BARRIERS IN OBTAINING PRIMARY HEALTH CARE SERVICES FROM PUBLIC CLINICS BY NON-CITIZEN LABORS IN MALAYSIA

Authors

  • Maryam Sohrabi PhD Student, Department of Administrative Studies & Politics, Faculty of Economics and Administration, University of Malaya, Malaysia
  • Ahmad Farid Osman Deputy Director, Centre for Poverty and Development Studies, Faculty of Economics and Administration, University of Malaya, Malaysia
  • Makmor Tumin Associate Professor, Department of Administrative Studies & Politics, Faculty of Economics and Administration, University of Malaya, Malaysia

Abstract

Non-citizen labors in the country have been found to face difficulties in accessing healthcare services. The study seeks to investigate the existence of barriers in accessing primary healthcare services by non-citizen labors in Malaysia. This study was conducted on 323 non-citizen labors residing in the urban areas of Malaysia, particularly of Johor Bahru and Klang Valley from May to September 2017. Relevant information regarding the personal barriers (language, preference for physician’s gender, difficulty taking leave from work), structural barriers (availability of public clinic in residential area, travel time to the public clinic, physician’s knowledge and skill) and financial barriers (insurance coverage, fear of losing daily income, transportation costs) on using primary healthcare services at public clinics were obtained. The result of the analysis revealed that the barriers cited by non-citizens to seek primary healthcare in Malaysia were lack of medical insurance protection (75.1%), non-availability of a public clinic in the residential area (38.7%), not receiving the needed or wanted services (21.3%), long travel time to the nearest public clinic (17.3%), language (10.2% of respondents), negative perception about the doctors’ knowledge and skills (9.9%), difficulty taking leave (7.8%), fear of losing daily income (7.7%), high transportation cost (3.7%) and different doctor gender preference (2.5%). Therefore, barriers to access healthcare services among non-citizens exist in Malaysia.

Keywords:

Healthcare, Barriers, Public clinic, Non-citizen labors, Malaysia

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References

Dawood, R. 2012. Travellers' health: how to stay healthy abroad, Oxford University Press.

De Heer, H. D., Balcázar, H. G., Morera, O. F., Lapeyrouse, L., Heyman, J. M., Salinas, J. & Zambrana, R. E. 2013. Barriers to care and comorbidities along the US-Mexico Border. Public Health Reports, 128, pp 480.

DE Maio, F. G. 2010. Immigration as pathogenic: a systematic review of the health of immigrants to Canada. International Journal Equity Health, 9, pp 1-20.

Dias, S. F., Severo, M. & Barros, H. 2008. Determinants of health care utilization by immigrants in Portugal. BMC Health Services Research, 8, pp 207.

Dubard, C. A. & Gizlice, Z. 2008. Language spoken and differences in health status, access to care, and receipt of preventive services among US Hispanics. American Journal of Public Health, 98, pp 2021-2028.

Garcés, I. C., Scarinci, I. C. & Harrison, L. 2006. An examination of sociocultural factors associated with health and health care seeking among Latina immigrants. Journal of Immigrant and Minority Health, 8, pp 377-385.

Hargraves, J. L. & Hadley, J. 2003. The contribution of insurance coverage and community resources to reducing racial/ethnic disparities in access to care. Health Services Research, 38, pp 809-829.

Hooi, S. & Hooi, S. 2003. Utilisation of ophthalmic services by foreign nationals in Johor: a review of 452 patients. Medical Journal of Malaysia, 58, pp 579-586.

Irsyad, A. 2014. Illegal Immigrants: Are They A Threat To Our Healt? [On line] . Available:

http://www.malaysiandigest.com/frontpage/282-main-tile/528742-illegal-immigrants-are-they-athreat-

to-our-health.html.

Jaafar S., K. M. N., Abdul Muttalib K, Othman N. H.,Healy J. 2013. Malaysia Health system Review.

Manila : WHO Regional Office for the Western Pacific.

Khin, A.2002. HIV/AIDS problem of migrants from Burma in Thailand. First Collaborative International Conference of the Burma Studies Group, Göteborg (Hindenburg) University, Sweden on September. pp 25-28.

MA, G. 1999. Barriers to the use of health services by Chinese Americans. Journal of Allied Health, 29, pp 64-70.

MEF, 2014. Practical guidelines for Employers on the recruitment, Placement, Employment, and Repatriation of Foreign Workers in Malaysia.

Michaelsen, J. J., Krasnik, A., Nielsen, A. S., Norredam, M. & Torres, A. M. 2004. Health

professionals' knowledge, attitudes, and experiences in relation to immigrant patients: a questionnaire study at a Danish hospital. Scandinavian Journal of Public Health, 32, pp 287-

MOHR. 2013. Immigration in Malaysia: Assessment of its Economic Effects, and a Review of the Policy and System. Murray, S. B. & Skull, S. A. 2005. Hurdles to health: immigrant and refugee health care in Australia.Australian Health Review, 29, pp 25-29.

Nelson, A. R., Smedley, B. D. & Stith, A. Y. 2002. Unequal Treatment: Confronting Racial and Ethnic

Disparities in Health Care (full printed version), National Academies Press.

Pursell, I. 2007. Access to health care among Somali forced migrants in Johannesburg. Sanmartin, C. & Ross, N. 2006. Experiencing difficulties accessing first-contact health services in Canada: Canadians without regular doctors and recent immigrants have difficulties accessing firstcontact healthcare services. Reports of difficulties in accessing care vary by age, sex and region. Healthcare Policy, 1, pp103.

Sanz, B., Regidor, E., Galindo, S., Pascual, C., Lostao, L., Díaz, J. M. & Sánchez, E. 2011. Pattern of health services use by immigrants from different regions of the world residing in Spain. International Journal of Public Health, 56, pp 567-576.

Scheppers, E., Van Dongen, E., Dekker, J., Geertzen, J. & Dekker, J. 2006. Potential barriers to the use of health services among ethnic minorities: a review. Family Practice, 23, pp 325-348.

Shrestha, D. R. & Ittiravivongs, A. 1994. Factors affecting utilization of health centers in a rural area of Chon Buri Province, Thailand. Southeast Asian Journal of Tropical Medicine and Public Health, 25, pp 361-7.

Siddiqi, A., Zuberi, D. & Nguyen, Q. C. 2009. The role of health insurance in explaining immigrant versus non-immigrant disparities in access to health care: Comparing the United States to Canada. Social Science & Medicine, 69, pp 1452-1459.

Solé-auró, A., Guillén, M. & Crimmins, E. M. 2012. Health care usage among immigrants and nativeborn elderly populations in eleven European countries: results from SHARE. The European Journal of Health Economics, 13, pp 741-754.

Wagstaff, A. 2002. Poverty and health sector inequalities. Bulletin Of The World Health Organization, 80, pp 97-105.

Wilson, E., Chen, A. H., Grumbach, K., Wang, F. & Fernandez, A. 2005. Effects of limited English proficiency and physician language on health care comprehension. Journal of General Internal Medicine, 20, pp 800-806.

Yahaya, H. 2014. Dr Hilmi: Tuberculosis the most prevalent disease among foreign workers [Online]. Available: http://www.thestar.com.my/News/Nation/2014/02/13/TB-higherst-foreign-workers/.

Zimmerman, C., Kiss, L. & Hossain, M. 2011. Migration and health: a framework for 21st century policy-making. PLoS Medicine, 8, e1001034.

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Published

2018-01-02

How to Cite

Maryam Sohrabi, Ahmad Farid Osman, & Makmor Tumin. (2018). BARRIERS IN OBTAINING PRIMARY HEALTH CARE SERVICES FROM PUBLIC CLINICS BY NON-CITIZEN LABORS IN MALAYSIA . Malaysian Journal of Medical Research (MJMR), 2(1), 52-60. Retrieved from https://ejournal.lucp.net/index.php/mjmr/article/view/249