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  1. 学位論文
  2. 博士論文
  3. 保健学研究科
  1. 部局別インデックス
  2. 保健学研究科

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/20.500.12000/0002018083
227f2073-f3d1-4f85-913a-bd22bf6f4351
名前 / ファイル ライセンス アクション
hokenken26abstract.pdf hokenken26abstract.pdf (937 KB)
hokenken26review.pdf hokenken26review.pdf (1.3 MB)
hokenken26text.pdf hokenken26text.pdf (1.2 MB)
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
タイトル
タイトル 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
言語 en
作成者 持田, 敬司

× 持田, 敬司

ja 持田, 敬司

en Mochid, Keiji

Search repository
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.
権利情報
言語 en
権利情報 © 2021 by the authors.
主題
言語 en
主題Scheme Other
主題 physical access
主題
言語 en
主題Scheme Other
主題 human resources
主題
言語 en
主題Scheme Other
主題 equipment
主題
言語 en
主題Scheme Other
主題 fever
主題
言語 en
主題Scheme Other
主題 diarrhea
主題
言語 en
主題Scheme Other
主題 under-five childre
主題
言語 en
主題Scheme Other
主題 Zambia
内容記述
内容記述タイプ Abstract
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
出版者
言語 en
出版者 University of the Ryukyus
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
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
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
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 18001
学位授与機関識別子Scheme kakenhi
学位授与機関名 琉球大学
言語 ja
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