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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Kumar, Rajesh Gupta, Madhu Prinja, Shankar |
| Spatial Coverage | India |
| Description | Author Affiliation: Kumar R ( Department of Community Medicine, School of Public Health, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, 160012, India, dr.rajeshkumar@gmail.com.) |
| Abstract | OBJECTIVE: To estimate illness burden, treatment sources, and out-of-pocket (OOP) expenditures among <2-y-olds as mortality is higher in this age group. METHODS: This prospective study was conducted in rural area of Haryana from January through June 2007. At baseline, 6828 children (<2-y-olds) were enrolled from 169 villages of Khizrabad block in Haryana. Thirty trained volunteers interviewed their mothers/caretakers at fortnightly interval to record symptoms and signs of illnesses occurring in past two weeks and the treatment sought. Five supervisors obtained data on Out-of-Pocket (OOP) expenditures from 20 % randomly selected households who had reported illness. The main outcome measures were illness burden, treatment sources and OOP expenditures. RESULTS: Overall, 8 % (4,893/60,910) of the <2-y-olds suffered from illness during 12 fortnightly surveys. Incidence was estimated to be 2.1 episodes per child per year. Acute respiratory infections (ARI) and diarrhea were the leading illnesses (66.3 % and 19.4 % respectively). Most (98 %) had consulted a health care provider. Village practitioners were the major (71 %) healthcare providers. About 12 % of the children were hospitalized. Consultations were mostly (98 %) with private medical practitioners. Average OOP expenditure was Rs. 444 (95 % CI 299 to 589) per episode; Rs. 203 (95 % CI 188 to 232) and Rs. 5,734 (95%CI 3,336 to 8,131) in the out-patient and in-patient department respectively. CONCLUSIONS: ARI and diarrhea continue to be the commonest illness among <2-y-olds. Most patients seek care in private sector and pay for the treatment from out-of-pocket source. Access to healthcare needs to be enhanced in public sector to reduce the financial burden. |
| File Format | HTM / HTML |
| ISSN | 00195456 |
| Issue Number | 12 |
| Volume Number | 81 |
| e-ISSN | 09737693 |
| Journal | The Indian Journal of Pediatrics |
| Language | English |
| Publisher | Springer |
| Publisher Date | 2014-12-01 |
| Publisher Place | India |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Pediatrics Cost Of Illness Health Care Costs Statistics & Numerical Data Health Expenditures Patient Acceptance Of Health Care Female Humans India Epidemiology Infant Infant, Newborn Male Prospective Studies Rural Population Journal Article Research Support, Non-u.s. Gov't |
| Content Type | Text |
| Resource Type | Article |
| Subject | Pediatrics, Perinatology and Child Health |
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