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International Journal for Equity in Health

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https://www.readbyqxmd.com/read/28532500/extending-access-to-essential-services-against-constraints-the-three-tier-health-service-delivery-system-in-rural-china-1949-1980
#1
Xing Lin Feng, Melisa Martinez-Alvarez, Jun Zhong, Jin Xu, Beibei Yuan, Qingyue Meng, Dina Balabanova
BACKGROUND: China has made remarkable progress in scaling up essential services during the last six decades, making health care increasingly available in rural areas. This was partly achieved through the building of a three-tier health system in the 1950s, established as a linked network with health service facilities at county, township and village level, to extend services to the whole population. METHODS: We developed a Theory of Change to chart the policy context, contents and mechanisms that may have facilitated the establishment of the three-tier health service delivery system in rural China...
May 23, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28532418/the-role-of-health-system-governance-in-strengthening-the-rural-health-insurance-system-in-china
#2
REVIEW
Beibei Yuan, Weiyan Jian, Li He, Bingyu Wang, Dina Balabanova
BACKGROUND: Systems of governance play a key role in the operation and performance of health systems. In the past six decades, China has made great advances in strengthening its health system, most notably in establishing a health insurance system that enables residents of rural areas to achieve access to essential services. Although there have been several studies of rural health insurance schemes, these have focused on coverage and service utilization, while much less attention has been given to the role of governance in designing and implementing these schemes...
May 23, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28521753/socioeconomic-inequalities-in-neonatal-and-postneonatal-mortality-evidence-from-rural-iran-1998-2013
#3
Alireza Khajavi, Farhad Pishgar, Mina Dehghani, Shohreh Naderimagham
BACKGROUND: Over the past three decades, interventions have been implemented to reduce childhood mortality in Iran. Despite declines in overall mortality rates, inequalities in mortality across socioeconomic groups have remained unchanged. In this study, we assessed inequalities in infant mortality in rural regions of Iran. METHODS: We obtained data from the Iranian vital registration system, which includes data on 5,626,158 live births, 79,457 neonatal deaths, and 36,397 postneonatal deaths in rural areas of Iran over the course of a 16-year period, which was then divided into 4 four-year intervals...
May 18, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28511714/assessing-equity-in-the-distribution-of-high-technology-medical-equipment-in-guangxi-evidence-from-an-ethnic-minority-region-in-southern-china
#4
Jian Sun, Hai Gu, Qiulin Wen, Hongye Luo
BACKGROUND: High-technology medical equipment (HTME) are important health resources. However, there is unequal distribution of these equipment in favor of metropolis and well equipped health facilities. This study sought to examine the equity gaps in the distribution of HTME in Guangxi. The results of this study could shed light on the future HTME allocation in Guangxi Zhuang Autonomous Region. METHODS: Data related to HTME was sourced from a general investigation of all the hospitals of Guangxi...
May 16, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28511657/skilled-delivery-inequality-in-ethiopia-to-what-extent-are-the-poorest-and-uneducated-mothers-benefiting
#5
Brook Tesfaye, Tsedeke Mathewos, Mihiretu Kebede
BACKGROUND: The fifth Millennium Development Goal (MDG) targeted at improving maternal health. In this regard, Ethiopia has shown substantial progresses in the past two decades. Nonetheless, these impressive gains are unevenly distributed among Ethiopian women with different socio-economic characteristics. This study aimed at investigating levels and trends of skilled delivery service, and wealth and education related inequalities from 2000 to 16. METHODS: Longitudinal data analysis was conducted on Ethiopian Demographic and Health Survey (EDHS) data of 2000, 2005, 2011 and 2016...
May 16, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28506233/measurement-and-decomposition-of-socioeconomic-inequality-in-single-and-multimorbidity-in-older-adults-in-china-and-ghana-results-from-the-who-study-on-global-ageing-and-adult-health-sage
#6
Rasha Kunna, Miguel San Sebastian, Jennifer Stewart Williams
BACKGROUND: Globally people are living longer and enduring non-communicable diseases (NCDs) many of which co-occur as multimorbidity. Demographic and socioeconomic factors are determinants of inequalities and inequities in health. There is a need for country-specific evidence of NCD inequalities in developing countries where populations are ageing rapidly amid economic and social change. The study measures and decomposes socioeconomic inequality in single and multiple NCD morbidity in adults aged 50 and over in China and Ghana...
May 15, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28499447/gender-difference-in-utilization-willingness-of-institutional-care-among-the-single-seniors-evidence-from-rural-shandong-china
#7
Yangyang Qian, Jie Chu, Dandan Ge, Li Zhang, Long Sun, Chengchao Zhou
BACKGROUND: Institutional care has become an urgent issue in rural China. Rural single seniors, compared with their counterparts, have lower income and are more vulnerable. Gender is also a significant factor determining long-term institutional care. This study is designed to examine the gender difference towards utilization willingness of institutional care among rural single seniors. METHODS: A total of 505 rural single seniors were included in the analysis. Binary logistic regression model was used to examine the gender difference towards utilization willingness for institutional care, and also to identify the determinants of the utilization willingness for institutional care among rural single male and female seniors...
May 12, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28499436/inequality-in-healthcare-costs-between-residing-and-non-residing-patients-evidence-from-vietnam
#8
Hieu M Nguyen
BACKGROUND: Place of residence has been shown to impact health. To date, however, previous studies have only focused on the variability in health outcomes and healthcare costs between urban and rural patients. This study takes a different approach and investigates cost inequality facing non-residing patients - patients who do not reside in the regions in which the hospitals are located. Understanding the sources for this inequality is important, as they are directly related to healthcare accessibility in developing countries...
May 12, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28499378/organisational-systems-approaches-to-improving-cultural-competence-in-healthcare-a-systematic-scoping-review-of-the-literature
#9
REVIEW
Janya McCalman, Crystal Jongen, Roxanne Bainbridge
INTRODUCTION: Healthcare organisations serve clients from diverse Indigenous and other ethnic and racial groups on a daily basis, and require appropriate client-centred systems and services for provision of optimal healthcare. Despite advocacy for systems-level approaches to cultural competence, the primary focus in the literature remains on competency strategies aimed at health promotion initiatives, workforce development and student education. This paper aims to bridge the gap in available evidence about systems approaches to cultural competence by systematically mapping key concepts, types of evidence, and gaps in research...
May 12, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28490355/regional-inequity-in-complete-antenatal-services-and-public-emergency-obstetric-care-is-associated-with-greater-burden-of-maternal-deaths-analysis-from-consecutive-district-level-facility-survey-of-karnataka-india
#10
M Himanshu, Carina Källestål
BACKGROUND: This equity focused evaluation analyses change in inter-district inequity of maternal health services (MHS) in Karnataka state between 2006-07 & 2012-13, alongside association of MHS inequity with distribution of maternal deaths. METHODS: Repeated cross-sectional analysis of inequity and decomposition was done on nine district level MHS indicators using Theil's T index. Data was obtained from population linked district level facility surveys and health information systems...
May 11, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28486981/patients-willingness-to-pay-for-the-treatment-of-tuberculosis-in-nigeria-exploring-own-use-and-altruism
#11
Ogbonnia G Ochonma, Obinna E Onwujekwe
BACKGROUND: Although, current treatment services for Tuberculosis (TB) in Nigeria are provided free of charge in public facilities, the benefits (value) that patients attach to such service is not known. In addition, the prices that could be charged for treatment in case government and its partners withdraw from the provision of free services or inclusion of the services in health insurance plans are not known. Hence, there is a need to elicit the maximum amounts that patients are willing to pay for TB treatment services, both for themselves and for the very poor patients that may not be able to pay if some user fees are introduced (altruistic willingness to pay)...
May 10, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28482881/free-and-universal-but-unequal-utilization-of-primary-health-care-in-the-rural-and-urban-areas-of-mongolia
#12
Javkhlanbayar Dorjdagva, Enkhjargal Batbaatar, Mikael Svensson, Bayarsaikhan Dorjsuren, Burenjargal Batmunkh, Jussi Kauhanen
BACKGROUND: The entire population of Mongolia has free access to primary health care, which is fully funded by the government. It is provided by family health centers in urban settings. In rural areas, it is included in outpatient and inpatient services offered by rural soum (district) health centers. However, primary health care utilization differs across population groups. The aim of this study was to evaluate income-related inequality in primary health care utilization in the urban and rural areas of Mongolia...
May 8, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28476156/nutritional-deficiencies-in-homeless-persons-with-problematic-drinking-a-systematic-review
#13
REVIEW
Sharea Ijaz, Joni Jackson, Helen Thorley, Katie Porter, Clare Fleming, Alison Richards, Adrian Bonner, Jelena Savović
BACKGROUND: A significant proportion of homeless people drink alcohol excessively and this can lead to malnutrition and consequent medical problems. The aim of this review was to assess the evidence on the range of nutritional deficiencies in the homeless problem-drinking populations. METHODS: We conducted a comprehensive search of nine scientific literature databases and 13 grey literature sources. We included studies of any design that included homeless population with problem-drinking and reported measures of nutritional deficiencies in urine or blood...
May 5, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28472960/absolute-rather-than-relative-income-is-a-better-socioeconomic-predictor-of-chronic-obstructive-pulmonary-disease-in-swedish-adults
#14
Sten Axelsson Fisk, Juan Merlo
BACKGROUND: While psychosocial theory claims that socioeconomic status (SES), acting through social comparisons, has an important influence on susceptibility to disease, materialistic theory says that socioeconomic position (SEP) and related access to material resources matter more. However, the relative role of SEP versus SES in chronic obstructive pulmonary disease (COPD) risk has still not been examined. METHOD: We investigated the association between SES/SEP and COPD risk among 667 094 older adults, aged 55 to 60, residing in Sweden between 2006 and 2011...
May 4, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28468656/interplay-wellbeing-framework-a-collaborative-methodology-bringing-together-stories-and-numbers-to-quantify-aboriginal-cultural-values-in-remote-australia
#15
Sheree Cairney, Tammy Abbott, Stephen Quinn, Jessica Yamaguchi, Byron Wilson, John Wakerman
BACKGROUND: Wellbeing has been difficult to understand, measure and strengthen for Aboriginal people in remote Australia. Part of the challenge has been genuinely involving community members and incorporating their values and priorities into assessment and policy. Taking a 'shared space' collaborative approach between remote Aboriginal communities, governments and scientists, we merged Aboriginal knowledge with western science - by bringing together stories and numbers. This research aims to statistically validate the holistic Interplay Wellbeing Framework and Survey that bring together Aboriginal-identified priorities of culture, empowerment and community with government priorities including education, employment and health...
May 3, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28468654/current-and-future-availability-of-and-need-for-human-resources-for-sexual-reproductive-maternal-and-newborn-health-in-41-countries-in-sub-saharan-africa
#16
Maria Guerra Arias, Andrea Nove, Michaela Michel-Schuldt, Luc de Bernis
BACKGROUND: The WHO African region, covering the majority of Sub-Saharan Africa, faces the highest rates of maternal and neonatal mortality in the world. This study uses data from the State of the World's Midwifery 2014 survey to cast a spotlight on the WHO African region, highlight the specific characteristics of its sexual, reproductive, maternal and newborn health (SRMNH) workforce and describe and compare countries' different trajectories in terms of meeting the population need for services...
May 3, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28431502/inequalities-in-health-care-utilization-for-common-childhood-illnesses-in-ethiopia-evidence-from-the-2011-ethiopian-demographic-and-health-survey
#17
Asmamaw Atnafu Ayalneh, Dagnachew Muluye Fetene, Tae Jin Lee
BACKGROUND: Globally, 5.9 million children under the age of five died in 2015. More than half and almost one-third of those deaths occurred in sub-Saharan Africa and South Asia, respectively. Diarrhea and Pneumonia, which were the major causes of the problem, accounted for more than two million deaths of the world's youngest children every year. Like other developing countries, child health services utilization is low in Ethiopia. The aim of this study was to identify the determinant factors for the inequalities in medical treatment seeking behavior for common childhood illnesses in Ethiopia...
April 21, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28427479/mainstreaming-gender-and-promoting-intersectionality-in-papua-new-guinea-s-health-policy-a-triangulated-analysis-applying-data-mining-and-content-analytic-techniques
#18
G Lamprell, J Braithwaite
BACKGROUND: Gender mainstreaming is an approach to policy and planning that emphasizes equality between the sexes. It is the stated policy for gender equity in Papua New Guinea's (PNG) health sector, as well as all other sectors, and is enshrined in the policies of its biggest aid givers. However, there is criticism that gender mainstreaming's application has too often been technocratic and lacking in conceptual clarity not only in PNG but elsewhere. In the health sector this is further exacerbated by a traditional bio-medical approach, which is often paternalistic and insufficiently patient- and family-centered...
April 20, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28427423/analysis-of-inequality-in-maternal-and-child-health-outcomes-and-mortality-from-2000-to-2013-in-china
#19
Yanting Li, Yimin Zhang, Shuai Fang, Shanshan Liu, Xinyu Liu, Ming Li, Hong Liang, Hua Fu
BACKGROUND: Inequality in maternal and child health seriously hinders the overall improvement of health, which is a concern in both the United Nations Sustainable Development Goals (SDGs) and Healthy China 2030. However, research on the equality of maternal and child health is scarce. This study longitudinally assessed the equality trends in China's maternal and child health outcomes from 2000 to 2013 based on place of residence and gender to improve the fairness of domestic maternal and child health...
April 20, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28420396/determinants-of-village-doctors-job-satisfaction-under-china-s-health-sector-reform-a-cross-sectional-mixed-methods-study
#20
Tongtong Li, Trudy Lei, Fiona Sun, Zheng Xie
BACKGROUND: To strengthen rural health workforce, the Chinese government has launched a series of policies to promote the job satisfaction of village doctors since the health sector reform. The purpose of this mixed-method study is to describe village doctors' job satisfaction under the context of health sector reform and investigate the associated factors. METHODS: Data was obtained from a survey of village doctors across three Chinese provinces in 2014. Using a multistage sampling process, quantitative data was collected from village doctors through the self-administered questionnaire and analyzed by multilevel logistic regression models...
April 18, 2017: International Journal for Equity in Health
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