Pub Date : 2018-01-01DOI: 10.1504/IJBHR.2018.10023020
Oluwatosin E. Ilevbare, A. Adegoke, Olamiji J. Onifade
The study investigated the adoption of cervical cancer screening (CCS) among women in Ibadan, Nigeria. The relationship between knowledge and adoption of CCS; and relationship between perception (perceived barriers and perceived benefits) and adoption of CCS among the study population were examined. The data collected from 1,000 women were analysed using appropriate statistical and econometrics techniques. A low (12.3%) uptake of cervical cancer screening was reported, knowledge had no significant relationship with screening uptake; there was however a significant relationship between perceived barriers to screening (OR = 1.078, 95% C.I. = 1.007-1.153, p = 0.30) and screening uptake. It concluded that there is an abysmal poor level of knowledge and subsequent low uptake of cervical cancer screening among women in Ibadan, however there is a future intention to uptake the screening if the screening services are available close to them, at a reduced cost and when socio-cultural barriers are adequately addressed.
该研究调查了尼日利亚伊巴丹妇女采用宫颈癌筛查(CCS)的情况。知识与CCS采用的关系研究研究人群中认知(感知障碍和感知益处)与CCS采用之间的关系。使用适当的统计和计量经济学技术对从1000名妇女收集的数据进行了分析。据报道，宫颈癌筛查的接受率很低(12.3%)，知识与筛查的接受率无显著关系;然而，感知到的筛查障碍(OR = 1.078, 95% ci = 1.007-1.153, p = 0.30)与筛查接受度之间存在显著关系。研究得出的结论是，伊巴丹妇女对宫颈癌筛查的知识水平非常低，因此接受筛查的人数很少，但是，如果筛查服务在她们附近提供，费用降低，并且社会文化障碍得到充分解决，那么今后她们打算接受筛查。
{"title":"Adopting innovative approaches to cervical cancer screening among women in developing countries: evidence from Nigeria","authors":"Oluwatosin E. Ilevbare, A. Adegoke, Olamiji J. Onifade","doi":"10.1504/IJBHR.2018.10023020","DOIUrl":"https://doi.org/10.1504/IJBHR.2018.10023020","url":null,"abstract":"The study investigated the adoption of cervical cancer screening (CCS) among women in Ibadan, Nigeria. The relationship between knowledge and adoption of CCS; and relationship between perception (perceived barriers and perceived benefits) and adoption of CCS among the study population were examined. The data collected from 1,000 women were analysed using appropriate statistical and econometrics techniques. A low (12.3%) uptake of cervical cancer screening was reported, knowledge had no significant relationship with screening uptake; there was however a significant relationship between perceived barriers to screening (OR = 1.078, 95% C.I. = 1.007-1.153, p = 0.30) and screening uptake. It concluded that there is an abysmal poor level of knowledge and subsequent low uptake of cervical cancer screening among women in Ibadan, however there is a future intention to uptake the screening if the screening services are available close to them, at a reduced cost and when socio-cultural barriers are adequately addressed.","PeriodicalId":90540,"journal":{"name":"International journal of behavioural & healthcare research","volume":"6 1","pages":"268"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66661889","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 : 2018-01-01DOI: 10.1504/ijbhr.2018.10023019
N. Asiamah, Frank Frimpong Opuni, Francis Kofi Sobre Frimpong
This study investigates healthcare quality delivery as a potential way of achieving word-of-mouth and some beneficial outcomes that serve as customers' payback to private hospitals. A cross-sectional correlational design was employed to assess key relationships. A self-reported questionnaire was used to collect data from 481 volunteer patients of private hospitals in Accra. Pearson's correlation test and structural equation modelling (SEM) were used to present findings. Healthcare quality in terms of tangibles, empathy, and responsiveness is positively associated with patients' word-of-mouth communication, which in turn makes a significant positive effect on hospital revisits, number of new patients referred, and service experience (of existing patients) at 1% significance level. The study concludes that private hospitals can improve their revenue base and make their services sustainable by achieving and improving patients' word-of-mouth communication through the delivery of quality healthcare.
{"title":"Leveraging word-of-mouth as a payback from patients of private hospitals: the role of healthcare quality delivery","authors":"N. Asiamah, Frank Frimpong Opuni, Francis Kofi Sobre Frimpong","doi":"10.1504/ijbhr.2018.10023019","DOIUrl":"https://doi.org/10.1504/ijbhr.2018.10023019","url":null,"abstract":"This study investigates healthcare quality delivery as a potential way of achieving word-of-mouth and some beneficial outcomes that serve as customers' payback to private hospitals. A cross-sectional correlational design was employed to assess key relationships. A self-reported questionnaire was used to collect data from 481 volunteer patients of private hospitals in Accra. Pearson's correlation test and structural equation modelling (SEM) were used to present findings. Healthcare quality in terms of tangibles, empathy, and responsiveness is positively associated with patients' word-of-mouth communication, which in turn makes a significant positive effect on hospital revisits, number of new patients referred, and service experience (of existing patients) at 1% significance level. The study concludes that private hospitals can improve their revenue base and make their services sustainable by achieving and improving patients' word-of-mouth communication through the delivery of quality healthcare.","PeriodicalId":90540,"journal":{"name":"International journal of behavioural & healthcare research","volume":"6 1","pages":"251"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66661848","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 : 2018-01-01DOI: 10.1504/IJBHR.2018.10023065
S. Rahman, Monowar Hossein, Md Shahedul Alam, Md Hasan Shahriar, Imtiaj Rasul, A. Zubair
International conventions strictly restrict children from working in hazardous occupations like bidi production. This research aimed at investigating child labour situation in bidi factories operating in the northern part of Bangladesh. The study followed qualitative techniques in an interpretive approach to deduce the phenomenon. Observation was the tool to explore working condition inside the factory, along with group discussion, key informant interview and in-depth interview. Four cases were also studied. The study found that around 50-70% of the labours were children, while the actual number was inconclusive. The family, due to poverty, and tobacco industry, for financial benefit, let adolescents work in bidi factories. Implementation of laws, measures to reduce demand and supply of bidi, and awareness among families are suggested to reduce the number of child labour. Child impact analysis and longitudinal research may be initiated further to analyse the changes in the career of children when grown up.
{"title":"Short-term (private) gains at the cost of long-term (public) benefits: child labour in bidi factories of Bangladesh","authors":"S. Rahman, Monowar Hossein, Md Shahedul Alam, Md Hasan Shahriar, Imtiaj Rasul, A. Zubair","doi":"10.1504/IJBHR.2018.10023065","DOIUrl":"https://doi.org/10.1504/IJBHR.2018.10023065","url":null,"abstract":"International conventions strictly restrict children from working in hazardous occupations like bidi production. This research aimed at investigating child labour situation in bidi factories operating in the northern part of Bangladesh. The study followed qualitative techniques in an interpretive approach to deduce the phenomenon. Observation was the tool to explore working condition inside the factory, along with group discussion, key informant interview and in-depth interview. Four cases were also studied. The study found that around 50-70% of the labours were children, while the actual number was inconclusive. The family, due to poverty, and tobacco industry, for financial benefit, let adolescents work in bidi factories. Implementation of laws, measures to reduce demand and supply of bidi, and awareness among families are suggested to reduce the number of child labour. Child impact analysis and longitudinal research may be initiated further to analyse the changes in the career of children when grown up.","PeriodicalId":90540,"journal":{"name":"International journal of behavioural & healthcare research","volume":"6 1","pages":"167"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66661902","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 : 2018-01-01DOI: 10.1504/IJBHR.2018.10023072
Hasliza Hassan, Muhammad Sabbir Rahman, A. B. Sade
Slimming centres are one of the places commonly considered by people who wish to reshape their body figure, especially women. These slimming centres use technology innovations as a medium to provide slimming treatments to the guests. This research examines the behavioural intention of the guests to experience the technology innovations in Malaysian slimming centres. Primary data were collected through a survey questionnaire handed to those guests who had experienced or were currently experiencing the technology innovations in slimming centres. For confirmatory factor analysis and structural equation modelling, 308 data were used. The performance expectancy and facilitating conditions are the key influencing behavioural intentions for the guests to experience the technology innovations at slimming centres. On reflection, the effort expectancy and social influence do not directly encourage the guests to experience the slimming treatment. A high standard of performance expectancy and facilitating conditions that could be provided by the slimming centres encourage the guests to try and continuously experience the services provided. These two criteria should be the pillars to market the technology innovations of the slimming centres. This research has identified the main behavioural intentions for the guests to experience the technology innovations in slimming centres.
{"title":"Guest-centric technology innovations at slimming centres","authors":"Hasliza Hassan, Muhammad Sabbir Rahman, A. B. Sade","doi":"10.1504/IJBHR.2018.10023072","DOIUrl":"https://doi.org/10.1504/IJBHR.2018.10023072","url":null,"abstract":"Slimming centres are one of the places commonly considered by people who wish to reshape their body figure, especially women. These slimming centres use technology innovations as a medium to provide slimming treatments to the guests. This research examines the behavioural intention of the guests to experience the technology innovations in Malaysian slimming centres. Primary data were collected through a survey questionnaire handed to those guests who had experienced or were currently experiencing the technology innovations in slimming centres. For confirmatory factor analysis and structural equation modelling, 308 data were used. The performance expectancy and facilitating conditions are the key influencing behavioural intentions for the guests to experience the technology innovations at slimming centres. On reflection, the effort expectancy and social influence do not directly encourage the guests to experience the slimming treatment. A high standard of performance expectancy and facilitating conditions that could be provided by the slimming centres encourage the guests to try and continuously experience the services provided. These two criteria should be the pillars to market the technology innovations of the slimming centres. This research has identified the main behavioural intentions for the guests to experience the technology innovations in slimming centres.","PeriodicalId":90540,"journal":{"name":"International journal of behavioural & healthcare research","volume":"6 1","pages":"200"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66661948","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 : 2018-01-01DOI: 10.1504/IJBHR.2018.10023017
Henry Kofi Mensah, Samuel Awuni Azinga, N. Asiamah
This study examined the effect of love of money and materialism on nurses' intention to quit their jobs. Primary (cross-sectional) data was gathered and used in this study. We applied a quantitative technique to evaluate relationships of interest, and the simple random sampling procedure was used to select 456 nurses across hospitals in Accra, Ghana. A self-reported questionnaire was used to gather data. Pearson's correlation test and structural equation modelling (SEM) were used to analyse data, with potential confounding variables controlled for. The structural SEM model produced a good fit at 5% significance level [χ2 = 1.543; p = 0.401]. Materialism made a significant positive effect on love of money and intention to quit (p < 0.05), while love of money did not predict the intention of nurses to quit. The study concluded that nurses' avoidance of materialism and love of money can be a way to reduce their intention to quit. Cutting back on the pay of nurses is however not a suitable way to discourage materialism and love of money, but programs can be instituted to motivate nurses to spend money productively and channel surplus income into high yielding provident funds.
{"title":"Eschewing Love of Money and Materialism: A Potential Step Towards Avoiding Nurses Intention to Quit","authors":"Henry Kofi Mensah, Samuel Awuni Azinga, N. Asiamah","doi":"10.1504/IJBHR.2018.10023017","DOIUrl":"https://doi.org/10.1504/IJBHR.2018.10023017","url":null,"abstract":"This study examined the effect of love of money and materialism on nurses' intention to quit their jobs. Primary (cross-sectional) data was gathered and used in this study. We applied a quantitative technique to evaluate relationships of interest, and the simple random sampling procedure was used to select 456 nurses across hospitals in Accra, Ghana. A self-reported questionnaire was used to gather data. Pearson's correlation test and structural equation modelling (SEM) were used to analyse data, with potential confounding variables controlled for. The structural SEM model produced a good fit at 5% significance level [χ2 = 1.543; p = 0.401]. Materialism made a significant positive effect on love of money and intention to quit (p < 0.05), while love of money did not predict the intention of nurses to quit. The study concluded that nurses' avoidance of materialism and love of money can be a way to reduce their intention to quit. Cutting back on the pay of nurses is however not a suitable way to discourage materialism and love of money, but programs can be instituted to motivate nurses to spend money productively and channel surplus income into high yielding provident funds.","PeriodicalId":90540,"journal":{"name":"International journal of behavioural & healthcare research","volume":"1 1","pages":"225"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66661778","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 : 2018-01-01DOI: 10.1504/IJBHR.2018.10023018
Shaimaa Fatah, W. Khairy, M. Salem
Clients satisfaction has long been considered an important component when measuring primary healthcare PHC outcomes and quality of care. The objective of this study is to measure clients' satisfaction with primary healthcare services in El Talbia Family Health Centre (FHC). Through an exploratory cross-sectional facility-based study, 200 clients were interviewed about their degree of satisfaction with services. The data were collected by a pre-tested standardised client satisfaction questionnaire (CS-42) and analysed by SPSS software. Mean age of participants was 29.8 + 7.19 years. The mean of the overall satisfaction score was 0.97+ 0.38 out of 2. The highest mean score of satisfaction for the aspect of services was for affordability (1.72) followed the humanness of staff (1.59). PHC could be recommended as a comprehensive strategy to provide health services in public health. Paying attention to client's satisfaction is a basic step for quality improvement and should be done intermittently.
{"title":"Key determinants of client satisfaction with primary healthcare services","authors":"Shaimaa Fatah, W. Khairy, M. Salem","doi":"10.1504/IJBHR.2018.10023018","DOIUrl":"https://doi.org/10.1504/IJBHR.2018.10023018","url":null,"abstract":"Clients satisfaction has long been considered an important component when measuring primary healthcare PHC outcomes and quality of care. The objective of this study is to measure clients' satisfaction with primary healthcare services in El Talbia Family Health Centre (FHC). Through an exploratory cross-sectional facility-based study, 200 clients were interviewed about their degree of satisfaction with services. The data were collected by a pre-tested standardised client satisfaction questionnaire (CS-42) and analysed by SPSS software. Mean age of participants was 29.8 + 7.19 years. The mean of the overall satisfaction score was 0.97+ 0.38 out of 2. The highest mean score of satisfaction for the aspect of services was for affordability (1.72) followed the humanness of staff (1.59). PHC could be recommended as a comprehensive strategy to provide health services in public health. Paying attention to client's satisfaction is a basic step for quality improvement and should be done intermittently.","PeriodicalId":90540,"journal":{"name":"International journal of behavioural & healthcare research","volume":"6 1","pages":"237"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66661827","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 : 2018-01-01DOI: 10.1504/IJBHR.2018.10018165
Siti Rohana Ahmad, W. Mohammad, Normalinda Yaacob, M. Z. Jaeb, Zalmizy Hussin
Good glycaemic control is known to have an effect on TB treatment success. This study aimed to describe the sociodemographic and clinical profile, diabetes knowledge and diabetes self-care activities among diabetes patients being treated for TB disease and examine how does their diabetes self-care activities related to blood glucose control. A cross-sectional study involving 97 TB patients with diabetes undergoing treatment of TB in the 27 public TB treatment centres in Kelantan, Malaysia was conducted from 1st May 2017 to 30th June 2017. Diabetes knowledge and self-care activities were assessed using questionnaires. The mean diabetes knowledge and diabetes self-care score were low, 6.89 ± 1.22 and 30.47 ± 3.45, respectively. Diabetes self-care activities score had significant relationship with HbA1c level (β = −0.06, p-value = 0.002). The results demonstrated an inadequate diabetes knowledge and self-care activities and a connection between low diabetes self-care activities and poor glycaemic control.
{"title":"Diabetes knowledge and self-care activities among tuberculosis patients with diabetes in Malaysia","authors":"Siti Rohana Ahmad, W. Mohammad, Normalinda Yaacob, M. Z. Jaeb, Zalmizy Hussin","doi":"10.1504/IJBHR.2018.10018165","DOIUrl":"https://doi.org/10.1504/IJBHR.2018.10018165","url":null,"abstract":"Good glycaemic control is known to have an effect on TB treatment success. This study aimed to describe the sociodemographic and clinical profile, diabetes knowledge and diabetes self-care activities among diabetes patients being treated for TB disease and examine how does their diabetes self-care activities related to blood glucose control. A cross-sectional study involving 97 TB patients with diabetes undergoing treatment of TB in the 27 public TB treatment centres in Kelantan, Malaysia was conducted from 1st May 2017 to 30th June 2017. Diabetes knowledge and self-care activities were assessed using questionnaires. The mean diabetes knowledge and diabetes self-care score were low, 6.89 ± 1.22 and 30.47 ± 3.45, respectively. Diabetes self-care activities score had significant relationship with HbA1c level (β = −0.06, p-value = 0.002). The results demonstrated an inadequate diabetes knowledge and self-care activities and a connection between low diabetes self-care activities and poor glycaemic control.","PeriodicalId":90540,"journal":{"name":"International journal of behavioural & healthcare research","volume":"6 1","pages":"214"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66661269","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 : 2018-01-01DOI: 10.1504/IJBHR.2018.10023066
E. Y. Tweneboah-Koduah, Nkukpornu Atsu, R. Odoom
The application of social marketing has achieved profound success in health-related areas, social vices and environmental concerns in both developed and developing country contexts. The purpose of this paper is to understand behavioural change in cholera prevention using the health belief model (HBM) in social marketing from a developing country context. The study collected data from 250 respondents in Accra. Reliability and validity analyses were conducted on the data, followed by exploratory factor analysis (EFA) in SPSS, followed by confirmatory factor analysis (CFA) in AMOS version 22. Following the preliminary analyses, the data was subjected to multiple regression analysis to test the hypothesised relationships proposed in the model. The study found that, among the constructs of the HBM, perceived susceptibility, perceived barriers, cues to action and self-efficacy are statistically significant in explaining people's behaviour towards cholera prevention. This study has contributed significantly to social marketing literature by applying the HBM in social marketing on cholera prevention in the Ghanaian context.
在发达国家和发展中国家，社会营销的应用在保健领域、社会服务和环境问题方面取得了巨大成功。本文的目的是了解行为变化在霍乱预防使用健康信念模型(HBM)在社会营销从发展中国家的背景下。该研究收集了阿克拉250名受访者的数据。对数据进行信度和效度分析，然后在SPSS中进行探索性因子分析(EFA)，在AMOS version 22中进行验证性因子分析(CFA)。在初步分析之后，对数据进行多元回归分析，以检验模型中提出的假设关系。该研究发现，在HBM的构念中，感知易感性、感知障碍、行动线索和自我效能在解释人们对霍乱预防的行为方面具有统计学意义。本研究通过将HBM应用于加纳霍乱预防的社会营销，对社会营销文献做出了重大贡献。
{"title":"Using the health belief model in social marketing for cholera prevention","authors":"E. Y. Tweneboah-Koduah, Nkukpornu Atsu, R. Odoom","doi":"10.1504/IJBHR.2018.10023066","DOIUrl":"https://doi.org/10.1504/IJBHR.2018.10023066","url":null,"abstract":"The application of social marketing has achieved profound success in health-related areas, social vices and environmental concerns in both developed and developing country contexts. The purpose of this paper is to understand behavioural change in cholera prevention using the health belief model (HBM) in social marketing from a developing country context. The study collected data from 250 respondents in Accra. Reliability and validity analyses were conducted on the data, followed by exploratory factor analysis (EFA) in SPSS, followed by confirmatory factor analysis (CFA) in AMOS version 22. Following the preliminary analyses, the data was subjected to multiple regression analysis to test the hypothesised relationships proposed in the model. The study found that, among the constructs of the HBM, perceived susceptibility, perceived barriers, cues to action and self-efficacy are statistically significant in explaining people's behaviour towards cholera prevention. This study has contributed significantly to social marketing literature by applying the HBM in social marketing on cholera prevention in the Ghanaian context.","PeriodicalId":90540,"journal":{"name":"International journal of behavioural & healthcare research","volume":"6 1","pages":"183"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66661910","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 : 2016-12-28DOI: 10.1504/IJBHR.2016.10002014
S. Fashoto, F. Uzoka, G. U. Okpokpo
Nigeria is a large, well-populated and developing country in the sub-Sahara Africa. Given its low pace of development, economic and social challenges, and ineffective and inefficient public policies and programs, health sector development has become a very big challenge. The consequences of this are high levels of health issues and low life expectancy. Health reforms and policies have been lopsided against the majority, thus creating issues of affordability for a vast majority of the populace. In this study, we utilised the analytical hierarchy process (AHP) in modelling healthcare financing. The research shows that access (47.4%) and cost (30.3%) are critical factors in healthcare financing. Also, primary healthcare is considered of paramount importance, and needs to be better funded.
{"title":"Application of the analytical hierarchy process to optimisation of healthcare financing","authors":"S. Fashoto, F. Uzoka, G. U. Okpokpo","doi":"10.1504/IJBHR.2016.10002014","DOIUrl":"https://doi.org/10.1504/IJBHR.2016.10002014","url":null,"abstract":"Nigeria is a large, well-populated and developing country in the sub-Sahara Africa. Given its low pace of development, economic and social challenges, and ineffective and inefficient public policies and programs, health sector development has become a very big challenge. The consequences of this are high levels of health issues and low life expectancy. Health reforms and policies have been lopsided against the majority, thus creating issues of affordability for a vast majority of the populace. In this study, we utilised the analytical hierarchy process (AHP) in modelling healthcare financing. The research shows that access (47.4%) and cost (30.3%) are critical factors in healthcare financing. Also, primary healthcare is considered of paramount importance, and needs to be better funded.","PeriodicalId":90540,"journal":{"name":"International journal of behavioural & healthcare research","volume":"6 1","pages":"58"},"PeriodicalIF":0.0,"publicationDate":"2016-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66661605","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 : 2016-12-28DOI: 10.1504/IJBHR.2016.10002017
A. O. Odongo, W. Moturi, S. N. Wangari
Geophagia is deliberate consumption of earths' materials e.g., soil. It is a widespread practice among pregnant women in Kenya. Various hypotheses on geophagia have been advanced and there are conflicting views as to whether it is beneficial to health or not. Geophagia materials may be a source of micronutrients especially zinc and iron although the materials may bind some of these micronutrients consequently reducing or hindering their bioavailability in the body. This study focused on determination of prevalence rate of geophagia and factors influencing it, sources and types of consumed geophagia materials. The research design was descriptive cross-sectional study whereas data collection was by structured questionnaire and observations. A total of 431 pregnant women in various stages of pregnancy were recruited in the study. Both point and period prevalence rates of geophagia were determined to be 35% and 58% pregnant women respectively. There was a statistical significant difference in the prevalence rate among the geophagous pregnant women in the different trimesters of pregnancy (ρ = 0.00, x2 = 19.41). However there was no statistical significant difference in the prevalence rate among the geophagous pregnant women with different levels of education (ρ = 0.34, x2 = 4.51).
{"title":"Geophagic behaviour and factors influencing it among pregnant women: a case study of Nakuru Municipality, Kenya","authors":"A. O. Odongo, W. Moturi, S. N. Wangari","doi":"10.1504/IJBHR.2016.10002017","DOIUrl":"https://doi.org/10.1504/IJBHR.2016.10002017","url":null,"abstract":"Geophagia is deliberate consumption of earths' materials e.g., soil. It is a widespread practice among pregnant women in Kenya. Various hypotheses on geophagia have been advanced and there are conflicting views as to whether it is beneficial to health or not. Geophagia materials may be a source of micronutrients especially zinc and iron although the materials may bind some of these micronutrients consequently reducing or hindering their bioavailability in the body. This study focused on determination of prevalence rate of geophagia and factors influencing it, sources and types of consumed geophagia materials. The research design was descriptive cross-sectional study whereas data collection was by structured questionnaire and observations. A total of 431 pregnant women in various stages of pregnancy were recruited in the study. Both point and period prevalence rates of geophagia were determined to be 35% and 58% pregnant women respectively. There was a statistical significant difference in the prevalence rate among the geophagous pregnant women in the different trimesters of pregnancy (ρ = 0.00, x2 = 19.41). However there was no statistical significant difference in the prevalence rate among the geophagous pregnant women with different levels of education (ρ = 0.34, x2 = 4.51).","PeriodicalId":90540,"journal":{"name":"International journal of behavioural & healthcare research","volume":"6 1","pages":"28"},"PeriodicalIF":0.0,"publicationDate":"2016-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66661699","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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