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  • Bmjopen 2015 Forum2015abstracts.125.Full

    Transféré par

    Alex Pieces
    19 vues3 pages
    The aim of this study is the comparison of 2 studies looking at the barriers to access of diabetes care and medicines in the Philippines and Vietnam. These studies used the Rapid Assessment Protocol for Insulin Access. Diabetes care is provided in specialized facilities and appropriate referral systems are lacking. In Vietnam, no problems were reported with regard to diagnostic tools, whereas this was a concern in the public sector in the Philippines. Both countries had high prices for medicines in comparison to international standards. Availability of medicines was better in Vietnam than in the Philippines, especially with regard to insulin. This affected adherence as did a lack of patient education. As countries aim to provide health care to the majority of their populations through universal coverage, the challenge of diabetes cannot be neglected. Trying to achieve universal coverage in parallel to decentralization, national and local governments need adapted guidance for this.

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    The aim of this study is the comparison of 2 studies looking at the barriers to access of diabetes care and medicines in the Philippines and Vietnam. These studies used the Rapid Assessment Protocol for Insulin Access. Diabetes care is provided in specialized facilities and appropriate referral systems are lacking. In Vietnam, no problems were reported with regard to diagnostic tools, whereas this was a concern in the public sector in the Philippines. Both countries had high prices for medicines in comparison to international standards. Availability of medicines was better in Vietnam than in the Philippines, especially with regard to insulin. This affected adherence as did a lack of patient education. As countries aim to provide health care to the majority of their populations through universal coverage, the challenge of diabetes cannot be neglected. Trying to achieve universal coverage in parallel to decentralization, national and local governments need adapted guidance for this.

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    © All Rights Reserved
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
    19 vues3 pages

    Bmjopen 2015 Forum2015abstracts.125.Full

    Transféré par

    Alex Pieces
    The aim of this study is the comparison of 2 studies looking at the barriers to access of diabetes care and medicines in the Philippines and Vietnam. These studies used the Rapid Assessment Protocol for Insulin Access. Diabetes care is provided in specialized facilities and appropriate referral systems are lacking. In Vietnam, no problems were reported with regard to diagnostic tools, whereas this was a concern in the public sector in the Philippines. Both countries had high prices for medicines in comparison to international standards. Availability of medicines was better in Vietnam than in the Philippines, especially with regard to insulin. This affected adherence as did a lack of patient education. As countries aim to provide health care to the majority of their populations through universal coverage, the challenge of diabetes cannot be neglected. Trying to achieve universal coverage in parallel to decentralization, national and local governments need adapted guidance for this.

    Droits d'auteur :

    © All Rights Reserved
    Téléchargez comme PDF, TXT ou lisez en ligne sur Scribd
    Signaler comme contenu inapproprié
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    Downloaded from http://bmjopen.bmj.com/ on June 10, 2016 - Published by group.bmj.

    com

    Abstracts

    125

    DETERMINANTS OF MATERNAL HEALTH CARE


    UTILIZATION AMONG BENEFICIARIES OF CONDITIONAL
    CASH INCENTIVES: EVIDENCE FROM A POST-DISASTER
    SETTING

    Marian Theresia D Valera, Denise Valerie R Silfverberg. Philippine Institute for


    Development Studies, Manila, Philippines
    10.1136/bmjopen-2015-forum2015abstracts.125

    Background This paper examines maternal health care (MHC)


    utilization among the beneciaries of a recovery assistance
    program implemented by the Zuellig Family Foundation in partnership with the United States Philippine Society in select
    Philippine municipalities devastated by Typhoon Haiyan. The
    program aims to improve the utilization of maternal health care
    services among poor women by providing temporary support in
    the form of cash incentives received after the availment of prenatal care, facility-based delivery, and postnatal care services.
    Objectives The study aims to explore the relationship between
    the utilization of MHC services in post-disaster settings and
    socio-demographic, demand-side, and supply-side factors.
    Methods A mixed-methods approach was employed, with data
    derived from a sample of program beneciaries. The probability
    of facility based deliveries (FBD) and of mothers having complete
    and timely prenatal care (PNC) visits were determined using
    probit analysis. Marginal effects for selected socio-demographic,
    demand-side and supply-side variables were estimated to identify
    the determinants of maternal health care utilization.
    Result The key ndings suggest that mothers education, age at
    rst pregnancy, and availment of complete and timely PNC visits
    are signicant determinants for the utilization of FBD. Moreover,
    the ndings reveal that the probability of mothers having complete and timely PNC visits are associated with the provision of
    urinalysis services in health centers, amount of transportation
    costs incurred, childs birth order, and mothers age at rst
    pregnancy.
    Conclusion The results suggest that, aside from sociodemographic factors,the demand for maternal health care is also
    an important driver for facility-based delivery. This nding is
    A50

    BMJ Open 2015;5(Suppl 1):A1A53

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    Abstracts
    supported by qualitative responses on beliefs and perceptions
    regarding MHC services. The signicance of supply-side factors
    especially in a post-disaster setting, such as the availability and
    accessibility of health care services, is pronounced for prenatal
    care utilization. These ndings provide evidence of the importance of supply and demand-side factors in inuencing MHC
    service utilization at different stages in a post-disaster setting.

    BMJ Open 2015;5(Suppl 1):A1A53

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    125: DETERMINANTS OF MATERNAL


    HEALTH CARE UTILIZATION AMONG
    BENEFICIARIES OF CONDITIONAL CASH
    INCENTIVES: EVIDENCE FROM A
    POST-DISASTER SETTING
    Marian Theresia D Valera and Denise Valerie R Silfverberg
    BMJ Open 2015 5:

    doi: 10.1136/bmjopen-2015-forum2015abstracts.125
    Updated information and services can be found at:
    http://bmjopen.bmj.com/content/5/Suppl_1/bmjopen-2015-forum2015
    abstracts.125

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