Determinants of health seeking behavior for chronic non-communicable diseases and related out-of-pocket expenditure: results from a cross-sectional survey in northern Bangladesh
This article was published in BMC [ © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/)] and the definite version is available at: https://doi.org/10.1186/s41043-019-...
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| Առցանց հասանելիություն: | http://hdl.handle.net/10361/16531 https://doi.org/10.1186/s41043-019-0195-z |
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10361-165312022-04-10T21:01:35Z Determinants of health seeking behavior for chronic non-communicable diseases and related out-of-pocket expenditure: results from a cross-sectional survey in northern Bangladesh Binte Rasul, Fatema Kalmus, Olivier Sarker, Malabika Adib, Hossain Ishrath Hossain, Md Shahadath Hasan, Md Zabir Brenner, Stephan Nazneen, Shaila Islam, Muhammed Nazmul De Allegri, Manuela Brac James P. Grant School of Public Health Non-communicable diseases Chronic illness Health-seeking behavior Out-of-pocket expenditure Multinomial logistic regression This article was published in BMC [ © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/)] and the definite version is available at: https://doi.org/10.1186/s41043-019-0195-z. The Journal's website is at: https://jhpn.biomedcentral.com/articles/10.1186/s41043-019-0195-z#citeas Background: In spite of high prevalence rates, little is known about health seeking and related expenditure for chronic non-communicable diseases in low-income countries. We assessed relevant patterns of health seeking and related out-of-pocket expenditure in Bangladesh. Methods: We used data from a household survey of 2500 households conducted in 2013 in Rangpur district. We employed multinomial logistic regression to assess factors associated with health seeking choices (no care or selfcare, semi-qualified professional care, and qualified professional care). We used descriptive statistics (5% trimmed mean and range, median) to assess related patterns of out-of-pocket expenditure (including only direct costs). Results: Eight hundred sixty-six (12.5%) out of 6958 individuals reported at least one chronic non-communicable disease. Of these 866 individuals, 139 (16%) sought no care or self-care, 364 (42%) sought semi-qualified care, and 363 (42%) sought qualified care. Multivariate analysis confirmed that the following factors increased the likelihood of seeking qualified care: a higher education, a major chronic non-communicable disease, a higher socio-economic status, a lower proportion of chronic household patients, and a shorter distance between a household and a subdistrict public referral health facility. Seven hundred fifty-four (87 %) individuals reported out-of-pocket expenditure, with drugs absorbing the largest portion (85%) of total expenditure. On average, qualified care seekers encountered the highest out-of-pocket expenditure, followed by those who sought semi-qualified care and no care, or self-care. Conclusion: Our study reveals insufficiencies in health provision for chronic conditions, with more than half of all affected people still not seeking qualified care, and the majority still encountering considerable out-of-pocket expenditure. This calls for urgent measures to secure better access to care and financial protection. Published 2022-04-10T08:42:20Z 2022-04-10T08:42:20Z 2019 2019-12-23 Journal Article Rasul, F. B., Kalmus, O., Sarker, M., Adib, H. I., Hossain, M. S., Hasan, M. Z., . . . De Allegri, M. (2019). Determinants of health seeking behavior for chronic non-communicable diseases and related out-of-pocket expenditure: Results from a cross-sectional survey in northern Bangladesh. Journal of Health, Population and Nutrition, 38(1) doi:10.1186/s41043-019-0195-z http://hdl.handle.net/10361/16531 https://doi.org/10.1186/s41043-019-0195-z en_US https://jhpn.biomedcentral.com/articles/10.1186/s41043-019-0195-z#citeas Journal of Health, Population and Nutrition application/pdf BMC |
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Brac University |
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Institutional Repository |
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en_US |
| topic |
Non-communicable diseases Chronic illness Health-seeking behavior Out-of-pocket expenditure Multinomial logistic regression |
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Non-communicable diseases Chronic illness Health-seeking behavior Out-of-pocket expenditure Multinomial logistic regression Binte Rasul, Fatema Kalmus, Olivier Sarker, Malabika Adib, Hossain Ishrath Hossain, Md Shahadath Hasan, Md Zabir Brenner, Stephan Nazneen, Shaila Islam, Muhammed Nazmul De Allegri, Manuela Determinants of health seeking behavior for chronic non-communicable diseases and related out-of-pocket expenditure: results from a cross-sectional survey in northern Bangladesh |
| description |
This article was published in BMC [ © The Author(s). 2019 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/)] and the definite version is available at: https://doi.org/10.1186/s41043-019-0195-z. The Journal's website is at: https://jhpn.biomedcentral.com/articles/10.1186/s41043-019-0195-z#citeas |
| author2 |
Brac James P. Grant School of Public Health |
| author_facet |
Brac James P. Grant School of Public Health Binte Rasul, Fatema Kalmus, Olivier Sarker, Malabika Adib, Hossain Ishrath Hossain, Md Shahadath Hasan, Md Zabir Brenner, Stephan Nazneen, Shaila Islam, Muhammed Nazmul De Allegri, Manuela |
| format |
Journal Article |
| author |
Binte Rasul, Fatema Kalmus, Olivier Sarker, Malabika Adib, Hossain Ishrath Hossain, Md Shahadath Hasan, Md Zabir Brenner, Stephan Nazneen, Shaila Islam, Muhammed Nazmul De Allegri, Manuela |
| author_sort |
Binte Rasul, Fatema |
| title |
Determinants of health seeking behavior for chronic non-communicable diseases and related out-of-pocket expenditure: results from a cross-sectional survey in northern Bangladesh |
| title_short |
Determinants of health seeking behavior for chronic non-communicable diseases and related out-of-pocket expenditure: results from a cross-sectional survey in northern Bangladesh |
| title_full |
Determinants of health seeking behavior for chronic non-communicable diseases and related out-of-pocket expenditure: results from a cross-sectional survey in northern Bangladesh |
| title_fullStr |
Determinants of health seeking behavior for chronic non-communicable diseases and related out-of-pocket expenditure: results from a cross-sectional survey in northern Bangladesh |
| title_full_unstemmed |
Determinants of health seeking behavior for chronic non-communicable diseases and related out-of-pocket expenditure: results from a cross-sectional survey in northern Bangladesh |
| title_sort |
determinants of health seeking behavior for chronic non-communicable diseases and related out-of-pocket expenditure: results from a cross-sectional survey in northern bangladesh |
| publisher |
BMC |
| publishDate |
2022 |
| url |
http://hdl.handle.net/10361/16531 https://doi.org/10.1186/s41043-019-0195-z |
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