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Children’s health perception through creative drawing language; A perceção de saúde das crianças expressa na linguagem criativa dos desenhos; Percepción de la salud de los niños expresada en el lenguaje creativo de los dibujos

Rodrigues, Manuel Alves; Cruz, Dulce D
Fonte: Nursing Research and Education Publicador: Nursing Research and Education
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
56.17%
Objective. Children’s health perception through creative drawing language the identification of external factors perceived as negative or positive to health by children. Methodology. A descriptive study that describes the analysis of the expressive language of drawings and written comments. The sample consisted of 130 children in 3rd and 4th classes from four randomly selected schools, in the region of Central Portugal Continental (Coimbra district). The study was conducted during the first semester of 2011. The data collection was performed by means of Rodrigues’ drawing/writing sheet. This sheet is divided in 4 areas (2 of them to draw what children consider good for health and the other 2 to write the content or message of the drawings). The themes expressed are classified based on the priority areas for the promotion of healthy lifestyles. Results. children value healthy food, physical activity, mental health, prevention of inappropriate substance consumption and health and environment. The drawings and comments show links between diet and physical exercise, and between mental health and interpersonal relationships. Conclusion. Drawings and comments facilitate health professionals understanding of children’s perception of health positive and negative factors. The results of the study allow planning intervention strategies in school health from infant perception.

Effects of Enrollment in Medicaid Versus the State Children’s Health Insurance Program on Kindergarten Children’s Untreated Dental Caries

Brickhouse, Tegwyn H.; Rozier, R. Gary; Slade, Gary D.
Fonte: American Public Health Association Publicador: American Public Health Association
Tipo: Artigo de Revista Científica
Publicado em /05/2008 EN
Relevância na Pesquisa
56.07%
Objectives. We compared levels of untreated dental caries in children enrolled in public insurance programs with those in nonenrolled children to determine the impact of public dental insurance and the type of plan (Medicaid vs State Children’s Health Insurance Program [SCHIP]) on untreated dental caries in children.

Effects of Enrollment in Medicaid versus the State Children's Health Insurance Program on kindergarten children's untreated dental caries

Brickhouse, T.; Rozier, R.; Slade, G.
Fonte: Amer Public Health Assoc Inc Publicador: Amer Public Health Assoc Inc
Tipo: Artigo de Revista Científica
Publicado em //2008 EN
Relevância na Pesquisa
56.18%
Objectives. We compared levels of untreated dental caries in children enrolled in public insurance programs with those in nonenrolled children to determine the impact of public dental insurance and the type of plan (Medicaid vs State Children’s Health Insurance Program [SCHIP]) on untreated dental caries in children. Methods. Dental health outcomes were obtained through a calibrated oral screening of kindergarten children (enrolled in the 2000–2001 school year). We obtained eligibility and claims data for children enrolled in Medicaid and SCHIP who were eligible for dental services during 1999 to 2000. We developed logistic regression models to compare children’s likelihood and extent of untreated dental caries according to enrollment. Results. Children enrolled in Medicaid or SCHIP were 1.7 times (95% confidence interval [CI] = 1.65, 1.77) more likely to have untreated dental caries than were nonenrolled children. SCHIP-enrolled children were significantly less likely to have untreated dental caries than were Medicaid-enrolled children (odds ratio [OR]=0.74; 95% CI=0.67, 0.82). According to a 2-part regression model, children enrolled in Medicaid or SCHIP have 17% more untreated dental caries than do nonenrolled children, whereas those in SCHIP had 16% fewer untreated dental caries than did those in Medicaid. Conclusions. Untreated tooth decay continues to be a significant problem for children with public insurance coverage. Children who participated in a separate SCHIP program had fewer untreated dental caries than did children enrolled in Medicaid.; Tegwyn H. Brickhouse...

Does maternal employment augment spending for children's health care? A test from Haryana, India

Berman, Peter; Zeitlin, Jennifer; Roy, Prodipto; Khumtakar, Sarojini
Fonte: Health Transition Centre, National Centre for Epidemiology and Population Health, The Australian National University Publicador: Health Transition Centre, National Centre for Epidemiology and Population Health, The Australian National University
Tipo: Artigo de Revista Científica Formato: 61901 bytes; application/pdf
EN_AU
Relevância na Pesquisa
56.14%
Evidence that women's employment and earnings foster increased allocations of household resources to children's well-being have led to advocacy of investment in women's employment as a method for targeting the social benefits of enhanced economic opportunity. Work and associated earnings are hypothesized to empower women, who can then exercise their individual preferences for spending on child well-being as well as influence household spending patterns. This paper presents results from a small detailed household and community study of maternal employment and child health in northern India (one of six studies in a research network), which sought to show that such effects did indeed occur and that they could be linked to work characteristics. Careful analysis of employment and earnings showed that they are multidimensional and highly variable over occupations and seasons. Contrary to expectations, spending on health care for children's illness episodes was negatively associated with maternal employment and earnings variables in econometric analysis. The expected individual effects on women of work and earnings, if they did occur, were not sufficient to alter the general spending pattern. We conclude that the attributes of work as well as the social and cultural environment are important mediators of such effects...

Social inequality and children's growth in Guatemala

Pebley, Anne R; Goldman, Noreen
Fonte: Health Transition Centre, National Centre for Epidemiology and Population Health, Publicador: Health Transition Centre, National Centre for Epidemiology and Population Health,
Tipo: Artigo de Revista Científica Formato: 62462 bytes; application/pdf
EN_AU
Relevância na Pesquisa
66.24%
This paper is an investigation of the effects of social inequality in Guatemala on children’s health and nutritional status as measured by attained height. Guatemala remains a highly stratified and poor society. We examine the association of land distribution, land tenure, occupation, and other aspects of family social and economic status with children’s height between the ages of three months and 36 months, using data from a cross-sectional survey. An important consequence of the poverty and poor living conditions of the majority of the Guatemalan population is substantial deficits in children’s growth. Our results suggest that children’s growth is affected by ethnicity, their father’s occupation, land distribution in the area where they live, and maternal education. Substantial growth deficits are observed among children living at altitudes above 1500 metres; we hypothesize that this is because, in Guatemala, higher altitude is associated with land scarcity, poorer agricultural conditions, and greater remoteness from transport networks and other public services.; yes

Children's Health Opportunities and Project Evaluation : Mexico's Oportunidades Program

Van de gaer, Dirk; Vandenbossche, Joost; Figueroa, José Luis
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Policy Research Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
56.16%
This paper proposes a methodology to evaluate social projects from the perspective of children's opportunities on the basis of the effects of these projects on the distribution of outcomes. The evaluation is conditioned on characteristics for which individuals are not responsible; in this case, parental education level and indigenous background. The methodology is applied to evaluate the effects on children's health opportunities of Mexico's Oportunidades program, one of the largest conditional cash transfer programs for poor households in the world. The evidence from this program shows that gains in health opportunities for children from indigenous backgrounds are substantial and are situated in crucial parts of the distribution, whereas gains for children from nonindigenous backgrounds are more limited.

Seguimento de enfermagem: monitorando indicadores infantis na saúde da família; Nursing follow-up: monitoring of children's health indicators in the program of family health; El acompañamiento de enfermería: monitorización de indicadores infantiles en salud de la familia

MELLO, Débora Falleiros de; BARROS, Débora de Miranda; PINTO, Ione Carvalho; FURTADO, Maria Cândida de Carvalho
Fonte: Escola Paulista de Enfermagem, Universidade Federal de São Paulo Publicador: Escola Paulista de Enfermagem, Universidade Federal de São Paulo
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
56.18%
Objetivo: Descrever os indicadores de saúde de crianças acompanhadas nos dois primeiros anos de vida em uma unidade de saúde da família. Métodos: Estudo descritivo. Os dados foram coletados através dos registros em declarações de nascidos vivos e prontuários de 68 crianças nascidas no período de 01/01/2002 a 31/12/2004 e acompanhadas até 31/12/2006 em uma unidade de saúde da família de Ribeirão Preto-SP. Resultados: A população caracterizou-se como de risco, apontando uma parcela significativa de mães adolescentes, com menos de oito anos de estudo, mais de três filhos. No tocante às práticas de saúde na unidade de saúde da família houve um incremento no número de consultas de pré-natal, ampliação da cobertura de aleitamento materno, vacinação e teste do pezinho. Conclusão: A prática de enfermagem e dos demais profissionais tem sido importante na melhoria dos indicadores de saúde infantil. Monitorar os indicadores possibilita fortalecer a organização da assistência à criança, particularmente no contexto da estratégia Saúde da Família.; Objective: To describe children's health indicators during the first two years of their life. Method: This was a descriptive study. Data were collected through birth certificates and medical records of 68 children born between January 1st 2002 and December 31st 2004. The children were monitored from birth to December 31st 2006 in an outpatient health unit of the program of family health at Ribeirao Preto...

The Relationship between Housing and Health: Children at Risk

Breysse, Patrick; Farr, Nick; Galke, Warren; Lanphear, Bruce; Morley, Rebecca; Bergofsky, Linda
Fonte: National Institue of Environmental Health Sciences Publicador: National Institue of Environmental Health Sciences
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
66.05%
In November 2002, the National Center for Healthy Housing convened a 2-day workshop to review the state of knowledge in the field of healthy housing. The workshop, supported with funds from the U.S. Centers for Disease Control and Prevention’s National Center for Injury Prevention and Control and National Center for Environmental Health, was unique in that it focused solely on the effect of housing on children’s health and the translation of research findings into practical activities in home construction, rehabilitation, and maintenance. Participants included experts and practitioners representing the health, housing, and environmental arenas. Presentations by subject-matter experts covered four key areas: asthma, neurotoxicants, injury, and translational research. Panel discussions followed the presentations, which generated robust dialogue on potential future research opportunities and overall policy gaps. Lack of consensus on standard measurements, incomplete understanding about the interaction of home hazards, inadequate research on the effectiveness of interventions, and insufficient political support limit current efforts to achieve healthy housing. However, change is forthcoming and achievable.

Children's health, susceptibility, and regulatory approaches to reducing risks from chemical carcinogens.

Charnley, G; Putzrath, R M
Fonte: National Institute of Environmental Health Science Publicador: National Institute of Environmental Health Science
Tipo: Artigo de Revista Científica
Publicado em /02/2001 EN
Relevância na Pesquisa
56.1%
Risk-based regulation of chemical exposures from the environment generally relies on assumptions about the extent of people's susceptibility to chemically induced diseases. Those assumptions are intended to be health-protective; that is, they err on the side of overstating susceptibility. Recent concern about children's special susceptibilities has led to proposals that would make risk-based regulations one-tenth more stringent, unless data are available to refute the assumption that children are more susceptible than adults. In this paper we highlight some of the questions that should be addressed in the context of risk assessment to determine whether such increased stringency would accomplish the desired result of improving children's health. In particular, characterizing benefits of greater stringency requires more information about dose-response relationships than is currently available. Lowering regulatory levels has attendant costs but may not achieve benefits, for example, if the previous level were already below an actual or practical threshold. Without an ability to understand the potential benefit (or lack thereof) of the additional stringency, an appropriate consideration of benefits and costs is not possible.

Medicaid Statistical Information System (MSIS): A Data Source for Quality Reporting for Medicaid and the Children's Health Insurance Program (CHIP)

MacTaggart, Patricia; Foster, Ashley; Markus, Anne
Fonte: American Health Information Management Association Publicador: American Health Information Management Association
Tipo: Artigo de Revista Científica
Publicado em 01/04/2011 EN
Relevância na Pesquisa
56.18%
Section 401 of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) requires the Department of Health and Human Services (HHS) to identify and publish healthcare quality measures for children enrolled in the Children's Health Insurance Program (CHIP) or Medicaid. CHIPRA also requires core measures to identify disparities by race and ethnicity, among other factors. State Medicaid and CHIP programs are currently facing significant budgetary pressures that are likely to increase with eligibility expansions and programmatic changes resulting from the Patient Protection and Affordable Care Act (PPACA). To limit the burden on states and increase the likelihood of states' voluntarily reporting on core pediatric quality measures, HHS may consider utilizing existing data sources. This article examines the feasibility of utilizing Medicaid Statistical Information System (MSIS) data to identify and analyze the core children's healthcare quality measures required by CHIPRA.

Incorporating Environmental Health into Pediatric Medical and Nursing Education

McCurdy, Leyla Erk; Roberts, James; Rogers, Bonnie; Love, Rebecca; Etzel, Ruth; Paulson, Jerome; Witherspoon, Nsedu Obot; Dearry, Allen
Fonte: National Institute of Environmental Health Science Publicador: National Institute of Environmental Health Science
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
56.28%
Pediatric medical and nursing education currently lacks the environmental health content necessary to appropriately prepare pediatric health care professionals to prevent, recognize, manage, and treat environmental-exposure–related disease. Leading health institutions have recognized the need for improvements in health professionals’ environmental health education. Parents are seeking answers about the impact of environmental toxicants on their children. Given the biologic, psychological, and social differences between children and adults, there is a need for environmental health education specific to children. The National Environmental Education and Training Foundation, in partnership with the Children’s Environmental Health Network, created two working groups, one with expertise in medical education and one with expertise in nursing education. The working groups reviewed the transition from undergraduate student to professional to assess where in those processes pediatric environmental health could be emphasized. The medical education working group recommended increasing education about children’s environmental health in the medical school curricula, in residency training, and in continuing medical education. The group also recommended the expansion of fellowship training in children’s environmental health. Similarly...

Investing in children's health: what are the economic benefits?

Belli, Paolo C.; Bustreo, Flavia; Preker, Alexander
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
56.29%
This paper argues that investing in children's health is a sound economic decision for governments to take, even if the moral justifications for such programmes are not considered. The paper also outlines dimensions that are often neglected when public investment decisions are taken. The conclusion that can be drawn from the literature studying the relationship between children's health and the economy is that children's health is a potentially valuable economic investment. The literature shows that making greater investments in children's health results in better educated and more productive adults, sets in motion favourable demographic changes, and shows that safeguarding health during childhood is more important than at any other age because poor health during children's early years is likely to permanently impair them over the course of their life. In addition, the literature confirms that more attention should be paid to poor health as a mechanism for the intergenerational transmission of poverty. Children born into poor families have poorer health as children, receive lower investments in human capital, and have poorer health as adults. As a result, they will earn lower wages as adults, which will affect the next generation of children who will thus be born into poorer families.

Seasonality and Children’s Blood Lead Levels: Developing a Predictive Model Using Climatic Variables and Blood Lead Data from Indianapolis, Indiana, Syracuse, New York, and New Orleans, Louisiana (USA)

Laidlaw, Mark A.S.; Mielke, Howard W.; Filippelli, Gabriel M.; Johnson, David L.; Gonzales, Christopher R.
Fonte: National Institue of Environmental Health Sciences Publicador: National Institue of Environmental Health Sciences
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
56.08%
On a community basis, urban soil contains a potentially large reservoir of accumulated lead. This study was undertaken to explore the temporal relationship between pediatric blood lead (BPb), weather, soil moisture, and dust in Indianapolis, Indiana; Syracuse, New York; and New Orleans, Louisiana. The Indianapolis, Syracuse, and New Orleans pediatric BPb data were obtained from databases of 15,969, 14,467, and 2,295 screenings, respectively, collected between December 1999 and November 2002, January 1994 and March 1998, and January 1998 and May 2003, respectively. These average monthly child BPb levels were regressed against several independent variables: average monthly soil moisture, particulate matter < 10 μm in diameter (PM10), wind speed, and temperature. Of temporal variation in urban children’s BPb, 87% in Indianapolis (R2 = 0.87, p = 0.0004), 61% in Syracuse (R2 = 0.61, p = 0.0012), and 59% in New Orleans (R2 = 0.59, p = 0.0000078) are explained by these variables. A conceptual model of urban Pb poisoning is suggested: When temperature is high and evapotranspiration maximized, soil moisture decreases and soil dust is deposited. Under these combined weather conditions, Pb-enriched PM10 dust disperses in the urban environment and causes elevated Pb dust loading. Thus...

NAVIGATING the Future Through the Past The Enduring Historical Legacy of Federal Children's Health Programs in the United States

Brosco, Jeffrey Paul
Fonte: American Public Health Association Publicador: American Public Health Association
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
66.27%
The United States excels at treating the most complex medical conditions, but our low-ranking health statistics (relative to other countries) do not match our high-end health care spending. One way to understand this paradox is to examine the history of federal children's health programs. In the 1800s, children's health advocates confronted social determinants of health to reduce infant mortality. Over the past 100 years, however, physicians have increasingly focused on individual doctor–patient encounters; public health professionals, meanwhile, have maintained a population health perspective but struggled with the politics of addressing root causes of disease. Political history and historical demography help explain some salient differences with European nations that date to the founding of federal children's health programs in the early 20th century. More recently, federal programs for children with intellectual disability illustrate technical advances in medicine, shifting children's health epidemiology, and the politics of public health policy.

Modelling the effectiveness of financing policies to address underutilization of children's health services in Nepal.

Pokhrel, Subhash; Hidayat, Budi; Flessa, Steffen; Sauerborn, Rainer
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
56.18%
OBJECTIVE: To estimate the price responsiveness of utilization of formal children's health-care services in Nepal and to use this information to model the impact on utilization of subsidies or increases in user fees. METHODS: A total of 8112 individual observations (of children aged < 15 years) from 2847 households in 274 communities were obtained from the 1996 Nepal Living Standards Survey. A logit model was applied to determine the net impact of price on a parent or caregiver's decision to seek care for a given instance of illness. The model's coefficients were used to calculate the price responsiveness of utilization decisions. FINDINGS: Parents or caregivers reported that 9.7% of children (788/8112) had been ill or injured in the previous month. Parents reported that they had sought care in 566 (71.8%) of these cases; care was most frequently sought from public providers. The price elasticity of demand for children's health-care services in the formal sector was estimated at -0.16. As prices rise, the demand curve exhibits continuous and declining price elasticity. Overall, a 100% subsidy of user fees would increase current utilization rates by 56%, while a 100% increase in fees would lead to a drop in utilization of only 12%. The differential in utilization across income groups was substantial after changes in fees were implemented. CONCLUSION: While the effect of price on the utilization of children's health-care services in Nepal is statistically significant...

Limited english proficiency, primary language at home, and disparities in children's health care: how language barriers are measured matters.

Flores, Glenn; Abreu, Milagros; Tomany-Korman, Sandra C.
Fonte: Association of Schools of Public Health Publicador: Association of Schools of Public Health
Tipo: Artigo de Revista Científica
Publicado em //2005 EN
Relevância na Pesquisa
56.31%
BACKGROUND: Approximately 3.5 million U.S. schoolchildren are limited in English proficiency (LEP). Disparities in children's health and health care are associated with both LEP and speaking a language other than English at home, but prior research has not examined which of these two measures of language barriers is most useful in examining health care disparities. OBJECTIVES: Our objectives were to compare primary language spoken at home vs. parental LEP and their associations with health status, access to care, and use of health services in children. METHODS: We surveyed parents at urban community sites in Boston, asking 74 questions on children's health status, access to health care, and use of health services. RESULTS: Some 98% of the 1,100 participating children and families were of non-white race/ethnicity, 72% of parents were LEP, and 13 different primary languages were spoken at home. "Dose-response" relationships were observed between parental English proficiency and several child and parental sociodemographic features, including children's insurance coverage, parental educational attainment, citizenship and employment, and family income. Similar "dose-response" relationships were noted between the primary language spoken at home and many but not all of the same sociodemographic features. In multivariate analyses...

Accelerating Progress on Women’s and Children’s Health

Presern, Carole; Bustreo, Flavia; Evans, Tim; Ghaffar, Abdul
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Journal Article; Publications & Research :: Journal Article; Publications & Research
EN_US
Relevância na Pesquisa
66.06%
Countries have made substantial progress towards Millennium Development Goals (MDGs) 4 and 5 – to reduce child mortality and improve maternal health. Since 1990, both maternal and child mortality have been reduced by 50% worldwide and access to reproductive health services has improved. However, progress overall is insufficient and uneven. Understanding what works, and how these lessons apply across geographic and socio-political borders, could inform strategies for the MDGs and the post-2015 sustainable development agenda. An article in this month’s Bulletin synthesizes evidence from studies on success factors for women’s and children’s health in low- and middle-income countries that achieved accelerated progress (fast-track countries).

LA PRÁCTICA DE LA LONGITUD EN EL ATENDIMIENTO A LA SALUD DEL NIÑO: COMPARACIÓN ENTRE MODELOS ASISTENCIALES DISTINTOS; THE PRACTICE OF LONGITUDINALITY IN ATTENDANCE OF CHILDREN’S HEALTH: COMPARISON BETWEEN DISTINCT CARE MODELS; A PRÁTICA DA LONGITUDINALIDADE NO ATENDIMENTO À SAÚDE DA CRIANÇA: COMPARAÇÃO ENTRE MODELOS ASSISTENCIAIS DISTINTOS

Oliveira, Vanessa Comassetto; Escola de Enfermagem da USP; Veríssimo, Maria de La Ó Ramallo; Escola de Enfermagem da USP
Fonte: Universidade Federal do Paraná Publicador: Universidade Federal do Paraná
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 31/03/2015 POR; ENG
Relevância na Pesquisa
56.16%
The orientation of the primary healthcare services was evaluated in the perspective of longitudinality in children’s healthcare. A transversal study with a quantitative approach was undertaken in the units with the Family Health Strategy and of the traditional model in the Primary Care Units. The data were raised through interviews held between June and July 2012, with families of children (n=482), and were analyzed using the Primary Care Assessment Tool. It was observed that long-duration personal relationships between the health professionals and the patients and family members is weakened in both models of care. The units of the Family Health Strategy obtained a score above the cut-off value in two of 11 items of the attribute ‘longitudinality’. The Primary Healthcare Units had all the items with scores below the value. The principle of longitudinality was not shown to be incorporated, and its practice, as a principle of the Unified Health System, continues to be a challenge in both the models of care.; Se evaluó la orientación de los servicios primarios de salud bajo el ángulo de longitud en la atención al niño. Es un estudio transversal de abordaje cuantitativo en unidades con Estrategia Salud de la Familia y en modelo tradicional en las Unidades Básicas de Salud. Los datos obtenidos por entrevistas...

Investing in children's health: what are the economic benefits?

Belli,Paolo C.; Bustreo,Flavia; Preker,Alexander
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2005 EN
Relevância na Pesquisa
66.29%
This paper argues that investing in children's health is a sound economic decision for governments to take, even if the moral justifications for such programmes are not considered. The paper also outlines dimensions that are often neglected when public investment decisions are taken. The conclusion that can be drawn from the literature studying the relationship between children's health and the economy is that children's health is a potentially valuable economic investment. The literature shows that making greater investments in children's health results in better educated and more productive adults, sets in motion favourable demographic changes, and shows that safeguarding health during childhood is more important than at any other age because poor health during children's early years is likely to permanently impair them over the course of their life. In addition, the literature confirms that more attention should be paid to poor health as a mechanism for the intergenerational transmission of poverty. Children born into poor families have poorer health as children, receive lower investments in human capital, and have poorer health as adults. As a result, they will earn lower wages as adults, which will affect the next generation of children who will thus be born into poorer families.

Modelling the effectiveness of financing policies to address underutilization of children's health services in Nepal

Pokhrel,Subhash; Hidayat,Budi; Flessa,Steffen; Sauerborn,Rainer
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/05/2005 EN
Relevância na Pesquisa
66.22%
OBJECTIVE: To estimate the price responsiveness of utilization of formal children's health-care services in Nepal and to use this information to model the impact on utilization of subsidies or increases in user fees. METHODS: A total of 8112 individual observations (of children aged < 15 years) from 2847 households in 274 communities were obtained from the 1996 Nepal Living Standards Survey. A logit model was applied to determine the net impact of price on a parent or caregiver's decision to seek care for a given instance of illness. The model's coefficients were used to calculate the price responsiveness of utilization decisions. FINDINGS: Parents or caregivers reported that 9.7% of children (788/8112) had been ill or injured in the previous month. Parents reported that they had sought care in 566 (71.8%) of these cases; care was most frequently sought from public providers. The price elasticity of demand for children's health-care services in the formal sector was estimated at -0.16. As prices rise, the demand curve exhibits continuous and declining price elasticity. Overall, a 100% subsidy of user fees would increase current utilization rates by 56%, while a 100% increase in fees would lead to a drop in utilization of only 12%. The differential in utilization across income groups was substantial after changes in fees were implemented. CONCLUSION: While the effect of price on the utilization of children's health-care services in Nepal is statistically significant...