Health status and socio-economic factors associated with health facility utilization in rural and urban areas in Zambia

BMC Health Services Research

Volumn 12, Issue 1, 2012, Pages

  Zyaambo, Cosmas ^a,c   Siziya, Seter ^b   Fylkesnes, Knut ^c  

^a UNIVERSITY OF ZAMBIA   (Zambia)

^b Lulea University of Technology   (Zambia)

^c UNIVERSITY OF BERGEN   (Norway)

Author keywords

Educational attainment; Health care seeking; Self rated health; Wealth index; Zambia

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; CONFIDENCE INTERVAL; CROSS-SECTIONAL STUDY; FEMALE; HEALTH CARE DELIVERY; HEALTH SERVICE; HEALTH STATUS; HEALTH SURVEY; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; MALE; MIDDLE AGED; RISK; RURAL HEALTH CARE; SOCIOECONOMICS; STATISTICAL MODEL; THEORETICAL MODEL; UTILIZATION REVIEW; ZAMBIA;

ADOLESCENT; ADULT; CONFIDENCE INTERVALS; CROSS-SECTIONAL STUDIES; FEMALE; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES NEEDS AND DEMAND; HEALTH STATUS; HEALTH SURVEYS; HIV INFECTIONS; HIV SEROPOSITIVITY; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; MODELS, THEORETICAL; ODDS RATIO; POPULATION SURVEILLANCE; RURAL HEALTH SERVICES; SOCIOECONOMIC FACTORS; URBAN HEALTH SERVICES; YOUNG ADULT; ZAMBIA;

MLCS; MLOWN;

EID: 84868631769     PISSN: None     EISSN: 14726963     Source Type: Journal    
DOI: 10.1186/1472-6963-12-389     Document Type: Article

References (40)

1. Health inequalities and the health of the poor: what do we know? What can we do? Gwatkin D, Bull World Health Organ 2000 78 1 3 18 10686729
2. Socioeconomic inequalities in child mortality: comparisons across nine developing countries. Wagstaff A, Bull World Health Organ 2000 78 1 19 29 10686730
3. Making a difference. The world health report 1999. WHO, Health for the Millions 1999 25 4 3 5 12349421
4. Reaching the poor with health, nutrition and population services: what works, what Doesn't, and Why. Davidson R gwatkin, adam wagstaff and abdo S yazbeck (eds). USA: the world bank. Fryatt B, Int J Epidemiol 2006 34 4 1109 1110
5. Focusing on quality and need. The world bank health, nutrition and population sector has been reforming itself to better meet the needs of its clients-the people and governments of the countries it serves. Merrick T, Integration 1998 56 26 28
6. Tackling inequalities in health: evaluating the New deal for communities initiative. Stafford M, Nazroo J, Popay JM, Whitehead M, J Epidemiol Community Health 2008 62 4 298 304 10.1136/jech.2006.058628 18339821 (Pubitemid 351441543)
7. Narayan D, Patel R, Schafft K, Randemacha A, Koch-Schulte S, Voices of the poor: can anyone hear us? New York: Oxford university press 2000
8. Wealthier is healthier. Pritchet L, Summers L, J Hum Resour 1996 31 841 868 10.2307/146149
9. Ethics and governance of global health inequalities. Ruger J, J Epidemiol Community Health 2006 60 998 1003 10.1136/jech.2005.041947 17053290 (Pubitemid 44690090)
10. The concepts and principles of equity and health. Whitehead M, Int J Health Serv 1992 22 3 429 445 10.2190/986L-LHQ6-2VTE-YRRN 1644507 (Pubitemid 23364255)
11. Equity, health and health care. Social justice research 1987. Grand L, Soc Justice Res 1987 1 3 257 274 10.1007/BF01047663
12. Ethnicity, equity and the use of health services in the British NHS. Smaje C, Soc Sci Med 1997 45 3 485 496 10.1016/S0277-9536(96)00380-2 9232742 (Pubitemid 27303567)
13. Equality, equity: why bother? Alleyne GA, Casas JA, Castillo-Salgado C, Bull World Health Organ 2000 78 1 76 77 10686736
14. Economics, health and development: some ethical dilemmas facing the world bank and the international community. Wagstaff A, J Med Ethics 2001 27 4 262 267 10.1136/jme.27.4.262 11479358 (Pubitemid 32747087)
15. Bringing the models together: an empirical approach to combining variables used to explain health actions. Cummings KM, Becker MH, Maile MC, J Behav Med 1980 3 2 123 145 10.1007/BF00844986 7420418 (Pubitemid 11232968)
16. National health surveys and the behavioral model of health services use. Andersen R, Medical Care 2008 46 7 647 653 10.1097/MLR.0b013e31817a835d 18580382
17. MOH, National strategic health plan 2006-2010 Lusaka: Ministry of Health 2005 23109746
18. CBoH, Health institution in zambia: a listing of health facilities according to levels and locations Lusaka: Central Board of Health 2002
19. Why do the sick not utilise health care? The case of Zambia. Hjortsberg C, Health Econ 2003 12 9 755 770 10.1002/hec.839 12950094 (Pubitemid 37086847)
20. Inequalities in health care use and expenditure: empirical data from eight developing countries and countries in transition. Makinen M, Bull World Health Organ 2000 78 1 55 65 10686733 (Pubitemid 30094228)
21. Steep HIV prevalence declines among young people in selected Zambian communities: population-based observations (1995-2003). Michelo C, Sandoy IF, Dzekedzeke K, Siziya S, Fylkesnes K, BMC Publ Health 2006 6 279 10.1186/1471-2458-6-279 (Pubitemid 44807527)
22. Studying dynamics of the HIV epidemic: population-based data compared with sentinel surveillance in Zambia. Fylkesnes K, Ndhlovu Z, Kasumba K, Mubanga Musonda R, Sichone M, AIDS 1998 12 10 1227 1234 10.1097/00002030-199810000- 00015 9677172 (Pubitemid 28302425)
23. SPSS, SPSS statistics for windows,version 12.0 Chicago: SPSS Inc 2003
24. StataCorp, Stata statistical software: release 9 College Station, TX: StataCorp LP 2005
25. Self-assessment of health status and mortality in middle-aged British men. Wannamethee G, Shaper A, Int J Epidemiol 1991 20 1 239 245 10.1093/ije/20.1.239 2066228
26. Depressive symptoms and mortality in elderly persons. Thomas C, Kelman HR, Kennedy GJ, Ahn C, Yang CY, J Gerontol 1992 47 2 80 S87 10.1093/geronj/47.2. S80 1538079
27. Impact of HIV infection on self-rated health in a high-prevalence population with low awareness of own HIV statu. Siziya S, Fylkesnes K, Norsk Epidemiologi 2005 15 165 173 (Pubitemid 43197901)
28. Self-rated health: a predictor of mortality among the elderly. Mossey J, Shapiro E, Am J Public Health 1982 72 8 800 808 10.2105/AJPH.72.8.800 7091475
29. Determinants of health care utilization-visit and referrals. Fylkesnes K, Scand J SocMed 1993 21 1 40 50 (Pubitemid 23092055)
30. The tromsø study: factors affecting patient-initiated and provider- initiated use of health care services. Fylkesnes K, Johnsen R, Olav F, Social Health Illness 1992 14 2 275 292 10.1111/1467-9566.ep11343713
31. Estimating wealth effects without expenditure data-or tears: an application to educational enrollments in states of India. Filmer D, Pritchett L, Demography 2001 38 1 115 132 11227840 (Pubitemid 33597463)
32. Public spending on health care in africa: do the poor benefit? WHO, B WORLD HEALTH ORGAN 2000 78 1 66 74
33. Using gini-style indices to evaluate the spartial patterns of health practitioners: theoretical considerations and application based on alberta. Brown M, Soc Sci Med 1994 38 9 1243 1256 10.1016/0277-9536(94)90189-9 8016689 (Pubitemid 24109621)
34. Marked HIV prevalence declines in higher educated young people: evidence from population-based surveys (1995-2003) in Zambia. Michelo C, Sandoy I, Fylkesnes K, AIDS 2006 20 7 1031 1038 10.1097/01.aids.0000222076.91114.95 16603856
35. A randomized trial on acceptability of voluntary HIV counselling and testing. Fylkesnes K, Siziya S, Trop Med Int Health 2004 9 5 566 572 10.1111/j.1365-3156.2004.01231.x 15117300 (Pubitemid 38657281)
36. Mental distress in populations with high HIV prevalence: impact of HIV and social factors. Chipimo P, Fylkesnes K, BMC Publ Health 2009 9 298 10.1186/1471-2458-9-298
37. Utilization of Government and private health services in Dar es Salaam. Wyss K, Kilima P, East Afr Med J 1996 73 6 357 363 8840594
38. Health care switching behavior of malaria patients in Kenya rural community. Nyamonga I, Soc Sci Med 2002 54 3 377 386 10.1016/S0277-9536(01) 00036-3 11824914 (Pubitemid 34028119)
39. Health services utilizations among secondary school students in Arusha region, Tanzania. Masatu M, Kvåle G, Klepp K, East Afr Med J 2001 78 6 300 307 12002108 (Pubitemid 33395555)
40. Cost recovery in Ghana: are there any changes in health care seeking behaviour? Asenso-Okyere WK, Anum A, Osei-Akoto I, Adukonu A, Health Policy Plan 1998 13 2 181 188 10.1093/heapol/13.2.181 10180407 (Pubitemid 28274241)