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International Journal for Equity in Health

Xianzhi Fu, Nan Sun, Fei Xu, Jin Li, Qixin Tang, Junjian He, Dongdong Wang, Changqing Sun
BACKGROUND: With the rise of the aging population, it is particularly important for health services to be used fairly and reasonably in the elderly. This study aimed to assess the present inequality and horizontal inequity for health service use among the elderly in China and to identify the main determinants associated with the disparity. METHODS: This cross-sectional study was based on the sample of the survey of the China Health and Retirement Longitudinal Study (CHARLS) for 2015...
September 15, 2018: International Journal for Equity in Health
Katherine Ann Thurber, Anna Olsen, Jill Guthrie, Rachael McCormick, Andrew Hunter, Roxanne Jones, Bobby Maher, Cathy Banwell, Rochelle Jones, Bianca Calabria, Raymond Lovett
BACKGROUND: Improving the wellbeing of Indigenous populations is an international priority. Robust research conducted with Aboriginal and Torres Strait Islander peoples is key to developing programs and policies to improve health and wellbeing. This paper aims to quantify the extent of participation in a national longitudinal study of Aboriginal and Torres Strait Islander (Indigenous Australian) children, and to understand the reasons why caregivers participate in the study. METHODS: This mixed methods study uses data from Wave 6 of Footprints in Time, the Longitudinal Study of Indigenous Children...
September 15, 2018: International Journal for Equity in Health
Nonhlanhla Nxumalo, Jane Goudge, Lucy Gilson, John Eyles
BACKGROUND: Health systems globally are under pressure to ensure value for money, and the people working within the system determine the extent and nature of health services provided. A performance assessment (PA); an important component of a performance management system (PMS) is deemed important at improving the performance of human resources for health. An effective PA motivates and improves staff engagement in their work. The aim of this paper is to describe the experiences of implementing a PA practice at a district in South Africa...
September 14, 2018: International Journal for Equity in Health
Ethel Alderete, Lauren Sonderegger, Eliseo J Pérez-Stable
BACKGROUND: Pre- and perinatal nutritional status defines the development of adult metabolism and energy balance in humans. Young children in poor households are disproportionately more vulnerable to food insecurity given the cumulative impact of chronic stress on susceptibility to chronic diseases as an adult. Qualitative studies focusing on the experience of food insecurity in Latin America are scarce. In Argentina, although socioeconomic indicators improved in the aftermath of the 2001ecomomic crisis, the disadvantaged provinces in the north continue to bear the burden of historical inequities...
September 12, 2018: International Journal for Equity in Health
Virginia Wiseman, Hasbullah Thabrany, Augustine Asante, Manon Haemmerli, Soewarta Kosen, Lucy Gilson, Anne Mills, Andrew Hayen, Viroj Tangcharoensathien, Walaiporn Patcharanarumol
BACKGROUND: Many low and middle income countries are implementing reforms to support Universal Health Coverage (UHC). Perhaps one of the most ambitious examples of this is Indonesia's national health scheme known as the JKN which is designed to make health care available to its entire population of 255 million by end of 2019. If successful, the JKN will be the biggest single payer system in the world. While Indonesia has made steady progress, around a third of its population remains without cover and out of pocket payments for health are widespread even among JKN members...
September 12, 2018: International Journal for Equity in Health
Yue Zhang, Qian Wang, Tian Jiang, Jian Wang
BACKGROUND: China had proposed the unification of equity and efficiency since the launch of the new round of health system reform in 2009. And the central government gave priority to the development of primary health care (PHC) whilst ensuring its availability and improving its efficiency. This study aimed to evaluate the changes of equity and efficiency in PHC resource allocation (PHCRA) and explored ways to improve the current situation. METHODS: The data of this study came from the China Health Statistical Yearbook (2013-2017) and China Statistical Yearbook (2017)...
September 12, 2018: International Journal for Equity in Health
(no author information available yet)
BACKGROUND: In the 2011 Rio Political Declaration on Social Determinants of Health, World Health Organization (WHO) Member States pledged action in five areas crucial for addressing health inequities. Their pledges referred to better governance for health and development, greater participation in policymaking and implementation, further reorientation of the health sector towards reducing health inequities, strengthening of global governance and collaboration, and monitoring progress and increasing accountability...
September 5, 2018: International Journal for Equity in Health
Sha Lai, Chi Shen, Yongjian Xu, Xiaowei Yang, Yafei Si, Jianmin Gao, Zhongliang Zhou, Gang Chen
BACKGROUND: China's New Cooperative Medical Scheme (NCMS) enables insured citizens to enjoy the same benefit package by paying a flat-rate premium. However, it still remains uncertain whether economically disadvantaged enrollees receive insurance benefits that at least match those of non-disadvantaged enrollees. This article, therefore, estimates the distribution of benefits under the NCMS across economic groups and compares the magnitude of economic-related inequity changes in the NCMS benefits...
September 5, 2018: International Journal for Equity in Health
Tianxiang Chen, Ying Wang, Xiaoyi Luo, Yuxuan Rao, Lei Hua
Unfortunately, after publication of this article [1], it was noticed that a value in Table 2 is incorrect.
September 4, 2018: International Journal for Equity in Health
Ana María González-Villoria, Roberto Ariel Abeldaño Zuñiga
The health status of a population is the conjunction of many biological, political and social factors. The biological representations of diseases are attributed to factors, such as ischemic heart disease, that are attributed to unhealthy lifestyles when individuals have high levels of cholesterol and triglycerides, or lack of physical activity, or to genetic factors while ignoring social factors such as poverty. This study observes how morbidity and mortality of the population could be affected by living conditions...
September 3, 2018: International Journal for Equity in Health
Saji Saraswathy Gopalan, Richard Silverwood, Natasha Howard
BACKGROUND: Equity 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. METHODS: An 'uncontrolled before-and-after' study design was used to perform multi-level modelling regression analysis on 2014 Egypt Demographic and Health Survey data...
August 29, 2018: International Journal for Equity in Health
Asha S George, Diwakar Mohan, Jaya Gupta, Amnesty E LeFevre, Subhasri Balakrishnan, Rajani Ved, Renu Khanna
BACKGROUND: Efforts to work with civil society to strengthen community participation and action for health are particularly important in Gujarat, India, given that the state has resources and capacity, but faces challenges in ensuring that services reach those most in need. To contribute to the knowledge base on accountability and maternal health, this study examines the equity effects of community action for maternal health led by Non-Government Organizations (NGOs) on facility deliveries...
August 20, 2018: International Journal for Equity in Health
Owais Raza, Fahad Saqib Lodhi, Esmaeil Khedmati Morasae, Reza Majdzadeh
BACKGROUND: Childhood immunization is one of the most cost-effective interventions for child health. Still, many children are not able to receive completed immunization status. Wealth - related inequality in immunization is considered a major reason for equitable coverage of immunization in Pakistan. Therefore, we examine wealth-related inequality in completed childhood immunization and to assess achievement indices across geographical regions in Pakistan. METHODS: The analysis was based on a nationally representative demographic and health survey (DHS) of Pakistan, conducted in 2012-13...
August 17, 2018: International Journal for Equity in Health
Linn Kullberg, Paula Blomqvist, Ulrika Winblad
BACKGROUND: Health care provision in rural and urban areas faces different challenges. In Sweden, health care provision has been predominantly public and equitable access to care has been pursued mainly through public planning and coordination. This is to ensure that health needs are met in the same manner in all parts of the country, including rural or less affluent areas. However, a marketization of the health care system has taken place during recent decades and the publicly planned system has been partially replaced by a new market logic, where private providers guided by financial concerns can decide independently where to establish their practices...
August 17, 2018: International Journal for Equity in Health
Nicholas Kofi Adjei, Kenisha Russell Jonsson, Tilman Brand
BACKGROUND: Psychosocial factors shape the health of older adults through complex inter-relating pathways. Besides socioeconomic factors, time use activities may explain gender inequality in self-reported health. This study investigated the role of work-related and social time use activities as determinants of health in old age. Specifically, we analysed whether the impact of stress in terms of time pressure on health mediated the relationship between work-related time use activities (i...
August 16, 2018: International Journal for Equity in Health
Fiona Leh Hoon Chuah, Sok Teng Tan, Jason Yeo, Helena Legido-Quigley
BACKGROUND: In Malaysia, refugees and asylum-seekers are a vulnerable group that often face circumstances in which their health and wellbeing can be compromised. This qualitative study sought to examine the key health concerns and barriers to healthcare access among refugees and asylum-seekers in Malaysia through the lens of healthcare professionals, program staff and experts on refugee and migrant health. METHODS: We conducted 20 semi-structured in-depth interviews with experts, healthcare professionals, program managers or executives from UN agencies, public healthcare facilities, civil society organizations, and academic institutions in Malaysia...
August 15, 2018: International Journal for Equity in Health
Erik de Jonge, Kishwar Azad, Munir Hossen, Abdul Kuddus, Dharma S Manandhar, Ellen van de Poel, Swati Sarbani Roy, Naomi Saville, Aman Sen, Catherine Sikorski, Prasanta Tripathy, Anthony Costello, Tanja A J Houweling
BACKGROUND: In Bangladesh, India and Nepal, neonatal outcomes of poor infants are considerably worse than those of better-off infants. Understanding how these inequalities vary by country and place of delivery (home or facility) will allow targeting of interventions to those who need them most. We describe socio-economic inequalities in newborn care in rural areas of Bangladesh, Nepal and India for all deliveries and by place of delivery. METHODS: We used data from surveillance sites in Bangladesh, India and from Makwanpur and Dhanusha districts in Nepal, covering periods from 2001 to 2011...
August 15, 2018: International Journal for Equity in Health
Fran Baum, Jennie Popay, Toni Delany-Crowe, Toby Freeman, Connie Musolino, Carlos Alvarez-Dardet, Vinya Ariyaratne, Kedar Baral, Paulin Basinga, Mary Bassett, David M Bishai, Mickey Chopra, Sharon Friel, Elsa Giugliani, Hideki Hashimoto, James Macinko, Martin McKee, Huong Thanh Nguyen, Nikki Schaay, Orielle Solar, Sundararaman Thiagarajan, David Sanders
BACKGROUND: Life expectancy initially improves rapidly with economic development but then tails off. Yet, at any level of economic development, some countries do better, and some worse, than expected - they either punch above or below their weight. Why this is the case has been previously researched but no full explanation of the complexity of this phenomenon is available. NEW RESEARCH NETWORK: In order to advance understanding, the newly formed Punching Above Their Weight Research Network has developed a model to frame future research...
August 13, 2018: International Journal for Equity in Health
Jinan Banna, Andrea Bersamin
BACKGROUND: Indigenous peoples of the United States disproportionately experience chronic diseases associated with poor nutrition, including obesity and diabetes. While chronic disease related health disparities among Indigenous people are well documented, it is unknown whether interventions adequately address these health disparities. In addition, it is unknown whether and to what extent interventions are culturally adapted or tailored to the unique culture, worldview and nutrition environments of Indigenous people...
August 13, 2018: International Journal for Equity in Health
Diana Pacheco Barzallo
BACKGROUND: Even with universal health coverage, people with long-term medical conditions can face financial hardship. However, financial hardship can be not only the result of an increase in health care costs; it has other socio-economic determinants that can cause social inequalities in terms of health. This study aims to estimate the impact of the place of residence on the financial hardship of people with spinal cord injury (SCI) in Switzerland. Switzerland is an interesting case to analyze because of its political system, where each of the 26 cantons is autonomous and responsible for raising its own income (through taxes) and providing public services...
August 8, 2018: International Journal for Equity in Health
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