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ザンビア地方部における小児疾患ケアの公的保健医療篇設の利用に対する供給側障壁―保健施設センサスデータと世帯調査デークの連結による横断研究―
http://hdl.handle.net/20.500.12000/0002018083
http://hdl.handle.net/20.500.12000/0002018083227f2073-f3d1-4f85-913a-bd22bf6f4351
| 名前 / ファイル | ライセンス | アクション | |
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hokenken26abstract.pdf (937 KB)
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hokenken26review.pdf (1.3 MB)
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hokenken26text.pdf (1.2 MB)
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| Item type | 琉球大学リポジトリ登録用アイテムタイプ(1) | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 公開日 | 2022-06-20 | |||||||||
| タイトル | ||||||||||
| タイトル | ザンビア地方部における小児疾患ケアの公的保健医療篇設の利用に対する供給側障壁―保健施設センサスデータと世帯調査デークの連結による横断研究― | |||||||||
| 言語 | ja | |||||||||
| 作成者 |
持田, 敬司
× 持田, 敬司
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| アクセス権 | ||||||||||
| アクセス権 | open access | |||||||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||
| 権利情報 | ||||||||||
| 言語 | en | |||||||||
| 権利情報Resource | https://creativecommons.org/licenses/by/4.0/ | |||||||||
| 権利情報 | This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license. | |||||||||
| 言語 | en | |||||||||
| 権利情報 | © 2021 by the authors. | |||||||||
| 主題 | ||||||||||
| 言語 | en | |||||||||
| 主題Scheme | Other | |||||||||
| 主題 | physical access | |||||||||
| 言語 | en | |||||||||
| 主題Scheme | Other | |||||||||
| 主題 | human resources | |||||||||
| 言語 | en | |||||||||
| 主題Scheme | Other | |||||||||
| 主題 | equipment | |||||||||
| 言語 | en | |||||||||
| 主題Scheme | Other | |||||||||
| 主題 | fever | |||||||||
| 言語 | en | |||||||||
| 主題Scheme | Other | |||||||||
| 主題 | diarrhea | |||||||||
| 言語 | en | |||||||||
| 主題Scheme | Other | |||||||||
| 主題 | under-five childre | |||||||||
| 言語 | en | |||||||||
| 主題Scheme | Other | |||||||||
| 主題 | Zambia | |||||||||
| 内容記述 | ||||||||||
| 内容記述 | Abstract: Child mortality due to malaria and diarrheal diseases 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. | |||||||||
| 言語 | en | |||||||||
| 出版者 | ||||||||||
| 言語 | ja | |||||||||
| 出版者 | 琉球大学 | |||||||||
| 言語 | ||||||||||
| 言語 | eng | |||||||||
| 資源タイプ | ||||||||||
| 資源タイプ | doctoral thesis | |||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||||||
| 出版タイプ | ||||||||||
| 出版タイプ | VoR | |||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||
| 関連情報 | ||||||||||
| 関連識別子 | ||||||||||
| 識別子タイプ | DOI | |||||||||
| 関連識別子 | https://doi.org/10.3390/ijerph18105409 | |||||||||
| 収録物識別子 | ||||||||||
| 収録物識別子タイプ | PISSN | |||||||||
| 収録物識別子 | 1660-4601 | |||||||||
| 収録物識別子タイプ | EISSN | |||||||||
| 収録物識別子 | 1661-7827 | |||||||||
| 収録物名 | ||||||||||
| 言語 | en | |||||||||
| 収録物名 | International Journal of Environmental Research and Public Health | |||||||||
| 書誌情報 |
巻 18, 号 10 |
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| 学位授与番号 | ||||||||||
| 学位授与番号 | 甲第26号 | |||||||||
| 学位名 | ||||||||||
| 学位名 | 博士(保健学) | |||||||||
| 言語 | ja | |||||||||
| 学位授与年月日 | ||||||||||
| 学位授与年月日 | 2022-03-18 | |||||||||
| 学位授与機関 | ||||||||||
| 学位授与機関識別子 | ||||||||||
| 学位授与機関識別子 | 18001 | |||||||||
| 学位授与機関識別子Scheme | kakenhi | |||||||||
| 学位授与機関名 | ||||||||||
| 学位授与機関名 | 琉球大学 | |||||||||
| 言語 | ja | |||||||||
