ISSUES AND CHALLENGES OF PUBLIC HEALTH ACCESSIBILITY AMONG URBAN POOR PEOPLE: A CASE STUDY OF MALAYSIA, IRAN AND INDIA
DOI:
https://doi.org/10.31674/mjmr.2018.v02i04.003Abstract
Public health care clinics accessibility is known as an important issue for urban poverty level residences who have lower financial resources and facilities. The objectives of this study are to is over viewing and explaining the issues and challenges of public health accessibility among urban poor in three Asian countries i.e. Malaysia, Iran and India. This study used the method of literature review from online sources include: government documents, articles and publications related to poverty and health care access. All the papers were filtered for the different variables based on the model presented by the Institute of Medicine. Access concern exists in all three countries, only types and sources of the barriers are varying. Differences influence public expectations and opinion of policy makers. In general some Malaysians and Iranians do not have enough access to public health care providers in spite of a good coverage of healthcare services through public clinics in Malaysia and an acceptable coverage through health posts and health centers in Iran. India still faces so many structural, financial and personal barriers to deliver health care services through public urban health posts and urban family welfares.
Keywords:
Healthcare, Public Clinics, Barriers, Asia, PovertyDownloads
References
Agarwal, S., Satyavada, A., Kaushik, S. & Kumar, R. (2007). Urbanization, urban poverty and health of the urban poor: status, challenges and the way forward. Demography India, 36 (1), pp 121-134.
Aitken,M. A. B. M., Chang, M. & Udeshi, A. (2013). Understanding Healthcare Access in India What is the current state? : IMS Institute for Healthcare Informatics. Retrieved From: https://www.slidesha- re.net/IMSHealth_APAC/ims-executive-summary- indiaeversionfinal2
Alavian, S. M. 2007. Determinants of seeking needed outpatient care in Iran: results from a national health services utilization survey. Archives of Iranian medicine, 10, pp 439-445.
Aljunid, S. M. & Zwi, A. B. (1996). Differences in public and private health services in a rural district of Malaysia. The Medical journal of Malaysia, 51 (4), pp 426-436.
Arcury, T. A., Preisser, J. S., Gesler, W. M. & Powers, J. M. (2005). Access to transportation and health care utilization in a rural region. The Journal of Rural Health, 21 (1), pp 31-38.
Asadi-Lari, M., Sayyari, A. A., Akbari, M. E. & Gray, D. (2004). Public health improvement in Iran—lessons from the last 20 years. Public Health, 118 (6), pp 395-402.
Asian Development Bank (2014). Health Issues in Asia and the Pacific. Retrieved From: https://www.adb.org/sectors/health/issues.
Babar, Z. U. D., Ibrahim, M. I. M., Singh, H., Bukahri, N. I.& Creese, A. (2007). Evaluating drug prices, availability, affordability, and price components: implications for access to drugs in Malaysia. PLoS Medicine, 4 (3), pp 466-475.
Balarajan, Y., Selvaraj, S. & Subramanian, S. (2011). Health care and equity in India. The Lancet, 377 (9764), pp 505-515.
Banerjee, A. V., Glennerster, R. & Duflo, E. (2008). Putting a Band Aid on a corpse: Incentives for nurses in the Indian public health care system. Journal of the European Economic Association, 6 (2-3), pp 487-500.
Basu, S., Andrews, J., Kishore, S., Panjabi, R. & Stuckler, D. (2012). Comparative performance of private and public healthcare systems in low-and middle-income countries: a systematic review. PLoS medicine, 9 (6).
Berendes, S., Heywood, P., Oliver, S. & Garner, P. (2011). Quality of private and public ambulatory health care in low and middle income countries: systematic review of comparative studies. PLoS medicine, 8 (4), pp 1-10.
Brooks-Gunn, J. & Duncan, G. J. (1997). The effects of poverty on children. The future of children, 7 (2), pp 55-71.
Butsch, C., Sakdapolak, P. & Saravanan, V. (2012). Urban health in India. Internationales Asienforum, 43 (1-2), pp 13-32.
Chander Shekhar, F. R. (2005). National Report on Evaluation of Functioning of Urban Health Posts/ Urban Family Centers in India. International Institute for Population Sciences. Retrieved From: http://iipsindia.org/publications05_b_13c.htm.
Das, J. & Hammer, J. (2007). Location, location, location: residence, wealth, and the quality of medical care in Delhi, India. Health Affairs, 26 (3), pp w338- w351.
Das, J., Holla, A., Das, V., Mohanan, M., Tabak, D. & Chan, B. (2012). In urban and rural India, a standardized patient study showed low levels of provider training and huge quality gaps. Health Affairs, 31 (12), pp 2774-2784.
Deogaonkar, M. (2004). Socio-economic inequality and its effect on healthcare delivery in India: inequality and healthcare. Electronic Journal of Sociology.Retrieved From: https://www.sociology org/ejs-archives/vol8.1/deogaonkar.html
Griffiths, P. & Stephenson, R. (2001). Understanding users' perspectives of barriers to maternal health care use in Maharashtra, India. Journal of biosocial science, 33 (3), pp 339-359.
Guagliardo, M. F. (2004). Spatial accessibility of primary care: concepts, methods and challenges. International journal of health geographics, 3.
Haghparast-Bidgoli, H., Hasselberg, M., Khankeh, H., Khorasani-Zavareh, D. & Johansson, E. (2010). Barriers and facilitators to provide effective pre- hospital trauma care for road traffic injury victims in Iran: a grounded theory approach. BMC emergency medicine, 10.
Heller, P. S. (1982). A model of the demand for medical and health services in Peninsular Malaysia. Social Science & Medicine, 16 (3), pp 267-284.
Hooi, S. & Hooi, S. (2003). Utilization of ophthalmic services by foreign nationals in Johor: a review of 452 patients. Medical Journal of Malaysia, 58 (4), pp 579-586.
Joolaee, S., Nikbakht-Nasrabadi, A., Parsa-Yekta, Z., Tschudin, V. & Mansouri, I. (2006). An Iranian perspective on patients' rights. Nursing Ethics, 13 (5), pp 488-502.
Kapur Mehta, A. & Shah, A. (2003). Chronic poverty in India: Incidence, causes and policies. World Development, 31 (3), pp 491-511.
Kavosi, Z., Rashidian, A., Pourreza, A., Majdzadeh, R., Pourmalek, F., Hosseinpour, A. R., Mohammad, K. & Arab, M. (2012). Inequality in household catastrophic health care expenditure in a low- income society of Iran. Health policy and planning, 27 (7), pp 613-623.
Laquian, A. A. (2004). Who are the poor and how are they being served in Asian cities? Paper presented at the “Forum on Urban Infrastructure and Public Service Delivery for the Urban Poor, Regional Focus: Asia,” sponsored by the Woodrow Wilson International Center for Scholars and the National Institute of Urban Affairs, India Habitat Centre, New Delhi.
Mahin Ghafari, K. S., Masoud Amiri. (2014). Barriers to Utilization of Health Services: Perception of Post secondary School Malaysian Urban Youth.
Mehrdad, R. (2009). Health system in Iran. Japan Medical Association Journal, 52 (1), pp 69-73.
Mimi, O., Tong, S., Nordin, S., Teng, C., Khoo, E., Abdul-Rahman, A., Zailinati, A., Lee, V., Chen, W., Shihabudin, W., Norida, M. & Fauziah, Z. (2011). A comparison of morbidity patterns in public and private primary care clinics in Malaysia. Malaysian Family Physician, 6 (1), pp 19-25.
Moghadam, M. N., Sadeghi, V. & Parva, S. (2012). Weaknesses and challenges of primary healthcare system in Iran: a review. The International journal of health planning and management, 27 (2), pp e121-e131.
MOH (2011). National Healthcare Establishments & Workforce Statistics (Primary Care) 2008-2009.
MOH (2013) a. Health Fact 2013.
MOH (2013) b. Malaysia Health Care Demand Analysis. Mohammad-Alizadeh C, S., Wahlström, R., Vahidi, R., Nikniaz, A., Marions, L. & Johansson, A. (2009).
Barriers to high-quality primary reproductive health services in an urban area of Iran: views of public health providers. Midwifery, 25 (6), pp 721-730.
MOHFW (2003). Public Health Care System. Planing Commision Government of India.
MOHFW (2013). National Health Profile 2013.
Mok, T. Y., Gan, C. & Sanyal, A. (2007). The determinants of urban household poverty in Malaysia. Journal of Social Sciences, 3 (4), pp 190- 196.
Newacheck, P. W., Hughes, D. C. & Stoddard, J. J. (1996). Children's access to primary care: differences by race, income, and insurance status. Pediatrics, 97 (1), pp 26-32.
Noh, K. M. (2011). Primary Health Care Reform in 1CARE for 1 Malaysia. International Journal of Public Health Research (Special Issue), pp 50-56.
World Health Organization/WHO (2012). Malaysia health system review. Retrieved From: http://apps. who.int/iris/handle/10665/206911.
Peter Wennerholm, A. M. S. (2013). India's Health system.
Peters, D. H., Garg, A., Bloom, G., Walker, D. G., Brieger, W. R. & Rahman, M. H. (2008). Poverty and access to health care in developing countries. Annals of the New York Academy of Sciences, 1136, pp 161-171.
National Health Profile of India (2013). Human Resource in Health Sector. Retrieved From: http://cbhidghs.nic.in/WriteReadData/l892s/Human%20Resources%20in%20Health%20Sector-2013.pdf
Rai, A. K. & Chauhan, B. G. (2014). Inequality in utilization of maternal health care services among teenage married women in uttar pradesh: evidences form nfhs-3. Global Journal of Multidisciplinary Studies, 3 (10), pp 70-89.
Ramli, A. & Taher, S. (2008). Managing chronic diseases in the Malaysian primary health care–a need for change. Malaysian Family Physician, 3 (1), pp 7-13.
Rashidian, A. (2014). Establishing urban primary health care: experience from Iran Tehran University of Medical Sciences.
Sciences, I. I. F. P. (2007). India National Family Health Survey (NFHS-3), 2005-06, International Institute for Population Sciences.
Sclar, E. D., Garau, P. & Carolini, G. (2005). The 21st century health challenge of slums and cities. The Lancet, 365 (9462), pp 901-903.
Shah, A. (2014). Health Issues. Retrieved From: http://www.globalissues.org/issue/587/health-issues.
Shepard, D. S., Savedoff, W. & Hong, P. K. (2002). Health care reform initiatives in Malaysia. Retrieved From: http://www.who.int/health_financing/documents/malaysia-reform-initia- tives.pdf.
Shook, M.(2005).Transportation barriers and health access for patient attending a community health center. Retrieved From: http://web.pdx. edu/~jdill/ Files/Shook_access_transportation _chc.pdf.
TABATABAIE, M. G., ZAHRA, M. & ABOUALI, V. 2012. Home birth and barriers to referring women with obstetric complications to hospitals: a mixed- methods study in Zahedan, southeastern Iran. Reproductive health, 9.
WHO (2008). The World Health Report 2008. Retrieved From: http://www.who.int/whr/2008/en/
WORLDBANK 2013. World Bank Website: World Bank Group.
Xu, K., Saksena, P., Carrin, G., Jowett, M., Kutzin, J. & Rurane, A. (2009). Access to health care and the financial burden of out-of-pocket health payments in Latvia. World Health Organization, Geneva. Retrieved From:http://www.who.int/health_financ-ing/documents/pb_e_09_1-oopslat.pdf
Yip, W. & Mahal, A. (2008). The health care systems of China and India: performance and future challenges. Health Affairs, 27 (4), pp 921-932.
Zarei, A., Arab, M., Froushani, A. R., Rashidian, A. & Tabatabaei, S. M. G. (2012). Service quality of private hospitals: The Iranian Patients' perspective. BMC health services research, 12,31.
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