- Title
- Informal healthcare sector and marginalized groups: Repeat visits in rural North India
- Creator
- Iles, Richard
- Date
- 2018
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/187645
- Identifier
- vital:17110
- Identifier
-
https://doi.org/10.1371/journal.pone.0199380
- Identifier
- ISSN:1932-6203
- Abstract
- The interrelationship between the public and private sectors, and formal and informal healthcare sectors effects market-level service quality, pricing behaviour and referral networks. However, health utilisation analysis of national survey data from many low and middle income countries is constrained by the lack of disaggregated health provider data. This study is concerned with the pattern of repeat outpatient consultations for a single episode of fever from public and private qualified providers and private unqualified providers. Cross-sectional survey data from 1173 adult respondents sampled from three districts within India's most populous state-Uttar Pradesh is analysed. Data was collected during the monsoon season-September to October-in 2012. Regression analysis focuses on the pattern of repeats visits for a single episode of mild-sever fever as the dependent variable. Results show that Women and Muslims in rural north India are more likely to not access healthcare, and if they do, consult with low quality unqualified outpatient healthcare providers. For fever durations of four or more days, men are more likely to access unqualified providers compared to women. Results of the current study supports the literature that women's utilisation of outpatient healthcare for communicable illnesses in LMICs is often less than men. A relative lack of access to household resources explains why fever duration parameter estimates for women and men differ.
- Publisher
- United States: Public Library of Science
- Relation
- PLoS One Vol. 13, no. 7 (2018), p. e0199380-e0199380
- Rights
- All metadata describing materials held in, or linked to, the repository is freely available under a CC0 licence
- Rights
- http://creativecommons.org/licenses/by/4.0/
- Rights
- Copyright: © 2018 Richard A. Iles. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provi
- Rights
- Open Access
- Subject
- Access; Analysis; Behavior; Data processing; Dependent variables; Fever; Health behavior; Health care; Health care industry; Health care policy; Health economics; Health services; Illnesses; India; Laws, regulations and rules; Low income groups; Marginality; Medical care; Medicine; Medicine and Health Sciences; Men; Minority groups; Muslims; Parameter estimation; People and Places; Polls & surveys; Quality management; Quality of service architectures; Regression analysis; Regulatory agencies; Regulatory reform; Rural areas; Rural health services; Services; Social exclusion; Social Sciences; Women; MD Multidisciplinary
- Reviewed
- Funder
- This research was supported by a Griffith University Postgraduate Research Scholarship
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