影响农村社区获得卫生保健设施的因素:以喀麦隆巴厘-尼永加分区为例

Maturin Désiré Sop Sop, Basile Eloundou Messi
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摘要

在农村地区充分和公平地分配保健设施对人力资本发展至关重要。该研究确定距离是影响巴厘-尼永加省卫生设施利用的一个因素。该研究的主要目的是评估巴厘岛-尼永加地区距离医疗保健的社会经济影响。通过实地观察、面对面访谈和问卷调查收集数据。二手资料包括以相关文献综述的形式呈现的已发表和未发表的资料。使用描述性措施分析数据,并以表格、图表、百分比和图形的形式呈现。在道路条件非常差的巴厘-尼永加,距离最近的保健设施的距离成为影响利用的最重要因素。妇女、老年人、体弱多病者、文盲和穷人等弱势群体受距离衰减的影响并不大。这项研究产生的政策影响表明,需要缩短改善保健的距离,以提高该地区各种社会经济群体的可及性和改善保健服务。建议加强努力,通过增加保健设施的数量、运输和提高农村土著居民的认识,改善农村地区保健设施的可及性。
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Factors affecting access to health care facilities in a rural Community: The case of Bali-Nyonga Sub-Division, Cameroun
Adequate and equitable distribution of health care facilities in rural areas is critical to human capital development. The study determines distance as a factor influencing utilization of health facilities in Bali-Nyonga. The main objective of the research is to evaluate the socio-economic effect of distance to health care in Bali-Nyonga. Data for this were gathered through field observation, face to face interview and questionnaires. Data from secondary sources included publish and unpublished material which was presented in form of related literature review. The data were analyzed using descriptive measures and presented in the form of tables, chart, percentages and graphs. In Bali-Nyonga, where the condition of roads is very poor, distance from the nearest health facility emerges as the most important factor influencing utilization. The vulnerable groups of women, the age, sickly, the illiterate and the poor were not found to be more strongly affected by distance decay. The policy implication arising from this study suggest that distance to improve health care needs to be reduce to enhance accessibility and to improved health service by various socio-economic groups in the area. It was recommended to strengthen the efforts to improve accessibilities of health care facilities in the rural areas by increasing the number of health facilities, transport and sensitization of the rural indigenes.
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