Objectives This paper aims to investigate the effects of enrollment in the Ethiopian community-based health insurance(CBHI)scheme on household preventive care activities and the timing of treatment-seeking behavior fo...Objectives This paper aims to investigate the effects of enrollment in the Ethiopian community-based health insurance(CBHI)scheme on household preventive care activities and the timing of treatment-seeking behavior for illness symptoms.There is growing concern about the financial sustainability of CBHI schemes in developing countries.However,few empirical studies have identified potential contributors,including ex-ante and ex-post moral hazards.Methods We implement a household fixed-effect panel data regression model,drawing on three rounds of household survey data collected face to face in districts where CBHI scheme is operational and in districts where it is not operational in Ethiopia.Results The findings show that enrolment in CBHI does not significantly influence household behaviour regarding preventive care activities such as water treatment before drinking and handwashing before meals.However,CBHI significantly increases delay in treatment-seeking behaviour for diseases symptoms.Particularly,on average,we estimate about 4-6 h delay for malaria symptoms,a little above 4 h for tetanus,and 10-11 h for tuberculosis among the insured households.Conclusions While there is evidence that CBHI improve the utilization of outpatient or primary care services,our study suggests that insured members may wait longer before visiting health facilities.This delay could be partly due to moral hazard problems,as insured households,particularly those from rural areas,may consider the opportunity costs associated with visiting health facilities for minor symptoms.Overall,it is essential to identify the primary causes of delays in seeking medical services and implement appropriate interventions to encourage insured individuals to seek early medical attention.展开更多
The migrants are the important participant and contributor in China’s economic and social construction,but they still have many restrictions on their access to health services.This paper analyzes the differences betw...The migrants are the important participant and contributor in China’s economic and social construction,but they still have many restrictions on their access to health services.This paper analyzes the differences between the migrants and the regis-tered local residents in looking for medical treatment and explores the relationship between health education and medical treatment seeking behavior,so as to find an appropriate way to improve the health level of the migrants.By using the compara-tive survey data of the floating population and registered population in 2017 and establishing the binary Logit model,this paper finds that the health education has a promoting effect on medical treatment seeking behaviors.In terms of the influence mechanism of health education on medical treatment seeking behavior,the mediat-ing effect of social participation factors is stronger in the migrants’group because making new friends and learning about local public health resources through health education is of great significance to the migrants.It is proposed to expand the cov-erage of health education among migrant groups and improve the accessibility of health education.At the same time,public medical and health services should be used as a window to guide the migrants to seek medical treatment in an orderly manner while assisting their social integration.展开更多
In Uganda, there is still insufficient comprehension of malaria as a lethal disease especially in rural areas despite universal bed-net distribution coverage and effective anti-malarial treatment. <strong>Aim:&l...In Uganda, there is still insufficient comprehension of malaria as a lethal disease especially in rural areas despite universal bed-net distribution coverage and effective anti-malarial treatment. <strong>Aim:</strong> To get evidence-based knowledge to establish the contribution of an individuals’ knowledge from various health communications that could increase their active involvement in health care especially seeking timely appropriate treatment for malaria or suspected malaria. <strong>Method:</strong> A cross-sectional survey using a correlational design was employed on a clustered sample of 380 rural households in 05 sub-counties of Kanungu district. Data were corrected between October 2016-January 2017 using researcher-administered questionnaires, key-informant interviews and focus group discussions. Correlation analysis was done. <strong>Result:</strong> There is a significant positive relationship between knowledge of health communications and treatment-seeking behavior (r = 0.312;<em>p</em> ≤ 0.01). <strong>Conclusion:</strong> Exposure to consistent Behavioral Change Communications messages influences treatment-seeking behaviour. Thus, in malaria-prone communities, it appears that other factors including sufficient targeted persuasive health communication are lacking in influencing personal orientations towards treatment-seeking behaviour. Therefore, proper Health Communications management supplements efforts from other disciplines and players, against malaria in Uganda.展开更多
Most studies on beggars in Nigeria have focused exclusively on the social course of indigenous begging activities in Nigerian cities. There exists dearth of knowledge about international migrant beggars and their heal...Most studies on beggars in Nigeria have focused exclusively on the social course of indigenous begging activities in Nigerian cities. There exists dearth of knowledge about international migrant beggars and their health-seeking behavior in Ibadan Southwestern Nigeria. A cross sectional survey data were collected through purposive sampling technique among a total of 250 international migrant beggars in six locations in Ibadan. Results showed that 56% of respondents were female, few had formal education, 85.6% were married, and 94.8% were Muslim. Respondents migrated from Niger (83.6%), Chad (11.2%), Mali (4.0%) and Benin (1.2%). None had a legal residence permit. Respondents’ mean residence duration in Nigeria was 8.5 years. Malaria was common to beggars both in their home country and in Nigeria. Treatment was received from patent medicine vendors by 51.2% respondents. Advice for appropriate treatment for illness was received from family members by 44.4% migrant beggars. Sex and country of beggars have a direct relationship with the treatment seeking (P Financial and legal status of migrant beggars dynamically limited their healthcare choices. Routine health education on hygiene practice and appropriate treatment-seeking should be taken to beggars at their different locations by health workers as means of prevention of the spread of diseases.展开更多
基金The authors acknowledge the financial support of the Dutch Research Council(NWO-WOTRO)(Grant No.W07.45.103.00)and the support of D.P.Hoijer Fonds,Erasmus Trustfonds,Erasmus University Rotterdam.
文摘Objectives This paper aims to investigate the effects of enrollment in the Ethiopian community-based health insurance(CBHI)scheme on household preventive care activities and the timing of treatment-seeking behavior for illness symptoms.There is growing concern about the financial sustainability of CBHI schemes in developing countries.However,few empirical studies have identified potential contributors,including ex-ante and ex-post moral hazards.Methods We implement a household fixed-effect panel data regression model,drawing on three rounds of household survey data collected face to face in districts where CBHI scheme is operational and in districts where it is not operational in Ethiopia.Results The findings show that enrolment in CBHI does not significantly influence household behaviour regarding preventive care activities such as water treatment before drinking and handwashing before meals.However,CBHI significantly increases delay in treatment-seeking behaviour for diseases symptoms.Particularly,on average,we estimate about 4-6 h delay for malaria symptoms,a little above 4 h for tetanus,and 10-11 h for tuberculosis among the insured households.Conclusions While there is evidence that CBHI improve the utilization of outpatient or primary care services,our study suggests that insured members may wait longer before visiting health facilities.This delay could be partly due to moral hazard problems,as insured households,particularly those from rural areas,may consider the opportunity costs associated with visiting health facilities for minor symptoms.Overall,it is essential to identify the primary causes of delays in seeking medical services and implement appropriate interventions to encourage insured individuals to seek early medical attention.
基金This study was funded by Jiangsu Provincial University Philosophy and Social Science Research Fund(grant number 2022SJYB0105).
文摘The migrants are the important participant and contributor in China’s economic and social construction,but they still have many restrictions on their access to health services.This paper analyzes the differences between the migrants and the regis-tered local residents in looking for medical treatment and explores the relationship between health education and medical treatment seeking behavior,so as to find an appropriate way to improve the health level of the migrants.By using the compara-tive survey data of the floating population and registered population in 2017 and establishing the binary Logit model,this paper finds that the health education has a promoting effect on medical treatment seeking behaviors.In terms of the influence mechanism of health education on medical treatment seeking behavior,the mediat-ing effect of social participation factors is stronger in the migrants’group because making new friends and learning about local public health resources through health education is of great significance to the migrants.It is proposed to expand the cov-erage of health education among migrant groups and improve the accessibility of health education.At the same time,public medical and health services should be used as a window to guide the migrants to seek medical treatment in an orderly manner while assisting their social integration.
文摘In Uganda, there is still insufficient comprehension of malaria as a lethal disease especially in rural areas despite universal bed-net distribution coverage and effective anti-malarial treatment. <strong>Aim:</strong> To get evidence-based knowledge to establish the contribution of an individuals’ knowledge from various health communications that could increase their active involvement in health care especially seeking timely appropriate treatment for malaria or suspected malaria. <strong>Method:</strong> A cross-sectional survey using a correlational design was employed on a clustered sample of 380 rural households in 05 sub-counties of Kanungu district. Data were corrected between October 2016-January 2017 using researcher-administered questionnaires, key-informant interviews and focus group discussions. Correlation analysis was done. <strong>Result:</strong> There is a significant positive relationship between knowledge of health communications and treatment-seeking behavior (r = 0.312;<em>p</em> ≤ 0.01). <strong>Conclusion:</strong> Exposure to consistent Behavioral Change Communications messages influences treatment-seeking behaviour. Thus, in malaria-prone communities, it appears that other factors including sufficient targeted persuasive health communication are lacking in influencing personal orientations towards treatment-seeking behaviour. Therefore, proper Health Communications management supplements efforts from other disciplines and players, against malaria in Uganda.
文摘Most studies on beggars in Nigeria have focused exclusively on the social course of indigenous begging activities in Nigerian cities. There exists dearth of knowledge about international migrant beggars and their health-seeking behavior in Ibadan Southwestern Nigeria. A cross sectional survey data were collected through purposive sampling technique among a total of 250 international migrant beggars in six locations in Ibadan. Results showed that 56% of respondents were female, few had formal education, 85.6% were married, and 94.8% were Muslim. Respondents migrated from Niger (83.6%), Chad (11.2%), Mali (4.0%) and Benin (1.2%). None had a legal residence permit. Respondents’ mean residence duration in Nigeria was 8.5 years. Malaria was common to beggars both in their home country and in Nigeria. Treatment was received from patent medicine vendors by 51.2% respondents. Advice for appropriate treatment for illness was received from family members by 44.4% migrant beggars. Sex and country of beggars have a direct relationship with the treatment seeking (P Financial and legal status of migrant beggars dynamically limited their healthcare choices. Routine health education on hygiene practice and appropriate treatment-seeking should be taken to beggars at their different locations by health workers as means of prevention of the spread of diseases.
