationship, ever being married, ever exposed to mass media, having a high knowledge of RH services and providers or a high level of accessibility to RH services significantly increased the likelihood of utilization of those services. In addition to youths' socio-demographic characteristics, exposure to mass media, norm of peer exposure and knowledge on types of providers and services significantly influenced the unmet needs of youths towards RH services. CONCLUSION:Despite the availability of RH services, youth's accessibility to and utilization of those services were unsatisfactory. The levels of youths' unmet RH needs were alarmingly high.

journal_name

BMC Health Serv Res

authors

Thin Zaw PP,Liabsuetrakul T,Htay TT,McNeil E

doi

10.1186/1472-6963-12-458

subject

Has Abstract

pub_date

2012-12-15 00:00:00

pages

458

issn

1472-6963

pii

1472-6963-12-458

journal_volume

12

pub_type

杂志文章
  • The involvement of medical doctors in hospital governance and implications for quality management: a quick scan in 19 and an in depth study in 7 OECD countries.

    abstract:BACKGROUND:Hospital governance is broadening its orientation from cost and production controls towards 'improving performance on clinical outcomes'. Given this new focus one might assume that doctors are drawn into hospital management across OECD countries. Hospital performance in terms of patient health, quality of ca...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1396-4

    authors: Rotar AM,Botje D,Klazinga NS,Lombarts KM,Groene O,Sunol R,Plochg T

    更新日期:2016-05-24 00:00:00

  • Knowledge and experience sharing practices among health professionals in hospitals under the Addis Ababa health bureau, Ethiopia.

    abstract:BACKGROUND:Health professionals need updated health information from credible sources to improve their knowledge and provide evidence based health care services. Various types of medical errors have occurred in resource-limited countries because of poor knowledge and experience sharing practices among health profession...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-14-431

    authors: Asemahagn MA

    更新日期:2014-09-24 00:00:00

  • Feasibility and predictive performance of the Hendrich Fall Risk Model II in a rehabilitation department: a prospective study.

    abstract:BACKGROUND:Falls are a common adverse event in both elderly inpatients and patients admitted to rehabilitation units. The Hendrich Fall Risk Model II (HIIFRM) has been already tested in all hospital wards with high fall rates, with the exception of the rehabilitation setting. This study's aim is to address the feasibil...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2815-x

    authors: Campanini I,Mastrangelo S,Bargellini A,Bassoli A,Bosi G,Lombardi F,Tolomelli S,Lusuardi M,Merlo A

    更新日期:2018-01-11 00:00:00

  • Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research.

    abstract:BACKGROUND:There are no empirically-grounded criteria or tools to define or benchmark the quality of outpatient clinical documentation. Outpatient clinical notes document care, communicate treatment plans and support patient safety, medical education, medico-legal investigations and reimbursement. Accurately describing...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-407

    authors: Hanson JL,Stephens MB,Pangaro LN,Gimbel RW

    更新日期:2012-11-19 00:00:00

  • 'There is no such thing as getting sick justly or unjustly' - a qualitative study of clinicians' beliefs on the relevance of personal responsibility as a basis for health prioritisation.

    abstract:BACKGROUND:Concerns have been raised regarding the reasonableness of using personal health responsibility as a principle or criterion for setting priorities in healthcare. While this debate continues, little is known about clinicians' views on the role of patient responsibility in clinical contexts. This paper contribu...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05364-6

    authors: Traina G,Feiring E

    更新日期:2020-06-03 00:00:00

  • Barriers to the implementation of preconception care guidelines as perceived by general practitioners: a qualitative study.

    abstract:BACKGROUND:Despite strong evidence of the benefits of preconception interventions for improving pregnancy outcomes, the delivery and uptake of preconception care and periconceptional folate supplementation remain low. General practitioners play a central role in the delivery of preconception care. Understanding general...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-36

    authors: Mazza D,Chapman A,Michie S

    更新日期:2013-01-31 00:00:00

  • Intervention protocol: OPtimising thERapy to prevent avoidable hospital Admission in the Multi-morbid elderly (OPERAM): a structured medication review with support of a computerised decision support system.

    abstract:BACKGROUND:Several approaches to medication optimisation by identifying drug-related problems in older people have been described. Although some interventions have shown reductions in drug-related problems (DRPs), evidence supporting the effectiveness of medication reviews on clinical and economic outcomes is lacking. ...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/s12913-020-5056-3

    authors: Crowley EK,Sallevelt BTGM,Huibers CJA,Murphy KD,Spruit M,Shen Z,Boland B,Spinewine A,Dalleur O,Moutzouri E,Löwe A,Feller M,Schwab N,Adam L,Wilting I,Knol W,Rodondi N,Byrne S,O'Mahony D

    更新日期:2020-03-17 00:00:00

  • Did the post war repatriation of Lebanese physicians drive recent Lebanese medical graduates to emigrate? An observational study.

    abstract:BACKGROUND:A significant number of Lebanese medical graduates have emigrated from Lebanon. The objective of this study was to evaluate the hypothesis that the repatriation of Lebanese physicians educated abroad has contributed to the international emigration of recent Lebanese medical graduates. METHODS:We analyzed th...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-8-195

    authors: Akl EA,El-Asmar K,Maroun N,Adib SM,Khater-Menassa B

    更新日期:2008-09-24 00:00:00

  • Stakeholders' participation in planning and priority setting in the context of a decentralised health care system: the case of prevention of mother to child transmission of HIV programme in Tanzania.

    abstract:BACKGROUND:In Tanzania, decentralisation processes and reforms in the health sector aimed at improving planning and accountability in the sector. As a result, districts were given authority to undertake local planning and set priorities as well as allocate resources fairly to promote the health of a population with var...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-273

    authors: Shayo EH,Mboera LE,Blystad A

    更新日期:2013-07-12 00:00:00

  • Anganwadi worker time use in Madhya Pradesh, India: a cross-sectional study.

    abstract:BACKGROUND:Anganwadi Workers (AWWs) are a group of 1.4 million community health workers that operate throughout rural India as a part of the Integrated Child Development Services program. AWWs are responsible for disseminating key health information regarding nutrition, family planning, and immunizations to the women a...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05857-4

    authors: Jain A,Walker DM,Avula R,Diamond-Smith N,Gopalakrishnan L,Menon P,Nimmagadda S,Patil SR,Fernald LCH

    更新日期:2020-12-07 00:00:00

  • Reasons for encounters and psychiatric comorbidity in an urban Bavarian primary care out-of-hour service - results of a cross sectional study.

    abstract:BACKGROUND:International studies have shown a contribution of psychiatric comorbidity to high utilization rates in out-of-hour primary care (OOHC). Up to now, the impact of psychiatric comorbidity in German OOHC remains unclear. Therefore, we aimed to investigate reasons for encounter (RFE), possible psychiatric comorb...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2749-3

    authors: Storr C,Gahbler LM,Linde K,Schneider A

    更新日期:2017-11-28 00:00:00

  • Coping with the economic burden of Diabetes, TB and co-prevalence: evidence from Bishkek, Kyrgyzstan.

    abstract:BACKGROUND:The increasing number of patients co-affected with Diabetes and TB may place individuals with low socio-economic status at particular risk of persistent poverty. Kyrgyz health sector reforms aim at reducing this burden, with the provision of essential health services free at the point of use through a State-...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1369-7

    authors: Arnold M,Beran D,Haghparast-Bidgoli H,Batura N,Akkazieva B,Abdraimova A,Skordis-Worrall J

    更新日期:2016-04-05 00:00:00

  • Effects of standard training in the use of closed-circuit televisions in visually impaired adults: design of a training protocol and a randomized controlled trial.

    abstract:BACKGROUND:Reading problems are frequently reported by visually impaired persons. A closed-circuit television (CCTV) can be helpful to maintain reading ability, however, it is difficult to learn how to use this device. In the Netherlands, an evidence-based rehabilitation program in the use of CCTVs was lacking. Therefo...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1186/1472-6963-10-62

    authors: Burggraaff MC,van Nispen RM,Melis-Dankers BJ,van Rens GH

    更新日期:2010-03-10 00:00:00

  • Provider attributes correlation analysis to their referral frequency and awards.

    abstract:BACKGROUND:There has been a recent growth in health provider search portals, where patients specify filters-such as specialty or insurance-and providers are ranked by patient ratings or other attributes. Previous work has identified attributes associated with a provider's quality through user surveys. Other work suppor...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1338-1

    authors: Wiley MT,Rivas RL,Hristidis V

    更新日期:2016-03-14 00:00:00

  • Impact of policies regulating foreign physician migration to Switzerland: a modelling case study in anaesthesia.

    abstract:BACKGROUND:Several countries have developed policies that restrict or limit duration of stay, clinical privileges or the number of residency permits allocated to migrating physicians. Switzerland is currently preparing a new law limiting overall foreign immigration. The impact of such restrictive policies is currently ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-0867-3

    authors: Haller G,Combescure C,Mamie C,Zoccatelli D,Clergue F

    更新日期:2015-05-22 00:00:00

  • A realist evaluation approach to explaining the role of context in the impact of a complex eHealth intervention for improving prevention of cardiovascular disease.

    abstract:BACKGROUND:Reduction of cardiovascular disease (CVD) is a worldwide health priority and innovative uses of technology-based interventions may assist patients with improving prevention behaviours. Targeting these interventions to recipients most likely to benefit requires understanding how contexts of use influence resp...

    journal_title:BMC health services research

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/s12913-020-05597-5

    authors: Coorey G,Peiris D,Neubeck L,Redfern J

    更新日期:2020-08-18 00:00:00

  • Hospital deaths and adverse events in Brazil.

    abstract:BACKGROUND:Adverse events are considered a major international problem related to the performance of health systems. Evaluating the occurrence of adverse events involves, as any other outcome measure, determining the extent to which the observed differences can be attributed to the patient's risk factors or to variatio...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/1472-6963-11-223

    authors: Martins M,Travassos C,Mendes W,Pavão AL

    更新日期:2011-09-19 00:00:00

  • Social relations and healthcare utilisation among middle-aged and older people: study protocol for an implementation and register-based study in Denmark.

    abstract:BACKGROUND:While previous research establishes an association between social relations, health and use of healthcare services among older people, how to implement this knowledge in real-life settings has received much less attention. This study will explore the relationship between social relations, health and use of h...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2650-0

    authors: Mikkelsen ASB,Lund R,Kristiansen M

    更新日期:2017-11-15 00:00:00

  • Cancer diagnosed by emergency admission in England: an observational study using the general practice research database.

    abstract:BACKGROUND:Patients diagnosed with cancer by the emergency route often have more advanced diseases and poorer outcomes. Rates of cancer diagnosed through unplanned admissions vary within and between countries, suggesting potential inconsistencies in the quality of care. To reduce diagnoses by this route and improve pat...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-308

    authors: Tsang C,Bottle A,Majeed A,Aylin P

    更新日期:2013-08-14 00:00:00

  • Relevant patient characteristics for estimating healthcare needs according to healthcare providers and people with type 2 diabetes: a Delphi survey.

    abstract:BACKGROUND:Recently, there has been growing interest in providing more tailored, patient-centered care for the treatment of type 2 diabetes mellitus (T2DM). Yet it remains unclear which patient characteristics should be determined to guide such an approach. Therefore, the opinions of healthcare providers (HCP) and peop...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4371-z

    authors: Hertroijs DFL,Brouwers MCGJ,Elissen AMJ,Schaper NC,Ruwaard D

    更新日期:2019-08-16 00:00:00

  • 'Waiting for' and 'waiting in' public and private hospitals: a qualitative study of patient trust in South Australia.

    abstract:BACKGROUND:Waiting times for hospital appointments, treatment and/or surgery have become a major political and health service problem, leading to national maximum waiting times and policies to reduce waiting times. Quantitative studies have documented waiting times for various types of surgery and longer waiting times ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2281-5

    authors: Ward PR,Rokkas P,Cenko C,Pulvirenti M,Dean N,Carney AS,Meyer S

    更新日期:2017-05-05 00:00:00

  • Barriers and facilitators related to implementation of regulated midwifery in Manitoba: a case study.

    abstract:BACKGROUND:In 2000, midwifery was regulated in the Canadian Province of Manitoba. Since the establishment of the midwifery program, little formal research has analyzed the utilization of regulated midwifery services. In Manitoba, the demand for midwifery services has exceeded the number of midwives in practice. The spe...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1334-5

    authors: Thiessen K,Heaman M,Mignone J,Martens P,Robinson K

    更新日期:2016-03-15 00:00:00

  • Comparison of patient preferences for fecal immunochemical test or colonoscopy using the analytic hierarchy process.

    abstract:BACKGROUND:In average-risk individuals aged 50 to 75 years, there is no difference in life-years gained when comparing colonoscopy every 10 years vs. annual fecal immunochemical testing (FIT) for colorectal cancer screening. Little is known about the preferences of patients when they have experienced both tests. METHO...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-0841-0

    authors: Xu Y,Levy BT,Daly JM,Bergus GR,Dunkelberg JC

    更新日期:2015-04-23 00:00:00

  • 'Reaching the hard to reach'--lessons learned from the VCS (voluntary and community Sector). A qualitative study.

    abstract:BACKGROUND:The notion 'hard to reach' is a contested and ambiguous term that is commonly used within the spheres of social care and health, especially in discourse around health and social inequalities. There is a need to address health inequalities and to engage in services the marginalized and socially excluded secto...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-10-92

    authors: Flanagan SM,Hancock B

    更新日期:2010-04-08 00:00:00

  • MOVE: weight management program across the Veterans Health Administration: patient- and facility-level predictors of utilization.

    abstract:BACKGROUND:Health care systems initiating major behavioral health programs often face challenges with variable implementation and uneven patient engagement. One large health care system, Veterans Health Administration (VHA), recently initiated the MOVE!® Weight Management Program, but it is unclear if veterans most in ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-13-511

    authors: Del Re AC,Maciejewski ML,Harris AH

    更新日期:2013-12-10 00:00:00

  • Influence of trends in hospital volume over time on patient outcomes for high-risk surgery.

    abstract:BACKGROUND:The "practice makes perfect" concept considers the more frequent a hospital performs a procedure, the better the outcome of the procedure. We aimed to study this concept by investigating whether patient outcomes improve in hospitals with a significantly increased volume of high-risk surgery over time and whe...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05126-4

    authors: Payet C,Polazzi S,Lifante JC,Cotte E,Grinberg D,Carty MJ,Sanchez S,Rabilloud M,Duclos A

    更新日期:2020-04-01 00:00:00

  • Social supports and mental health: a cross-sectional study on the correlation of self-consistency and congruence in China.

    abstract:BACKGROUND:Psychosocial job characteristics require nursing staff with high self-consistency and good mental health. However, the attention and effort of such study remained very limited in China. METHODS:A self-administered questionnaire was distributed to the bedside nurses in an affiliated hospital of Hebei Medical...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1463-x

    authors: Gu Y,Hu J,Hu Y,Wang J

    更新日期:2016-06-28 00:00:00

  • Trends in the use of computerized physician order entry by health-system affiliated ambulatory clinics in the United States, 2014-2016.

    abstract:BACKGROUND:Computerized provider order entry (CPOE) can help providers deliver better quality care. We aimed to understand recent trends in use of CPOE by health system-affiliated ambulatory clinics. METHODS:We analyzed longitudinal data (2014-2016) for 19,109 ambulatory clinics that participated in all 3 years of the...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05679-4

    authors: Fischer SH,Rudin RS,Shi Y,Shekelle P,Amill-Rosario A,Scanlon D,Damberg CL

    更新日期:2020-09-07 00:00:00

  • Treatment variation in patients diagnosed with early stage breast cancer in Alberta from 2002 to 2010: a population-based study.

    abstract:BACKGROUND:Breast-conserving surgery (BCS) followed by radiotherapy is generally the preferred treatment for women diagnosed with early stage breast cancer. This study aimed to investigate the proportion of patients who receive BCS versus mastectomy and post-BCS radiotherapy, and explore factors associated with receipt...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-0680-z

    authors: Fisher S,Gao H,Yasui Y,Dabbs K,Winget M

    更新日期:2015-01-22 00:00:00

  • Do knowledge infrastructure facilities support evidence-based practice in occupational health? An exploratory study across countries among occupational physicians enrolled on Evidence-Based Medicine courses.

    abstract:BACKGROUND:Evidence-Based Medicine (EBM) is an important method used by occupational physicians (OPs) to deliver high quality health care. The presence and quality of a knowledge infrastructure is thought to influence the practice of EBM in occupational health care. This study explores the facilities in the knowledge i...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-9-18

    authors: Hugenholtz NI,Nieuwenhuijsen K,Sluiter JK,van Dijk FJ

    更新日期:2009-01-30 00:00:00