2024-03-29T14:18:27Z
https://u-ryukyu.repo.nii.ac.jp/oai
oai:u-ryukyu.repo.nii.ac.jp:02011617
2023-08-03T05:29:20Z
1642838163960:1642838338003
1642838403551:1642838407795
Supply-Side Barriers to the Use of Public Healthcare Facilities for Childhood Illness Care in Rural Zambia : A Cross-Sectional Study Linking Data from a Healthcare Facility Census to a Household Survey
Mochida, Keiji
Nonaka, Daisuke
Wamulume, Jason
Kobayashi, Jun
physical access
human resources
equipment
fever
diarrhea
under-five children
Zambia
Child mortality due to malaria and diarrhea can be reduced if proper treatment is received timely at healthcare facilities, but various factors hinder this. The present study assessed the associations between the use of public healthcare facilities among febrile/diarrheal children in rural Zambia and supply-side factors (i.e., the distance from the village to the nearest facility and the availability of essential human resources and medical equipment at the facility). Data from the Demographic and Health Survey 2018 and the Health Facility Census 2017 were linked. Generalized linear mixed models were used to assess the associations, controlling for clustering and other variables. The median distances to the nearest facility were 4.5 km among 854 febrile children and 4.6 km among 813 diarrheal children. Children who were over 10 km away from the facility were significantly less likely to use it, compared to those within 5 km (fever group: odds ratio (OR) = 0.36, 95% confidence interval (CI) = 0.20–0.66; diarrhea group: OR = 0.30, 95% CI = 0.18–0.51). The availability of human resources and equipment was, however, not significantly associated with facility use. Poor geographic access could be a critical barrier to facility use among children in rural Zambia.
論文
http://purl.org/coar/resource_type/c_6501
MDPI
2021-05-21
VoR
http://hdl.handle.net/20.500.12000/48707
1660-4601
International Journal of Environmental Research and Public Health
10
18
eng
https://doi.org/10.3390/ijerph18105409
https://doi.org/10.3390/ijerph18105409
open access
© 2021 by the authors.
Creative Commons Attribution 4.0
https://creativecommons.org/licenses/by/4.0/