Developing a Measure of Unmet Health Care Needs for a Pediatric Population

ObjectiveTo determine the prevalence of unmet need for primary healthcare and associated individual and household-level factors in Kenya.DesignThe data for this study are drawn from the 2016 Kenya Integrated Household Budget Survey (KIHBS). A multistage sampling technique involving a systematic selection of clusters at the national level and final selection of households was used.SettingThis study was conducted in Kenya. The KIHBS is a nationally representative survey on a wide range of indicators to assess the progress made in improving the living standards of the population at the national level.ParticipantsA total of 9447 households comprising 15 539 household members who reported a sickness or injury over the 4 weeks preceding this survey were included in this study. The study respondents comprised of the household heads.Primary outcome measureThe primary outcome of this study is unmet need for primary healthcare defined as an unexpressed demand for primary healthcare following a reported sickness or injury over the 4 weeks preceding this survey.ResultsAbout one in every five study participants experienced an unexpressed demand for primary care. The odds of having unmet need for primary healthcare were 68% higher among participants without health insurance coverage compared with those with health insurance (adjusted OR 1.68; p<0.001; 95% CI 1.34 to 2.09) and 45% higher among households headed by single or unmarried persons compared with the those who were in a marital union (adjusted OR 1.45; p<0.05; 95% CI 1.06 to 1.98).ConclusionsOur findings show that there is still a considerable unexpressed demand for primary care services despite widespread implementation of Universal Health Coverage (UHC) in Kenya, with households without a health insurance cover bearing the highest burden. Therefore, the design of UHC reforms in Kenya should focus on embedding social health protection to escalate the demand for primary healthcare services.

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“…These set of questions have been previously validated as reliable in estimating the unmet for healthcare. 24 …”

Section: Methodsmentioning

confidence: 99%

Unmet need for primary healthcare and associated individual and household-level factors in Kenya: results from a national survey

et al. 2021

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“…Health needs measurements make it possible to assess the effectiveness of current interventions and to monitor the epidemiological trends of health problems (29). Although there are few studies on this topic, there are several sociodemographic and socio-economic characteristics that have greater oral health needs and treatments to which the population has been exposed.…”

Section: Discussionmentioning

confidence: 99%

Treatment Needs for Dental Caries and Restorative Care Index on the Permanent Dentition of Nicaraguan Children

Ms¹,

Medina-Solís²,

Ávila-Burgos³

et al. 2014

West Indian Med J

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Objective:To determine the treatment needs for dental caries and the restorative care index on the permanent dentition of Nicaraguan children. Subjects and Methods:In a cross-sectional study, 1379 schoolchildren aged 6 to 12 years old were evaluated clinically to determine the decay, missing and filled teeth (DMFT) index and to calculate the need for dental caries (TNI) and care indices (CI). Sociodemographic, socio-economic and behavioural data were collected using questionnaires. Results: The mean age was 9.04 ± 1.98 years and 50.2% were female. A relatively higher percentage of TNI was observed in the following groups: younger children (78.0%), males (60.1%), children of higher birth order (69.1%), the children of older mothers (56.7%), having a negative attitude toward oral health (59.9%), with preventive dental care in the past year (94.2%), less frequent tooth brushing (66.3%), with greater presence of plaque (53.9%), larger family (56.3%), higher socio-economic position [SEP] schooling (60.9%) and lower SEP occupation (58.9%). In addition, we observed a higher percentage of CI amongst the following: older children (52.2%), females (49.9%), those of a lower birth order (47.7%), children of young mothers (47.2%), those with a positive attitude toward oral health (48.6%), receiving preventive/curative dental care in the past year (74.3%), most frequently brushing teeth (51.9%), less presence of plaque (50.0%), small family (45.9%), lower SEP school (53.5%) and higher SEP occupation (52.9%). Conclusions:We show that Nicaraguan children have high treatment needs for dental caries but had little experience of restorative care.

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“…Este hecho pone de manifiesto la importancia de estudiar las necesidades de salud para la planeación e implantación de los servicios correspondientes. Permite a su vez la evaluación del impacto de intervenciones vigentes, así como el monitoreo de tendencias epidemiológicas de los problemas de (10,11) salud .…”

Section: Introductionunclassified

Consultation for dental extraction in Nicaraguan children: an approach to oral care needs

Herrera

Medina‐Solís

Robles-Bermeo

et al. 2017

Pediatr. (Asunción)

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Developing a Measure of Unmet Health Care Needs for a Pediatric Population

Abstract: The symptoms-response ratio provides a good balance of a simple and inexpensive measure while yielding a fair estimate of unmet needs for primary care. This analysis created a pediatric measure targeted to the needs of young children and adolescent females.

Cited by 11 publications

References 20 publications

Unmet need for primary healthcare and associated individual and household-level factors in Kenya: results from a national survey

Unmet need for primary healthcare and associated individual and household-level factors in Kenya: results from a national survey

Treatment Needs for Dental Caries and Restorative Care Index on the Permanent Dentition of Nicaraguan Children

Consultation for dental extraction in Nicaraguan children: an approach to oral care needs

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