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Pro-poor health policy

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https://www.readbyqxmd.com/read/30424886/income-based-inequities-in-access-to-psychotherapy-and-other-mental-health-services-in-canada-and-australia
#1
Mary Bartram, Jennifer M Stewart
This paper compares income-based inequities in access to psychotherapy and other mental health services in Canada and Australia, two federal parliamentary systems with sharply contrasting responses to high rates of unmet need. Income-based inequity is measured by need-standardized concentration indices, using comparable data from the Canadian Community Health Survey 2011-2012 and the Australian National Survey of Mental Health and Well-Being 2007. The results indicate that utilization of psychologist services is more concentrated at higher income levels (i...
October 16, 2018: Health Policy
https://www.readbyqxmd.com/read/30424812/a-systematic-review-and-synthesis-of-theories-of-change-of-school-based-interventions-integrating-health-and-academic-education-as-a-novel-means-of-preventing-violence-and-substance-use-among-students
#2
Tara Tancred, Sara Paparini, G J Melendez-Torres, James Thomas, Adam Fletcher, Rona Campbell, Chris Bonell
BACKGROUND: Schools can play an important role in promoting health. However, many education policies and institutions are increasingly emphasising academic attainment targets, which appear to be diminishing the time available for health education lessons. Interventions that integrate both health and academic learning may present an ideal solution, simultaneously addressing health education and academic development. The theories of change underlying these interventions are therefore of interest, but are poorly studied...
November 13, 2018: Systematic Reviews
https://www.readbyqxmd.com/read/30286593/what-explains-socioeconomic-inequality-in-health-related-quality-of-life-in-iran-a-blinder-oaxaca-decomposition
#3
Satar Rezaei, Mohammad Hajizadeh, Yahya Salimi, Ghobad Moradi, Bijan Nouri
OBJECTIVES: This study aimed to explain the health-related quality of life (HRQoL) gap between the poorest and the wealthiest quintiles in the capitals of Kermanshah and Kurdistan Provinces (Kermanshah and Sanandaj), in western Iran. METHODS: This was a cross-sectional study conducted among 1772 adults. Data on socio-demographic characteristics, socioeconomic status (SES), lifestyle factors, body mass index, and HRQoL of participants were collected using a self-administered questionnaire...
September 2018: Journal of Preventive Medicine and Public Health, Yebang Ŭihakhoe Chi
https://www.readbyqxmd.com/read/30231887/how-do-gender-and-disability-influence-the-ability-of-the-poor-to-benefit-from-pro-poor-health-financing-policies-in-kenya-an-intersectional-analysis
#4
Evelyn Kabia, Rahab Mbau, Kelly W Muraya, Rosemary Morgan, Sassy Molyneux, Edwine Barasa
BACKGROUND: Health inequity has mainly been linked to differences in economic status, with the poor facing greater challenges accessing healthcare than the less poor. To extend financial coverage to the poor and vulnerable, Kenya has therefore implemented several pro-poor health policy reforms. However, other social determinants of health such as gender and disability also influence health status and access to care. This study employed an intersectional approach to explore how gender disability and poverty interact to influence how poor women in Kenya benefit from pro-poor financing policies that target them...
September 19, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/30231874/research-on-the-horizontal-equity-of-inpatient-benefits-among-ncms-enrollees-in-china-evidence-from-shaanxi-province
#5
Jue Yan, Yangling Ren, Zhongliang Zhou, Tiange Xu, Xiao Wang, Leilei Du, Yafei Si
BACKGROUND: Equity is an important goal for countries in formulating relevant health policies, and research on the equity of health services is more important for China, where the gap between the rich and poor is widening. The aims of this study are to explore to what extent the benefit equity of New Rural Cooperative Medical System enrollees has been achieved and to determine the geographical disparities in Shaanxi province and thus provide suggestions for future policy formulations...
September 19, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/30208921/an-evaluation-of-health-systems-equity-in-indonesia-study-protocol
#6
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
https://www.readbyqxmd.com/read/30182301/how-much-does-community-based-targeting-of-the-ultra-poor-in-the-health-sector-cost-novel-evidence-from-burkina-faso
#7
Yvonne Beaugé, Jean-Louis Koulidiati, Valéry Ridde, Paul Jacob Robyn, Manuela De Allegri
BACKGROUND: Targeting efforts aimed at increasing access to care for the poorest by reducing to a minimum or completely eliminating payments at point of use are increasingly being adopted across low and middle income countries, within the framework of Universal Health Coverage policies. No evidence, however, is available on the real cost of designing and implementing these efforts. Our study aimed to fill this gap in knowledge through the systematic assessment of both the financial and economic costs associated with designing and implementing a pro-poor community-based targeting intervention across eight districts in rural Burkina Faso...
September 4, 2018: Health Economics Review
https://www.readbyqxmd.com/read/30077959/inequality-in-access-to-health-care-health-insurance-and-the-role-of-supply-factors
#8
Meliyanni Johar, Prastuti Soewondo, Retno Pujisubekti, Harsa Kunthara Satrio, Ardi Adji
While disparities in access to health services by different economic groups have been well documented, much less is known about the factors that are contributing to these disparities. In this paper, we take the case of Indonesia, which has the six-worst wealth inequality in the world. The data is derived from the national socio-economic survey from 2011 to 2016, giving a total sample of over 5.5 million individuals. We find that only access to outpatient care at public primary health facilities is pro-poor, whilst access to other types of health care is pro-rich...
September 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/30074273/early-childhood-development-in-iran-and-its-provinces-inequality-versus-average
#9
Mostafa Amini Rarani, Mehdi Nosratabadi, Maryam Moeeni
BACKGROUND: Early childhood development is influenced by family socioeconomic status in such a way that socioeconomic deprivation might be accompanied with adverse outcomes in early development of a child. This study aimed to assess early childhood development based on average and also based on the distribution of socioeconomic inequality in Iran and its provinces. METHODS: Using data from provincially representative Multiple Indicator Demographic and Health Survey (2010), we developed a suitable latent class approach to construct a proxy of socioeconomic status...
August 3, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/30017106/socioeconomic-inequalities-in-health-among-indigenous-peoples-living-off-reserve-in-canada-trends-and-determinants
#10
Mohammad Hajizadeh, Min Hu, Amy Bombay, Yukiko Asada
Using three nationally representative Aboriginal Peoples Surveys (2001, 2006 and 2012, n = 68,040), we examined income-related inequalities in self-perceived poor/fair general health status among Indigenous adults (18+) living off-reserve in Canada. We used the relative and absolute concentration indices (RC and AC, respectively) to quantify income-related inequalities in health for men and women, within the three Indigenous populations (First Nations, Métis, and Inuit), and in different geographic regions...
August 2018: Health Policy
https://www.readbyqxmd.com/read/29989082/equity-in-access-to-non-communicable-disease-medicines-a-cross-sectional-study-in-kenya
#11
Peter C Rockers, Richard O Laing, Veronika J Wirtz
Introduction: Wealth-based inequity in access to medicines is an impediment to achieving universal health coverage in many low-income and middle-income countries. We explored the relationship between household wealth and access to medicines for non-communicable diseases (NCDs) in Kenya. Methods: We administered a cross-sectional survey to a sample of patients prescribed medicines for hypertension, diabetes or asthma. Data were collected on medicines available in the home, including the location and cost of purchase...
2018: BMJ Global Health
https://www.readbyqxmd.com/read/29977529/examining-horizontal-inequity-and-social-determinants-of-inequality-in-facility-delivery-services-in-three-south-asian-countries
#12
Tanvir M Huda, Alison Hayes, Michael J Dibley
Background: The utilization of maternal health care services has increased in many developing countries, but persistent wealth-related inequalities in use of maternal services remained an important public health issue. The paper examined the horizontal inequities and identified the key social determinants that can potentially explain such wealth-related inequalities in use of facility delivery services. Methods: The countries studied are Bangladesh, Pakistan and Nepal...
June 2018: Journal of Global Health
https://www.readbyqxmd.com/read/29951222/determinants-of-unmet-need-for-family-planning-among-married-women-of-reproductive-age-in-burundi-a-cross-sectional-study
#13
Athanase Nzokirishaka, Imose Itua
Background: High unmet need for family planning (32.4%) characterized Burundi in 2010. However, there has not been any study examining the relationship between unmet need and associated factors in Burundi. The present study aims at determining the demographic, socioeconomic and other factors underlying the unmet need for contraception among married women aged 15-49 in Burundi. Methods: This study used data from the 2010 Burundi Demographic and Health Survey. Total unmet need, unmet need for spacing and for limiting were used as outcomes and demographic, socioeconomic and other factors as independent variables...
2018: Contraception and Reproductive Medicine
https://www.readbyqxmd.com/read/29784896/measuring-and-explaining-socioeconomic-inequalities-in-public-healthcare-utilization-in-western-iran-evidence-from-a-cross-sectional-survey
#14
Shahab Rezaeian, Mohammad Hajizadeh, Satar Rezaei, Sina Ahmadi, Ali Kazemi Karyani, Yahya Salimi
BACKGROUND: Equity in healthcare utilization is a major health policy goal in all healthcare systems. This study aimed to examine socioeconomic inequalities in public healthcare utilization in Kermanshah City, western Iran. STUDY DESIGN: A cross-sectional study. METHODS: Using convenience sampling method, 2040 adult aged 18-65 yr were enrolled from Kermanshah City in 2017. A self-administrated questionnaire was used to collect data on socio-demographic characteristics, socioeconomic status, behavioral factors, and utilization of public healthcare services (inpatient and outpatient care) over the period between from May to Aug 2017...
May 14, 2018: Journal of Research in Health Sciences
https://www.readbyqxmd.com/read/29659831/institutional-delivery-in-india-2004-14-unravelling-the-equity-enhancing-contributions-of-the-public-sector
#15
William Joe, Jessica M Perkins, Saroj Kumar, Sunil Rajpal, S V Subramanian
To achieve faster and equitable improvements in maternal and child health outcomes, the government of India launched the National Rural Health Mission in 2005. This paper describes the equity-enhancing role of the public sector in increasing use of institutional delivery care services in India between 2004 and 2014. Information on 24 661 births from nationally representative survey data for 2004 and 2014 is analysed. Concentration index is computed to describe socioeconomic-rank-related relative inequalities in institutional delivery and decomposition is used to assess the contributions of public and private sectors in overall socioeconomic inequality...
June 1, 2018: Health Policy and Planning
https://www.readbyqxmd.com/read/29627166/equity-impacts-of-price-policies-to-promote-healthy-behaviours
#16
REVIEW
Franco Sassi, Annalisa Belloni, Andrew J Mirelman, Marc Suhrcke, Alastair Thomas, Nisreen Salti, Sukumar Vellakkal, Chonlathan Visaruthvong, Barry M Popkin, Rachel Nugent
Governments can use fiscal policies to regulate the prices and consumption of potentially unhealthy products. However, policies aimed at reducing consumption by increasing prices, for example by taxation, might impose an unfair financial burden on low-income households. We used data from household expenditure surveys to estimate patterns of expenditure on potentially unhealthy products by socioeconomic status, with a primary focus on low-income and middle-income countries. Price policies affect the consumption and expenditure of a larger number of high-income households than low-income households, and any resulting price increases tend to be financed disproportionately by high-income households...
May 19, 2018: Lancet
https://www.readbyqxmd.com/read/29601609/withstanding-austerity-equity-in-health-services-utilisation-in-the-first-stage-of-the-economic-recession-in-southern-spain
#17
Juan Antonio Córdoba-Doña, Antonio Escolar-Pujolar, Miguel San Sebastián, Per E Gustafsson
Scant research is available on the impact of the current economic crisis and austerity policies on inequality in health services utilisation in Europe. This study aimed to describe the trends in horizontal inequity in the use of health services in Andalusia, Spain, during the early years of the Great Recession, and the contribution of demographic, economic and social factors. Consultation with a general practitioner (GP) and specialist, hospitalisation and emergency care were studied through the Andalusian Health Survey 2007 (pre-crisis) and 2011-2012 (crisis), using a composite income index as socioeconomic status (SES) indicator...
2018: PloS One
https://www.readbyqxmd.com/read/29566758/measurement-and-analysis-of-equity-in-health-a-case-study-conducted-in-zhejiang-province-china
#18
Xueshan Sun, Hao Zhang, Xiaoqian Hu, Shuyan Gu, Xuemei Zhen, Yuxuan Gu, Minzhuo Huang, Jingming Wei, Hengjin Dong
BACKGROUND: Equity is the core of primary care. The issue of equity in health has become urgent, and China has attached increasing attention to it. With rapid economic development and great changes in medical insurance policy, the pattern of equity in health has changed tremendously. The reform of healthcare in Zhejiang Province is at the forefront in China, and studies on Zhejiang Province are of great significance to the entire country. This paper aimed to measure health equity from the perspectives of health needs and health-seeking behavior and to provide suggestions for the next policy formulations, with respect to timeliness...
March 22, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29498002/the-determinants-of-household-out-of-pocket-oop-medical-expenditure-in-rural-bangladesh
#19
Shamsul Arifeen Khan Mamun, Rasheda Khanam, Mohammad Mafizur Rahman
BACKGROUND: The Government of Bangladesh has a National Healthcare Strategy 2012-2032 that reiterates a goal to achieve universal health coverage (UHC) by the year 2032. To achieve the goal, the government has set up a strategy to reduce the share of out-of-pocket (OOP) expenditure from the current 64% of the total household healthcare costs to 32% at the national level. As the majority of the people live in the rural areas, and the rural people are generally poor, the success of the strategy relies predominantly on any type of pro-poor healthcare policy and strategy...
April 2018: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/29445051/socioeconomic-inequalities-in-poor-health-related-quality-of-life-in-kermanshah-western-iran-a-decomposition-analysis
#20
Satar Rezaei, Mohammad Hajizadeh, Masoud Khosravipour, Farid Khosravi, Shahab Rezaeian
BACKGROUND: Socioeconomic status (SES) is an important determinant of health-related quality of life (HRQoL). We aimed to quantify socioeconomic-related inequality in poor-HRQoL among adults in Kermanshah, western Iran. STUDY DESIGN: A cross-sectional study. METHODS: Overall, 1730 adults (18-65 yr) were selected using convenience sampling from Kermanshah, Iran. A self-administrated questionnaire was used to collect data on socio-demographic characteristics, SES, lifestyle factors and HRQoL of participants over the period between May and Aug 2017...
January 27, 2018: Journal of Research in Health Sciences
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