Pub Date : 2022-04-19DOI: 10.1108/ijhrh-11-2021-0194
Rauf Kord, Enayatollah Homaie Rad, A. Davoudi Kiakalayeh
Purpose This study aims to calculate the inequity in out of pocket expenditures and utilization of laboratory tests in Iran. Equal access to health services is an important part of human rights in health care. Out-of-pocket payment is a part of financial access to health care. In this study, the authors tried to find inequity in out-of-pocket payments and utilization of medical laboratory tests (MLTs) as a part of human rights in Iran in 2016. Design/methodology/approach Gini and concentration indices were calculated for this purpose, and regression models were estimated to show the relationship between different factors and utilization and out-of-pocket. Findings The average out-of-pocket payment for all of the households was US$1.56 (urban areas: 1.97 and rural areas: 1.31). Moreover, the average utilization of MLTs was 0.079 (urban areas: 0.0908 and rural areas: 0.0753). Gini and concentration indices for out-of-pocket payments were 0.522 and 0.0701, respectively. Originality/value Out-of-pocket and utilization were low in lower in less developed regions of ease and southeast regions of the country and were related to access to health insurance, income and wealth deciles.
{"title":"Inequity in out-of-pocket expenditure and utilization of laboratory tests in Iran: lessons learned in human rights","authors":"Rauf Kord, Enayatollah Homaie Rad, A. Davoudi Kiakalayeh","doi":"10.1108/ijhrh-11-2021-0194","DOIUrl":"https://doi.org/10.1108/ijhrh-11-2021-0194","url":null,"abstract":"\u0000Purpose\u0000This study aims to calculate the inequity in out of pocket expenditures and utilization of laboratory tests in Iran. Equal access to health services is an important part of human rights in health care. Out-of-pocket payment is a part of financial access to health care. In this study, the authors tried to find inequity in out-of-pocket payments and utilization of medical laboratory tests (MLTs) as a part of human rights in Iran in 2016.\u0000\u0000\u0000Design/methodology/approach\u0000Gini and concentration indices were calculated for this purpose, and regression models were estimated to show the relationship between different factors and utilization and out-of-pocket.\u0000\u0000\u0000Findings\u0000The average out-of-pocket payment for all of the households was US$1.56 (urban areas: 1.97 and rural areas: 1.31). Moreover, the average utilization of MLTs was 0.079 (urban areas: 0.0908 and rural areas: 0.0753). Gini and concentration indices for out-of-pocket payments were 0.522 and 0.0701, respectively.\u0000\u0000\u0000Originality/value\u0000Out-of-pocket and utilization were low in lower in less developed regions of ease and southeast regions of the country and were related to access to health insurance, income and wealth deciles.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47286849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-14DOI: 10.1108/ijhrh-12-2021-0208
P. Tripathi, P. Dwivedi, Shreya Sharma
Purpose The COVID-19 outbreak has significant psychological effects because of reduced support system and social quarantine, making women the worst-hit population of shadow pandemic, i.e. domestic violence. While food shortages, unemployment and increased domestic-work burdens are the immediate effects of the lockdown, women at home have to bear its far-reaching impacts in the long term in the form of domestic abuse, making the study of the psychological impact of domestic violence against women imperative. This paper aims to identify the factors and causes responsible for domestic violence and its psychological impacts on women in different aspects. This paper further focuses on the reasons behind an escalation in psychological violence against women. Design/methodology/approach This paper is based on extrapolating data from various journal articles, Indian Government reports, newspaper articles and other printed materials that are recent, relevant and discuss domestic violence and mental stress during the COVID-19 pandemic. Researchers use Indian National Commission for Women’s (NCW) data on complaints received regarding violence against women and domestic abuse in the year 2020 and 15 journal articles that discuss domestic violence against women during the COVID-19 period in different countries to discuss social inequalities and power relations impact on women’ mental health. Findings The findings suggest that economic instability during the pandemic and social and cultural norms of India ignited psychological abuse against women during the pandemic. The number of monthly complaints of dowry death, dowry harassment and protection of women against domestic violence reflect on increased registered complaints in the postlockdown period in the year 2020. The number of monthly complaints received by the NCW from January 2020 to December 2020 in India represents that WhatsApp chat is a powerful tool for reporting domestic violence. Originality/value The pandemic lockdown has an adverse psychological impact on women, making them suffer from posttraumatic symptoms, substance abuse, panic attacks, depressions, hallucinations, eating disorders, self-harm, etc. This paper strives to reflect upon mitigation strategies to curb domestic violence in India.
{"title":"Psychological impact of domestic violence on women in India due to COVID-19","authors":"P. Tripathi, P. Dwivedi, Shreya Sharma","doi":"10.1108/ijhrh-12-2021-0208","DOIUrl":"https://doi.org/10.1108/ijhrh-12-2021-0208","url":null,"abstract":"\u0000Purpose\u0000The COVID-19 outbreak has significant psychological effects because of reduced support system and social quarantine, making women the worst-hit population of shadow pandemic, i.e. domestic violence. While food shortages, unemployment and increased domestic-work burdens are the immediate effects of the lockdown, women at home have to bear its far-reaching impacts in the long term in the form of domestic abuse, making the study of the psychological impact of domestic violence against women imperative. This paper aims to identify the factors and causes responsible for domestic violence and its psychological impacts on women in different aspects. This paper further focuses on the reasons behind an escalation in psychological violence against women.\u0000\u0000\u0000Design/methodology/approach\u0000This paper is based on extrapolating data from various journal articles, Indian Government reports, newspaper articles and other printed materials that are recent, relevant and discuss domestic violence and mental stress during the COVID-19 pandemic. Researchers use Indian National Commission for Women’s (NCW) data on complaints received regarding violence against women and domestic abuse in the year 2020 and 15 journal articles that discuss domestic violence against women during the COVID-19 period in different countries to discuss social inequalities and power relations impact on women’ mental health.\u0000\u0000\u0000Findings\u0000The findings suggest that economic instability during the pandemic and social and cultural norms of India ignited psychological abuse against women during the pandemic. The number of monthly complaints of dowry death, dowry harassment and protection of women against domestic violence reflect on increased registered complaints in the postlockdown period in the year 2020. The number of monthly complaints received by the NCW from January 2020 to December 2020 in India represents that WhatsApp chat is a powerful tool for reporting domestic violence.\u0000\u0000\u0000Originality/value\u0000The pandemic lockdown has an adverse psychological impact on women, making them suffer from posttraumatic symptoms, substance abuse, panic attacks, depressions, hallucinations, eating disorders, self-harm, etc. This paper strives to reflect upon mitigation strategies to curb domestic violence in India.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47430535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-13DOI: 10.1108/ijhrh-09-2021-0173
A. Afkhamzadeh, H. Mahmoodi, K. Rahmani, Simin Mohammadi, M. Haghshenas, O. Faraji
Purpose The study aims to determine the relationship between emotional maturity and domestic violence in infertile women. Design/methodology/approach The cross-sectional study was conducted on 184 infertile women. Demographic questionnaire, Emotional Maturity Scale and domestic violence questionnaire were used to collect data. The Chi-square test and multivariate logistic regression were used to analyze the data. Findings More than 50% of the women in the study experienced domestic violence, and about the same percentage of them had unstable emotional maturity. The total score of domestic violence and its types were significantly related to the women’s emotional maturity (P < 0.001). In multivariate analysis, the significant relationship was found between domestic violence with Spouse's education level (primary/secondary) [OR = 0.25 (0.09–0.66)] and emotional maturity (unstable) [OR = 3.59 (1.83–7.02)]. Social implications The overall prevalence of infertility in Iran was 7% in 2021. Furthermore, although infertility is a problem among couples, most of its social burden lies with women. In a number of developing countries, as well as in Iran, childbearing is perceived as a social value for married women. Therefore, infertile women are at risk for depression, anxiety, low self-esteem, dissatisfaction and reduced quality of life. Originality/value This study found that half of the surveyed women experienced domestic violence. Women’s emotional immaturity, as well as their spouses’ lower education level and type of occupation, were highly correlated with women’s experience of domestic violence. To help prevent domestic violence among couples, there should be couple training classes to improve women’s emotional maturity.”
{"title":"The association between emotional maturity and domestic violence among infertile women","authors":"A. Afkhamzadeh, H. Mahmoodi, K. Rahmani, Simin Mohammadi, M. Haghshenas, O. Faraji","doi":"10.1108/ijhrh-09-2021-0173","DOIUrl":"https://doi.org/10.1108/ijhrh-09-2021-0173","url":null,"abstract":"\u0000Purpose\u0000The study aims to determine the relationship between emotional maturity and domestic violence in infertile women.\u0000\u0000\u0000Design/methodology/approach\u0000The cross-sectional study was conducted on 184 infertile women. Demographic questionnaire, Emotional Maturity Scale and domestic violence questionnaire were used to collect data. The Chi-square test and multivariate logistic regression were used to analyze the data.\u0000\u0000\u0000Findings\u0000More than 50% of the women in the study experienced domestic violence, and about the same percentage of them had unstable emotional maturity. The total score of domestic violence and its types were significantly related to the women’s emotional maturity (P < 0.001). In multivariate analysis, the significant relationship was found between domestic violence with Spouse's education level (primary/secondary) [OR = 0.25 (0.09–0.66)] and emotional maturity (unstable) [OR = 3.59 (1.83–7.02)].\u0000\u0000\u0000Social implications\u0000The overall prevalence of infertility in Iran was 7% in 2021. Furthermore, although infertility is a problem among couples, most of its social burden lies with women. In a number of developing countries, as well as in Iran, childbearing is perceived as a social value for married women. Therefore, infertile women are at risk for depression, anxiety, low self-esteem, dissatisfaction and reduced quality of life.\u0000\u0000\u0000Originality/value\u0000This study found that half of the surveyed women experienced domestic violence. Women’s emotional immaturity, as well as their spouses’ lower education level and type of occupation, were highly correlated with women’s experience of domestic violence. To help prevent domestic violence among couples, there should be couple training classes to improve women’s emotional maturity.”\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46188267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-06DOI: 10.1108/ijhrh-08-2021-0152
Arian Azadnia, Amjad Mohamadi Bolbanabad, H. Safari, A. Afkhamzadeh, Bakhtiar Piroozi, Darya Ghamari, Shiva Khosravi, Zhina Banafshi, Ramazan Ebrahimi
Purpose Health is one of the most basic human rights. This study aims to examine the pattern of unmet health services needs and barriers to use health services among people with disabilities. Design/methodology/approach This cross-sectional study was conducted among people with disabilities in Sanandaj, the capital of a less economically developed province in western Iran in 2020. In total, 548 samples were selected using random sampling, and data were collected using a questionnaire. Chi-square test and Fisher's exact test were used to examine the relationship between independent variables including demographic variables and dependent variables. Statistical tests were performed using STATA software package. Findings About 64% and 23% of participants needed outpatient and inpatient services, respectively. The gap between the perceived need and using health services for outpatient and inpatient services was reported to be 55% and 30%, respectively. The main reasons for not seeking the required health care were “insufficient coverage of costs by insurance” and “lack of physical access.” Having supplementary insurance and better economic status were significantly correlated with using outpatient care and having supplementary insurance and type of disability had a significant relationship with using inpatient care. Originality/value There was a big gap between the perceived need, seeking for and receiving health services in people with disabilities. Designing and implementing appropriate interventions to reduce barriers on the way of transforming, the need for health services into demand in the population of people with disabilities should be on the agenda of policymakers and relevant managers in the country.
{"title":"Self-reported unmet health needs of adults with disabilities in Kurdistan, Iran","authors":"Arian Azadnia, Amjad Mohamadi Bolbanabad, H. Safari, A. Afkhamzadeh, Bakhtiar Piroozi, Darya Ghamari, Shiva Khosravi, Zhina Banafshi, Ramazan Ebrahimi","doi":"10.1108/ijhrh-08-2021-0152","DOIUrl":"https://doi.org/10.1108/ijhrh-08-2021-0152","url":null,"abstract":"\u0000Purpose\u0000Health is one of the most basic human rights. This study aims to examine the pattern of unmet health services needs and barriers to use health services among people with disabilities.\u0000\u0000\u0000Design/methodology/approach\u0000This cross-sectional study was conducted among people with disabilities in Sanandaj, the capital of a less economically developed province in western Iran in 2020. In total, 548 samples were selected using random sampling, and data were collected using a questionnaire. Chi-square test and Fisher's exact test were used to examine the relationship between independent variables including demographic variables and dependent variables. Statistical tests were performed using STATA software package.\u0000\u0000\u0000Findings\u0000About 64% and 23% of participants needed outpatient and inpatient services, respectively. The gap between the perceived need and using health services for outpatient and inpatient services was reported to be 55% and 30%, respectively. The main reasons for not seeking the required health care were “insufficient coverage of costs by insurance” and “lack of physical access.” Having supplementary insurance and better economic status were significantly correlated with using outpatient care and having supplementary insurance and type of disability had a significant relationship with using inpatient care.\u0000\u0000\u0000Originality/value\u0000There was a big gap between the perceived need, seeking for and receiving health services in people with disabilities. Designing and implementing appropriate interventions to reduce barriers on the way of transforming, the need for health services into demand in the population of people with disabilities should be on the agenda of policymakers and relevant managers in the country.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43933538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-14DOI: 10.1108/ijhrh-01-2022-0002
M. Uddin, Muhammad Tareq Chy, Helal Uddin Ahmmed
Purpose This paper focuses on COVID-19 and human rights in the Global South. Controlling COVID-19 has become very challenging to the courtiers in the Global South and the Global North. Various restrictive measures, mainly lockdown, home quarantine, travel restrictions and social distancing have been taken in both Global North and South to control COVID-19. However, the lower-middle and poor class people of the Global South have suffered from these restrictive measures. Thus, this paper aims to explore the human rights issues of the Global South during COVID-19. Design/methodology/approach This study is a qualitative research based on secondary materials. It includes relevant scholarly articles, news reports and various reports from different national and international organizations. It critically reviews the current literature related to the topic to develop a theoretical understanding of human rights and public health in general and human rights challenges in COVID-19 in the Global South in particular. Existing international human rights principles in the case of public health were reviewed and discussed to identify the links between human rights laws in public health perspectives. Contents analysis was carried out to identify the relevant themes on the issues of human rights in response to the COVID-19 pandemic. Findings This paper finds that universal guidelines to control COVID-19 challenged the human rights norms, which impacts the enjoyment of human rights in the Global South. The human rights of the people in the Global South were undermined in the response to the control of COVID-19. Originality/value This paper is a significant study on the issues of human rights in public health emergencies. It addresses how the human rights of the vulnerable people in the Global South are undermined in the global pandemic response, which can be useful for the countries in the Global South for ensuring better human rights-based responses in the future.
{"title":"COVID-19 responses, human rights and the cultural context of Global South","authors":"M. Uddin, Muhammad Tareq Chy, Helal Uddin Ahmmed","doi":"10.1108/ijhrh-01-2022-0002","DOIUrl":"https://doi.org/10.1108/ijhrh-01-2022-0002","url":null,"abstract":"\u0000Purpose\u0000This paper focuses on COVID-19 and human rights in the Global South. Controlling COVID-19 has become very challenging to the courtiers in the Global South and the Global North. Various restrictive measures, mainly lockdown, home quarantine, travel restrictions and social distancing have been taken in both Global North and South to control COVID-19. However, the lower-middle and poor class people of the Global South have suffered from these restrictive measures. Thus, this paper aims to explore the human rights issues of the Global South during COVID-19.\u0000\u0000\u0000Design/methodology/approach\u0000This study is a qualitative research based on secondary materials. It includes relevant scholarly articles, news reports and various reports from different national and international organizations. It critically reviews the current literature related to the topic to develop a theoretical understanding of human rights and public health in general and human rights challenges in COVID-19 in the Global South in particular. Existing international human rights principles in the case of public health were reviewed and discussed to identify the links between human rights laws in public health perspectives. Contents analysis was carried out to identify the relevant themes on the issues of human rights in response to the COVID-19 pandemic.\u0000\u0000\u0000Findings\u0000This paper finds that universal guidelines to control COVID-19 challenged the human rights norms, which impacts the enjoyment of human rights in the Global South. The human rights of the people in the Global South were undermined in the response to the control of COVID-19.\u0000\u0000\u0000Originality/value\u0000This paper is a significant study on the issues of human rights in public health emergencies. It addresses how the human rights of the vulnerable people in the Global South are undermined in the global pandemic response, which can be useful for the countries in the Global South for ensuring better human rights-based responses in the future.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46785899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-08DOI: 10.1108/ijhrh-11-2021-0202
B. Ahadinezhad, Omid Khosravizadeh, S. Rafiei, Aisa Maleki
Purpose It can be said that the most important function of the health system is to provide health-care services. This directly affects society’s health and justice. To the best of the authors’ knowledge, this study is the first study that has meta-analyzed the percentage of health services utilization among Iranians to answer this question “How much is the percentage of health-care services utilization in Iran?” Design/methodology/approach This study is a systematic review and meta-analysis conducted in 2020. The literature review was done by searching the databases of Google Scholar, Scopus, PubMed, Web of Science, Science Direct, SID, Magiran and Irandoc from January 2010 to August 2020. Pooled utilization percentage (UP) was estimated by STATA 15 through random-effects meta-analysis with 95% confidence interval. The I2 statistic was used to investigate the possibility of heterogeneity of articles (I2 ≥ 50% indicate heterogeneity). A forest plot was applied to report the results. A funnel plot exploited due to publication bias assessment. Findings Approximately 22% of the reviewed articles have been done at the national level of Iran. Most studies have examined the utilization of outpatient and inpatient services. Based on the random effects method, the pooled value of UP was obtained at 47.82%, (95% CI: 39.33–56.31). Also, the pooled percentage of utilization was statistically significant (Test of UP = 0, Z = 456.44, p = 0.000). Practical implications Policymakers can improve the level of utilization from health services by expanding universal coverage, expanding insurance coverage and removing direct and indirect barriers. Originality/value To the best of the authors’ knowledge, this is the first systematic review and meta-analysis on health services utilization in Iran that completely considers the utilization rate in all health services and states the practical solutions to cope with utilization deficiencies and barriers.
目的可以说，卫生系统最重要的功能是提供医疗保健服务。这直接影响到社会的健康和正义。据作者所知，这项研究是第一项对伊朗人利用医疗服务的百分比进行元分析的研究，以回答“伊朗的医疗服务利用百分比是多少？”设计/方法/方法这项研究为2020年进行的系统综述和元分析。2010年1月至2020年8月，通过搜索Google Scholar、Scopus、PubMed、Web of Science、Science Direct、SID、Magiran和Irandoc的数据库进行了文献综述。STATA 15通过95%置信区间的随机效应荟萃分析估计汇集利用率（UP）。I2统计量用于研究文章异质性的可能性（I2 ≥ 50%表示异质性）。应用森林图来报告结果。由于发表偏倚评估而利用的漏斗图。发现大约22%的审查文章是在伊朗国家层面上完成的。大多数研究都考察了门诊和住院服务的利用情况。基于随机效应法，UP的汇总值为47.82%（95%CI:39.33–56.31）。此外，汇总利用率具有统计学意义（UP=0，Z=456.44，p=0.000）。实际意义决策者可以通过扩大全民覆盖范围来提高卫生服务的利用水平，扩大保险范围，消除直接和间接障碍。原创性/价值据作者所知，这是第一次对伊朗卫生服务利用情况进行系统回顾和荟萃分析，全面考虑了所有卫生服务的利用率，并提出了应对利用不足和障碍的切实可行的解决方案。
{"title":"Healthcare services utilization in Iran: a systematic review and meta-analysis","authors":"B. Ahadinezhad, Omid Khosravizadeh, S. Rafiei, Aisa Maleki","doi":"10.1108/ijhrh-11-2021-0202","DOIUrl":"https://doi.org/10.1108/ijhrh-11-2021-0202","url":null,"abstract":"\u0000Purpose\u0000It can be said that the most important function of the health system is to provide health-care services. This directly affects society’s health and justice. To the best of the authors’ knowledge, this study is the first study that has meta-analyzed the percentage of health services utilization among Iranians to answer this question “How much is the percentage of health-care services utilization in Iran?”\u0000\u0000\u0000Design/methodology/approach\u0000This study is a systematic review and meta-analysis conducted in 2020. The literature review was done by searching the databases of Google Scholar, Scopus, PubMed, Web of Science, Science Direct, SID, Magiran and Irandoc from January 2010 to August 2020. Pooled utilization percentage (UP) was estimated by STATA 15 through random-effects meta-analysis with 95% confidence interval. The I2 statistic was used to investigate the possibility of heterogeneity of articles (I2 ≥ 50% indicate heterogeneity). A forest plot was applied to report the results. A funnel plot exploited due to publication bias assessment.\u0000\u0000\u0000Findings\u0000Approximately 22% of the reviewed articles have been done at the national level of Iran. Most studies have examined the utilization of outpatient and inpatient services. Based on the random effects method, the pooled value of UP was obtained at 47.82%, (95% CI: 39.33–56.31). Also, the pooled percentage of utilization was statistically significant (Test of UP = 0, Z = 456.44, p = 0.000).\u0000\u0000\u0000Practical implications\u0000Policymakers can improve the level of utilization from health services by expanding universal coverage, expanding insurance coverage and removing direct and indirect barriers.\u0000\u0000\u0000Originality/value\u0000To the best of the authors’ knowledge, this is the first systematic review and meta-analysis on health services utilization in Iran that completely considers the utilization rate in all health services and states the practical solutions to cope with utilization deficiencies and barriers.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46457634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-24DOI: 10.1108/ijhrh-02-2022-202
Michael Elnemais Fawzy
First of all, when seeking care, people need to spend money on consultations, hospitalization fees and medications. Since the emergence of a coronavirus disease (2019-nCoV) in December 2019, the whole world is in a state of chaos. In their article entitled “The Mental Health Status of Faculty Members and Students as the Contemporary and Future Health System Providers,” Piroozi, Bakhtiar and his colleagues investigated the mental health of the faculty members and students of Kurdistan University of Medical Sciences using the 28-item General Health Questionnaire (GHQ-28). [...]they discussed the problems faced by mental impairment to the maximum benefit of human rights and then the approaches to the development of the human rights system.
{"title":"Guest editorial","authors":"Michael Elnemais Fawzy","doi":"10.1108/ijhrh-02-2022-202","DOIUrl":"https://doi.org/10.1108/ijhrh-02-2022-202","url":null,"abstract":"First of all, when seeking care, people need to spend money on consultations, hospitalization fees and medications. Since the emergence of a coronavirus disease (2019-nCoV) in December 2019, the whole world is in a state of chaos. In their article entitled “The Mental Health Status of Faculty Members and Students as the Contemporary and Future Health System Providers,” Piroozi, Bakhtiar and his colleagues investigated the mental health of the faculty members and students of Kurdistan University of Medical Sciences using the 28-item General Health Questionnaire (GHQ-28). [...]they discussed the problems faced by mental impairment to the maximum benefit of human rights and then the approaches to the development of the human rights system.","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48084029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-02-02DOI: 10.1108/ijhrh-03-2021-0077
Alana Griffith, Mahalia Jackman
Purpose A consensus in the literature is that anti-gay prejudice has a negative impact on HIV programming for men who have sex with men (MSM). This paper aims to analyse the prevalence and predictors of anti-gay prejudice in Barbados, an island in the Caribbean, and possible impacts on the full recognition of the right to health care. Design/methodology/approach The study used nationally representative data obtained from the Caribbean Development Research Services capturing anti-gay prejudice in Barbados in 2004, 2013 and 2019. The data were analysed using logit models and ordinary least squares regression. Findings The share of persons who expressed feelings of hatred towards gays and lesbians did not change significantly over the period. Social distance attitudes improved between 2004 and 2013 but have not changed since. Men generally expressed more prejudice than women and male sexual prejudice could be localised to three groups – men without tertiary education, men under 51 and members of non-Christian religions. Meanwhile, there was little consistency in the predictors of women’s attitudes over the period. Originality/value This study provides insights into the trends in attitudes towards sexual minorities in a developing country. The main conclusion is that although health care is provided as a universal right to all Barbadians, a strictly medical approach to HIV prevention among MSM in countries with high levels of anti-gay prejudice is insufficient.
{"title":"Barriers to the right to HIV prevention health care for men who have sex with men (MSM) in Barbados: an examination of anti-gay prejudice","authors":"Alana Griffith, Mahalia Jackman","doi":"10.1108/ijhrh-03-2021-0077","DOIUrl":"https://doi.org/10.1108/ijhrh-03-2021-0077","url":null,"abstract":"\u0000Purpose\u0000A consensus in the literature is that anti-gay prejudice has a negative impact on HIV programming for men who have sex with men (MSM). This paper aims to analyse the prevalence and predictors of anti-gay prejudice in Barbados, an island in the Caribbean, and possible impacts on the full recognition of the right to health care.\u0000\u0000\u0000Design/methodology/approach\u0000The study used nationally representative data obtained from the Caribbean Development Research Services capturing anti-gay prejudice in Barbados in 2004, 2013 and 2019. The data were analysed using logit models and ordinary least squares regression.\u0000\u0000\u0000Findings\u0000The share of persons who expressed feelings of hatred towards gays and lesbians did not change significantly over the period. Social distance attitudes improved between 2004 and 2013 but have not changed since. Men generally expressed more prejudice than women and male sexual prejudice could be localised to three groups – men without tertiary education, men under 51 and members of non-Christian religions. Meanwhile, there was little consistency in the predictors of women’s attitudes over the period.\u0000\u0000\u0000Originality/value\u0000This study provides insights into the trends in attitudes towards sexual minorities in a developing country. The main conclusion is that although health care is provided as a universal right to all Barbadians, a strictly medical approach to HIV prevention among MSM in countries with high levels of anti-gay prejudice is insufficient.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48258534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-20DOI: 10.1108/ijhrh-08-2021-0155
G. Agrawal, Aditi Mishra
Purpose This study aims to shed some light on the subject matter of the exploration of public medical coverage and elderly done as such far across the world. To achieve this objective, a comprehensive bibliometric examination was used to investigate papers published between the years 1960 and 2020. An aggregate of 366 papers was selected and analysed for the same. The investigation endeavours to recognise the journals with outstanding performance in this field, distribution of papers concerning the year of their publication, most referred to papers. Then various maps depicting bibliometric networks are provided, namely, the joint-authorship network map, inter-country joint-authorship network map and keyword co-occurrence network map. Design/methodology/approach To achieve the objective of this study, the Scopus database was used for comprehending the vast magnitude of information about numerous papers included in this paper. VOSviewer has been used to create a joint-authorship network map, inter-country joint-authorship network map and keywords concurrences network map. Findings The result of this investigation demonstrates that the highest number of publications came out in the year 2019, the most notable journal is Journal of Aging and Social Policy, and the most referred to research paper is about long-term care insurance (LTCI) in Japan. The USA is the most productive nation with the most elevated number of papers published under its name. Tamiya N. has teamed up with the highest number of authors, which is 29. Again the USA is the nation that participated with the highest number of authors of different countries in the research paper. Originality/value This paper accord with the current writing on public health insurance and elderly. A much far-reaching and solid image of this sector is given using the bibliometric analysis technique. The authors keen on directing future exploration on this topic can take guidance from the results of this study.
{"title":"Public health insurance for elderly: did researchers recognise health as human right for elderly?","authors":"G. Agrawal, Aditi Mishra","doi":"10.1108/ijhrh-08-2021-0155","DOIUrl":"https://doi.org/10.1108/ijhrh-08-2021-0155","url":null,"abstract":"\u0000Purpose\u0000This study aims to shed some light on the subject matter of the exploration of public medical coverage and elderly done as such far across the world. To achieve this objective, a comprehensive bibliometric examination was used to investigate papers published between the years 1960 and 2020. An aggregate of 366 papers was selected and analysed for the same. The investigation endeavours to recognise the journals with outstanding performance in this field, distribution of papers concerning the year of their publication, most referred to papers. Then various maps depicting bibliometric networks are provided, namely, the joint-authorship network map, inter-country joint-authorship network map and keyword co-occurrence network map.\u0000\u0000\u0000Design/methodology/approach\u0000To achieve the objective of this study, the Scopus database was used for comprehending the vast magnitude of information about numerous papers included in this paper. VOSviewer has been used to create a joint-authorship network map, inter-country joint-authorship network map and keywords concurrences network map.\u0000\u0000\u0000Findings\u0000The result of this investigation demonstrates that the highest number of publications came out in the year 2019, the most notable journal is Journal of Aging and Social Policy, and the most referred to research paper is about long-term care insurance (LTCI) in Japan. The USA is the most productive nation with the most elevated number of papers published under its name. Tamiya N. has teamed up with the highest number of authors, which is 29. Again the USA is the nation that participated with the highest number of authors of different countries in the research paper.\u0000\u0000\u0000Originality/value\u0000This paper accord with the current writing on public health insurance and elderly. A much far-reaching and solid image of this sector is given using the bibliometric analysis technique. The authors keen on directing future exploration on this topic can take guidance from the results of this study.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49046304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-17DOI: 10.1108/ijhrh-10-2021-0189
I. Goswami, S. Jithu, Nigel Raylyn Dsilva
Purpose The purpose of this study is to explore the life of the victim’s parents in Karnataka and to gain a better understanding of the consequences or impact of sex trafficking on them. Design/methodology/approach A narrative research design was used in the study. Applying the method of narrative inquiry and the concept of three common spaces, the study explored the actual life situations and experiences of the victim’s parents. The study covered three pairs of parents as participants from two cities, i.e. Mysore and Bangalore in the state of Karnataka. Data was collected through in-depth face-to-face interview, informal conversations, photographs and field notes. Findings The study found that the victims’ parents are living an isolated or socially alienated life with potential symptoms of behavioural, cognitive and emotional disorders. The study also found that the victim’s parents fundamental right to live with dignity and respect have been violated. A significant finding in the study was that the parents did not cite or refer to any substantial efforts undertaken by non-governmental organisations in reintegrating the victim’s families within their communities. There are many rehabilitative services available for the victims. Unfortunately, the victim’s parents mostly remain unnoticed and unattended by therapists, social work practitioners and policymakers. An appeal is made to therapists, social workers, policymakers and individuals to support the victim’s parents. Originality/value All forms of human trafficking, especially sex trafficking has drawn considerable interest from researchers, policymakers, charities and non-government agencies. However, very little is known about the living conditions of the victim’s parents, especially the psycho-social status in their families and neighbourhood. Therefore, it was pertinent to explore the life of the victim’s parents including violation of their human rights. It highlights the importance of support from the society in reintegrating the victim’s families with their communities. This paper contributes to the qualitative literature by providing narrative evidence, which will lead to better policymaking and designing effective support services for the victim’s parents.
{"title":"A narrative study on the psycho-social impact of sex trafficking on victim’s parents in the state of Karnataka","authors":"I. Goswami, S. Jithu, Nigel Raylyn Dsilva","doi":"10.1108/ijhrh-10-2021-0189","DOIUrl":"https://doi.org/10.1108/ijhrh-10-2021-0189","url":null,"abstract":"\u0000Purpose\u0000The purpose of this study is to explore the life of the victim’s parents in Karnataka and to gain a better understanding of the consequences or impact of sex trafficking on them.\u0000\u0000\u0000Design/methodology/approach\u0000A narrative research design was used in the study. Applying the method of narrative inquiry and the concept of three common spaces, the study explored the actual life situations and experiences of the victim’s parents. The study covered three pairs of parents as participants from two cities, i.e. Mysore and Bangalore in the state of Karnataka. Data was collected through in-depth face-to-face interview, informal conversations, photographs and field notes.\u0000\u0000\u0000Findings\u0000The study found that the victims’ parents are living an isolated or socially alienated life with potential symptoms of behavioural, cognitive and emotional disorders. The study also found that the victim’s parents fundamental right to live with dignity and respect have been violated. A significant finding in the study was that the parents did not cite or refer to any substantial efforts undertaken by non-governmental organisations in reintegrating the victim’s families within their communities. There are many rehabilitative services available for the victims. Unfortunately, the victim’s parents mostly remain unnoticed and unattended by therapists, social work practitioners and policymakers. An appeal is made to therapists, social workers, policymakers and individuals to support the victim’s parents.\u0000\u0000\u0000Originality/value\u0000All forms of human trafficking, especially sex trafficking has drawn considerable interest from researchers, policymakers, charities and non-government agencies. However, very little is known about the living conditions of the victim’s parents, especially the psycho-social status in their families and neighbourhood. Therefore, it was pertinent to explore the life of the victim’s parents including violation of their human rights. It highlights the importance of support from the society in reintegrating the victim’s families with their communities. This paper contributes to the qualitative literature by providing narrative evidence, which will lead to better policymaking and designing effective support services for the victim’s parents.\u0000","PeriodicalId":14129,"journal":{"name":"International Journal of Human Rights in Healthcare","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2022-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49236305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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