Health problems and the health care provider choices: A comparative study of urban and rural households in Egypt

Galal, Samir; Al-Gamal, Nageya

doi:10.1016/j.jegh.2013.12.002

Cited by 11 publications

(12 citation statements)

References 14 publications

(14 reference statements)

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“…Several studies on the disparity in the use of health services take the focus of urban-rural. The results found significant differences between urban and rural [2], [3], [4], [5], [6], [7], [8]. Based on the results of these studies, it was assumed that if one region has many urban areas, then it has better utilization of health services compared to areas dominated by rural areas.…”

Section: Introductionmentioning

confidence: 99%

Disparity in the Hospitals Utilization among Regions in Indonesia

Mahmudiono

Laksono

2021

Open Access Maced J Med Sci

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The utilization of hospital services is a benchmark for the success of a health care referral system. Indonesia as the largest archipelago in the world encounters challenging conditions along with lack of infrastructure posed economic and health disparity among its regions. Disparities as a result of this development also have an impact on the accessibility of health care facilities. Regions with good economic movements tend to have good accessibility to health care facilities. For this reason, reducing disparity to achieve universal health services is the goal of health planners and policy makers. Chi Square test was used to test dichotomy variables and t-tests was performed for analysing the difference among continuous variables. These tests were employed to assess the hypothesis that there was significant regional difference in the access of health care in Indonesia. Estimation using multinomial logistic regression test was used to study the disparity between regions in hospital utilization. The results of this study showed that disparities between regions in Indonesia exist in term of hospital utilization. The disparities in hospital utilization among regions in Indonesia were associated with: marital status, socioeconomic status, education level, occupation and insurance ownership. However, the difference in odds ratio for mortality between regions decreased compared to the previous period. Conclusion. Disparities in the hospital utilization among region in Indonesia was associated with complex factors from individual characteristics through geographic barriers.

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Section: Introductionmentioning

confidence: 99%

Disparity in the Hospitals Utilization among Regions in Indonesia

Mahmudiono

Laksono

2021

Open Access Maced J Med Sci

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“…Assessing the equity dimension in quality of maternal care would help understanding of conflict’s potential effect on maternal health status among different groups [ 71 ]. The literature indicates that LMICs generally provide relatively low-quality maternal services to economically poorer women, as is reportedly the case in Egypt [ 70 , 72 ].…”

Section: Discussionmentioning

confidence: 99%

Associations of acute conflict with equity in maternal healthcare: an uncontrolled before-and-after analysis of Egypt demographic and health survey data

Gopalan

Silverwood

Howard

2018

Int J Equity Health

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BackgroundEquity of usage of maternal services during conflict is considered key to reducing maternal health risks globally. However, evidence showing how conflict affects maternal care use among different population groups is minimal. This study examined how the Egyptian acute conflict of 2011–2012 affected maternal care use among different socioeconomic, demographic, and geographic groups.MethodsAn ‘uncontrolled before-and-after’ study design was used to perform multi-level modelling regression analysis on 2014 Egypt Demographic and Health Survey data. The pre-conflict sample included 2569 births occurring from January 2009 to January 2011 and the peri-conflict sample included 4641 births from February 2011 to December 2012.ResultsInteraction analysis indicated that the effect of conflict on some aspects of maternal care differed by mother’s age, residential status, employment, education level and household wealth. In the stratum-specific analysis, increased odds of skilled delivery during conflict was relatively greater among women who were rural (odds ratio [OR] 1.02; 95%CI 1.02–1.03), educated to primary level (OR 1.04; 95%CI 1.01–1.07), employed (OR 1.04; 95%CI 1.01–1.07), less poor (OR 1.03; 95%CI 1.02–1.05) or middle-income (OR 1.02; 95%CI 1.01–1.04), than pre-conflict. Similarly, increased odds of physician-assisted delivery during conflict was relatively greater for women who were rural (OR 1.03; 95%CI 1.02–1.04), educated to primary level (OR 1.05; 95% CI 1.01–1.10), employed (OR 1.07; 95%CI 1.02–1.11), or from less poor/middle-income (OR 1.03; 95%CI 1.01–1.05 each), and richest quintiles (OR 1.02; 95%CI 1.00–1.03). Decreased odds of postnatal care during conflict was relatively greater among women aged 25–29 (OR 0.92; 95%CI 0.88–0.96) compared to older women.ConclusionsThe association between acute conflict and maternal services usage indicated some vertical equity, as equity patterns during conflict differed from recent trends in Egypt. The association between conflict and maternal care usage among potentially marginalised groups was minimal and not notably inequitable. Specific strategies should be included in maternal health policies to mitigate the unpredictable effect of conflict on maternal care equity. Further research is needed to determine how conflict affects out-of-pocket expenditures and quality-of-care among different socioeconomic groups.

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“…Moreover, Galal & Al-Gamal, [ 31 ] carried out an analysis to investigate the factors influencing households to choose healthcare provider in Egypt. The study used logistic regression to critically assess the factors influencing the probability of a household choosing a healthcare provider.…”

Section: Empirical Literature Reviewmentioning

confidence: 99%

A Dynamic Analysis of the Demand for Health Care in Post-Apartheid South Africa

Mhlanga

2021

Nursing Reports

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The study aimed to investigate the drivers of demand for healthcare in South Africa 26 years after democracy. The pattern healthcare demand by households in South Africa is that most households use public healthcare services particularly public clinics compared to private and traditional healthcare facilities. Using conditional probability models, the logit model to be more specific, the results revealed that households head who is unemployed, households who do not have a business, households who were not receiving pension money, had a greater probability of demand for public healthcare institutions. On the other hand, being male, being White, Indian and Coloured, being a property owner and being not a grant beneficiary, reduces the probability of demand for public healthcare facilities in South Africa. As a result, the study recommends more investment in public healthcare but more in public clinics in South Africa due to the high percentage of households using these services. Also, the government must consider investing more in the maintenance and improvement of the welfare of nurses in the country considering the huge role they play in the delivery of healthcare to the citizens.

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Health problems and the health care provider choices: A comparative study of urban and rural households in Egypt

Abstract: Urban families have less health complaints than rural; however, rural families recover sooner. Families bypass often public primary health care services. Urban families overuse outpatient clinics in public hospitals.

Cited by 11 publications

References 14 publications

Disparity in the Hospitals Utilization among Regions in Indonesia

Disparity in the Hospitals Utilization among Regions in Indonesia

Associations of acute conflict with equity in maternal healthcare: an uncontrolled before-and-after analysis of Egypt demographic and health survey data

A Dynamic Analysis of the Demand for Health Care in Post-Apartheid South Africa

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