Comparison of health-seeking behaviour between poor and better-off people after health sector reform in Cambodia

Yanagisawa, Satoshi; Mey, Valentina; Wakai, Susumu

doi:10.1016/s0033-3506(03)00140-9

Cited by 52 publications

(38 citation statements)

References 7 publications

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“…With regard to the economic conditions, the results contrasted those of our former study on healthseeking behaviour in general illnesses (Yanagisawa et al 2004). Unlike mild diseases that require low-cost treatment, in which the poor had the advantage of public health facilities, serious diseases require more expensive treatment, which is accessible only to the rich minority who are, thus, at an advantage.…”

Section: Discussioncontrasting

confidence: 87%

“…In particular, those women who did not intend to seek SBA assistance for their deliveries were at a higher risk of not consulting health professionals in case of PLTCs. The consultation of health professionals in the case of PLTCs was much higher than that in the case of general illnesses such as fever and diarrhoea (Yanagisawa et al 2004). However, more than 50% of the women in rural communities did not seek professional treatment.…”

Section: Discussionmentioning

confidence: 96%

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Professional healthcare use for life-threatening obstetric conditions

Yanagisawa

Wakai

2008

Journal of Obstetrics and Gynaecology

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Obstetric complications are the major causes of death and disability in women of reproductive age. Our study aimed at investigating the use of professional healthcare when women in communities recognised possible life-threatening obstetric conditions (PLTCs). We conducted a survey in a Cambodian district with a population of 130,000. The subjects were women of reproductive age who had delivered babies during a 3-month period prior to the survey. We interviewed 980 women, and 141 (14.4%) of these had PLTCs. The utilisation rates of professional healthcare were 47% for prolonged labour; 42% for bleeding during the delivery and puerperal period; 33% for antenatal bleeding; 25% for convulsion; and 23% for postpartum high fever. A logistic regression analysis revealed that education, geographic accessibility and parity were significant determinants of seeking healthcare. Two additional determinants, namely, economic affluence and antenatal care attendance, were identified in the socioeconomic status (SES) and obstetric models.

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Section: Discussioncontrasting

confidence: 87%

Section: Discussionmentioning

confidence: 96%

Professional healthcare use for life-threatening obstetric conditions

Yanagisawa

Wakai

2008

Journal of Obstetrics and Gynaecology

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“…When ill, Burmese may be more likely to visit a pharmacy rather than a health center for care [2]. In contrast, the lowest income Cambodians were more likely to visit a health center than other Cambodians [28]. Thus, if Cambodians are more likely to visit a health center than a pharmacy, they may be more likely to speak with a health worker about HIV testing.…”

Section: Discussionmentioning

confidence: 99%

HIV Testing and Cross Border Migrant Vulnerability: Social Integration and Legal/Economic Status Among Cross Border Migrant Workers in Thailand

Ford

Holumyong

2015

AIDS Behav

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The objective of this paper was to identify factors related to the use of HIV testing among cross border migrants in Thailand. Two measures of vulnerability (social integration and legal/economic status) as well as HIV knowledge, risk behaviour, and demographic factors were tested for association with HIV testing. Data were drawn from a survey of 2600 sexually active migrants age 15-59 in multiple provinces of Thailand. The measures of social integration (AOR = 1.14(95 % CI 1.09, 1.20) female; AOR = 1.12 (95 %CI 1.05, 1.19) male) and legal-income status (AOR = 1.12 (95 % CI 1.07, 1.18) female; AOR = 1.31 (95 %CI 1.20, 1.42) male) were positively related to the odds of reporting an HIV test for both male and female migrants. Exposure to AIDS programming including attending an AIDS meeting and possessing AIDS knowledge was also related to an increase in HIV testing. In addition, reproductive health factors including sexual risk behavior and childbirth increased the rate of HIV testing.

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“…Although a large proportion of women living in rural areas reported distance and lack of transportation as two of the main reasons why they did not utilise these services, data relating specifically to distance to the nearest hospital were not available in the data-set. This is unfortunate as a number of prior studies (Bhatia 1993, Mbizvo et al 1993, Pebley et al 1996, Yanagisawa et al 2004, Matsuoka et al 2010 have highlighted the relevance of distance with regard to obstetric care-seeking behaviour and outcome, including in Cambodia. Travel time, availability of transportation and the difficulty of walking to the nearest facility may all pose problems for pregnant women and affect prompt access to emergency services (Glei et al 2003, Buor 2008.…”

Section: Inequity In Infrastructure and Distribution Of Facilitiesmentioning

confidence: 99%

Determinants of utilisation of intrapartum obstetric care services in Cambodia, and gaps in coverage

Chomat

Grundy

Oum

et al. 2011

Global Public Health

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Comparison of health-seeking behaviour between poor and better-off people after health sector reform in Cambodia

Cited by 52 publications

References 7 publications

Professional healthcare use for life-threatening obstetric conditions

Professional healthcare use for life-threatening obstetric conditions

HIV Testing and Cross Border Migrant Vulnerability: Social Integration and Legal/Economic Status Among Cross Border Migrant Workers in Thailand

Determinants of utilisation of intrapartum obstetric care services in Cambodia, and gaps in coverage

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