Health Service Delivery and Utilization in Timor-Leste : A Qualitative Study

This report was written as part of a broader Health Sector Review in Timor-Leste currently being undertaken by the World Bank. Timor-Leste struggles with a burden of disease since independence. Poor health is related to environmental sanitation, po...

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Main Author: World Bank
Format: Health Sector Review
Language:English
en_US
Published: Washington, DC 2013
Subjects:
AID
TB
Online Access:http://documents.worldbank.org/curated/en/2005/05/16274798/health-service-delivery-utilization-timor-leste-qualitative-study-health-service-delivery-utilization-timor-leste-qualitative-study
http://hdl.handle.net/10986/12461
id okr-10986-12461
recordtype oai_dc
spelling okr-10986-124612021-04-23T14:03:01Z Health Service Delivery and Utilization in Timor-Leste : A Qualitative Study World Bank ABUSES ACCESS TO CLINICS ACCESS TO HEALTH CARE AID AILMENTS AMBULANCE ANAEMIA ANTENATAL CARE ANTIMALARIAL DRUGS ANTIMALARIALS ANXIETY APPENDICITIS BIOMEDICINE BIRTH ATTENDANT BIRTH ATTENDANTS BIRTHS BLEEDING BRAIN BREASTFEEDING BURDEN OF DISEASE CHILD HEALTH CHILDBIRTH CHILDBIRTHS CLEANLINESS CLINICS COMMUNICABLE DISEASES COMMUNITY HEALTH COMMUNITY HEALTH CARE COMMUNITY RELATIONS CONTRACEPTION DESCRIPTION DIABETES DIAGNOSIS DISTRICTS DOCTOR DOCTORS DYING EMPLOYMENT EPIDEMIC EXPENDITURES FAMILIES FAMILY PLANNING FATHER FEVER FOOD SECURITY GENDER GENDER ISSUES HEALTH BELIEFS HEALTH CARE HEALTH CARE COSTS HEALTH CARE EXPENDITURES HEALTH CARE FACILITIES HEALTH CARE PROVIDERS HEALTH CARE SECTOR HEALTH CARE UTILIZATION HEALTH CARE WORKERS HEALTH CLINICS HEALTH EQUITY HEALTH FACILITIES HEALTH MINISTRIES HEALTH ORGANIZATION HEALTH ORGANIZATIONS HEALTH OUTCOMES HEALTH POLICY HEALTH POSTS HEALTH PROMOTION HEALTH RESEARCH HEALTH SECTOR HEALTH SERVICE HEALTH SERVICE DELIVERY HEALTH SERVICE UTILIZATION HEALTH SERVICES HEALTH SYSTEM HEALTH WORKERS HERBAL REMEDIES HIGH FEVER HOME CARE HOMES HOSPITAL CARE HOSPITALS HOUSEHOLDS HUMAN RESOURCES ILLNESSES IMMUNIZATION INCOME INFANTS INFECTION INJURY INTEGRATION INTERMEDIARIES INTERVENTION INTERVENTIONS IRON IRON DEFICIENCY ANEMIA LABOUR MARKETS LAWS MALARIA MALNUTRITION MATERNAL AND CHILD HEALTH MATERNAL HEALTH MEDICAL ANTHROPOLOGY MEDICAL ASSISTANCE MEDICAL TECHNOLOGY MEDICAL TREATMENT MEDICINES MENTAL HEALTH MENTAL ILLNESS MIDWIFE MIDWIVES MIGRATION MISCARRIAGE MOBILE CLINICS MOTHER MOTHERHOOD MOTHERS NURSE NURSES NURSING NUTRITION OCCUPATION ORAL REHYDRATION OVERCROWDING PATIENT PATIENTS PHARMACEUTICALS PHARMACIST PHARMACISTS PHARMACY PHYSICIAN PREGNANCY PREGNANT WOMEN PRENATAL CARE PRIMARY CARE PRIMARY HEALTH CARE PRIVATE PHARMACIES PSYCHOSIS PUBLIC HEALTH PUBLIC HEALTH SERVICES REPRODUCTIVE HEALTH RESPIRATORY INFECTIONS RESPIRATORY TRACT INFECTIONS ROOMS RURAL AREA RURAL AREAS RURAL COMMUNITIES SAFETY SEXUALITY SMEAR TEST SOCIAL SCIENCE SPECIALISTS SURGERY SYMPTOMS TB TRADITIONAL BIRTH ATTENDANTS TRADITIONAL MEDICINE TRAININGS TREATMENT TYPHUS URBAN AREAS VACCINATION VACCINES VECTORS VICTIMS VIOLENCE VOMITING WOMAN WORKERS WOUNDS This report was written as part of a broader Health Sector Review in Timor-Leste currently being undertaken by the World Bank. Timor-Leste struggles with a burden of disease since independence. Poor health is related to environmental sanitation, poverty, food security, a shortage of doctors, and the difficulty of reaching some rural communities. Some problems are specific to Timor-Leste: violence during the Indonesian occupation, the destruction of the health care sector, and a situation of medical pluralism in which long-established practices of traditional healers co-exist with recent biomedical services. One obstacle the health sector faces is client low utilization of health services. The 2003 Demographic and Health Survey (DHS) reports that about a fifth of poor households have never used the health care facility closest to their house. While it is clear that many households are unwilling or unable to access health care, the reasons for these barriers are poorly understood. One aim of this report is to help fill this gap in knowledge by providing contextual information on health seeking behavior. A second aim is to shed light on human resource challenges in the health sector. 2013-02-22T19:43:13Z 2013-02-22T19:43:13Z 2005-05 http://documents.worldbank.org/curated/en/2005/05/16274798/health-service-delivery-utilization-timor-leste-qualitative-study-health-service-delivery-utilization-timor-leste-qualitative-study http://hdl.handle.net/10986/12461 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank Washington, DC Economic & Sector Work :: Health Sector Review Economic & Sector Work
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
en_US
topic ABUSES
ACCESS TO CLINICS
ACCESS TO HEALTH CARE
AID
AILMENTS
AMBULANCE
ANAEMIA
ANTENATAL CARE
ANTIMALARIAL DRUGS
ANTIMALARIALS
ANXIETY
APPENDICITIS
BIOMEDICINE
BIRTH ATTENDANT
BIRTH ATTENDANTS
BIRTHS
BLEEDING
BRAIN
BREASTFEEDING
BURDEN OF DISEASE
CHILD HEALTH
CHILDBIRTH
CHILDBIRTHS
CLEANLINESS
CLINICS
COMMUNICABLE DISEASES
COMMUNITY HEALTH
COMMUNITY HEALTH CARE
COMMUNITY RELATIONS
CONTRACEPTION
DESCRIPTION
DIABETES
DIAGNOSIS
DISTRICTS
DOCTOR
DOCTORS
DYING
EMPLOYMENT
EPIDEMIC
EXPENDITURES
FAMILIES
FAMILY PLANNING
FATHER
FEVER
FOOD SECURITY
GENDER
GENDER ISSUES
HEALTH BELIEFS
HEALTH CARE
HEALTH CARE COSTS
HEALTH CARE EXPENDITURES
HEALTH CARE FACILITIES
HEALTH CARE PROVIDERS
HEALTH CARE SECTOR
HEALTH CARE UTILIZATION
HEALTH CARE WORKERS
HEALTH CLINICS
HEALTH EQUITY
HEALTH FACILITIES
HEALTH MINISTRIES
HEALTH ORGANIZATION
HEALTH ORGANIZATIONS
HEALTH OUTCOMES
HEALTH POLICY
HEALTH POSTS
HEALTH PROMOTION
HEALTH RESEARCH
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICE DELIVERY
HEALTH SERVICE UTILIZATION
HEALTH SERVICES
HEALTH SYSTEM
HEALTH WORKERS
HERBAL REMEDIES
HIGH FEVER
HOME CARE
HOMES
HOSPITAL CARE
HOSPITALS
HOUSEHOLDS
HUMAN RESOURCES
ILLNESSES
IMMUNIZATION
INCOME
INFANTS
INFECTION
INJURY
INTEGRATION
INTERMEDIARIES
INTERVENTION
INTERVENTIONS
IRON
IRON DEFICIENCY ANEMIA
LABOUR MARKETS
LAWS
MALARIA
MALNUTRITION
MATERNAL AND CHILD HEALTH
MATERNAL HEALTH
MEDICAL ANTHROPOLOGY
MEDICAL ASSISTANCE
MEDICAL TECHNOLOGY
MEDICAL TREATMENT
MEDICINES
MENTAL HEALTH
MENTAL ILLNESS
MIDWIFE
MIDWIVES
MIGRATION
MISCARRIAGE
MOBILE CLINICS
MOTHER
MOTHERHOOD
MOTHERS
NURSE
NURSES
NURSING
NUTRITION
OCCUPATION
ORAL REHYDRATION
OVERCROWDING
PATIENT
PATIENTS
PHARMACEUTICALS
PHARMACIST
PHARMACISTS
PHARMACY
PHYSICIAN
PREGNANCY
PREGNANT WOMEN
PRENATAL CARE
PRIMARY CARE
PRIMARY HEALTH CARE
PRIVATE PHARMACIES
PSYCHOSIS
PUBLIC HEALTH
PUBLIC HEALTH SERVICES
REPRODUCTIVE HEALTH
RESPIRATORY INFECTIONS
RESPIRATORY TRACT INFECTIONS
ROOMS
RURAL AREA
RURAL AREAS
RURAL COMMUNITIES
SAFETY
SEXUALITY
SMEAR TEST
SOCIAL SCIENCE
SPECIALISTS
SURGERY
SYMPTOMS
TB
TRADITIONAL BIRTH ATTENDANTS
TRADITIONAL MEDICINE
TRAININGS
TREATMENT
TYPHUS
URBAN AREAS
VACCINATION
VACCINES
VECTORS
VICTIMS
VIOLENCE
VOMITING
WOMAN
WORKERS
WOUNDS
spellingShingle ABUSES
ACCESS TO CLINICS
ACCESS TO HEALTH CARE
AID
AILMENTS
AMBULANCE
ANAEMIA
ANTENATAL CARE
ANTIMALARIAL DRUGS
ANTIMALARIALS
ANXIETY
APPENDICITIS
BIOMEDICINE
BIRTH ATTENDANT
BIRTH ATTENDANTS
BIRTHS
BLEEDING
BRAIN
BREASTFEEDING
BURDEN OF DISEASE
CHILD HEALTH
CHILDBIRTH
CHILDBIRTHS
CLEANLINESS
CLINICS
COMMUNICABLE DISEASES
COMMUNITY HEALTH
COMMUNITY HEALTH CARE
COMMUNITY RELATIONS
CONTRACEPTION
DESCRIPTION
DIABETES
DIAGNOSIS
DISTRICTS
DOCTOR
DOCTORS
DYING
EMPLOYMENT
EPIDEMIC
EXPENDITURES
FAMILIES
FAMILY PLANNING
FATHER
FEVER
FOOD SECURITY
GENDER
GENDER ISSUES
HEALTH BELIEFS
HEALTH CARE
HEALTH CARE COSTS
HEALTH CARE EXPENDITURES
HEALTH CARE FACILITIES
HEALTH CARE PROVIDERS
HEALTH CARE SECTOR
HEALTH CARE UTILIZATION
HEALTH CARE WORKERS
HEALTH CLINICS
HEALTH EQUITY
HEALTH FACILITIES
HEALTH MINISTRIES
HEALTH ORGANIZATION
HEALTH ORGANIZATIONS
HEALTH OUTCOMES
HEALTH POLICY
HEALTH POSTS
HEALTH PROMOTION
HEALTH RESEARCH
HEALTH SECTOR
HEALTH SERVICE
HEALTH SERVICE DELIVERY
HEALTH SERVICE UTILIZATION
HEALTH SERVICES
HEALTH SYSTEM
HEALTH WORKERS
HERBAL REMEDIES
HIGH FEVER
HOME CARE
HOMES
HOSPITAL CARE
HOSPITALS
HOUSEHOLDS
HUMAN RESOURCES
ILLNESSES
IMMUNIZATION
INCOME
INFANTS
INFECTION
INJURY
INTEGRATION
INTERMEDIARIES
INTERVENTION
INTERVENTIONS
IRON
IRON DEFICIENCY ANEMIA
LABOUR MARKETS
LAWS
MALARIA
MALNUTRITION
MATERNAL AND CHILD HEALTH
MATERNAL HEALTH
MEDICAL ANTHROPOLOGY
MEDICAL ASSISTANCE
MEDICAL TECHNOLOGY
MEDICAL TREATMENT
MEDICINES
MENTAL HEALTH
MENTAL ILLNESS
MIDWIFE
MIDWIVES
MIGRATION
MISCARRIAGE
MOBILE CLINICS
MOTHER
MOTHERHOOD
MOTHERS
NURSE
NURSES
NURSING
NUTRITION
OCCUPATION
ORAL REHYDRATION
OVERCROWDING
PATIENT
PATIENTS
PHARMACEUTICALS
PHARMACIST
PHARMACISTS
PHARMACY
PHYSICIAN
PREGNANCY
PREGNANT WOMEN
PRENATAL CARE
PRIMARY CARE
PRIMARY HEALTH CARE
PRIVATE PHARMACIES
PSYCHOSIS
PUBLIC HEALTH
PUBLIC HEALTH SERVICES
REPRODUCTIVE HEALTH
RESPIRATORY INFECTIONS
RESPIRATORY TRACT INFECTIONS
ROOMS
RURAL AREA
RURAL AREAS
RURAL COMMUNITIES
SAFETY
SEXUALITY
SMEAR TEST
SOCIAL SCIENCE
SPECIALISTS
SURGERY
SYMPTOMS
TB
TRADITIONAL BIRTH ATTENDANTS
TRADITIONAL MEDICINE
TRAININGS
TREATMENT
TYPHUS
URBAN AREAS
VACCINATION
VACCINES
VECTORS
VICTIMS
VIOLENCE
VOMITING
WOMAN
WORKERS
WOUNDS
World Bank
Health Service Delivery and Utilization in Timor-Leste : A Qualitative Study
description This report was written as part of a broader Health Sector Review in Timor-Leste currently being undertaken by the World Bank. Timor-Leste struggles with a burden of disease since independence. Poor health is related to environmental sanitation, poverty, food security, a shortage of doctors, and the difficulty of reaching some rural communities. Some problems are specific to Timor-Leste: violence during the Indonesian occupation, the destruction of the health care sector, and a situation of medical pluralism in which long-established practices of traditional healers co-exist with recent biomedical services. One obstacle the health sector faces is client low utilization of health services. The 2003 Demographic and Health Survey (DHS) reports that about a fifth of poor households have never used the health care facility closest to their house. While it is clear that many households are unwilling or unable to access health care, the reasons for these barriers are poorly understood. One aim of this report is to help fill this gap in knowledge by providing contextual information on health seeking behavior. A second aim is to shed light on human resource challenges in the health sector.
format Economic & Sector Work :: Health Sector Review
author World Bank
author_facet World Bank
author_sort World Bank
title Health Service Delivery and Utilization in Timor-Leste : A Qualitative Study
title_short Health Service Delivery and Utilization in Timor-Leste : A Qualitative Study
title_full Health Service Delivery and Utilization in Timor-Leste : A Qualitative Study
title_fullStr Health Service Delivery and Utilization in Timor-Leste : A Qualitative Study
title_full_unstemmed Health Service Delivery and Utilization in Timor-Leste : A Qualitative Study
title_sort health service delivery and utilization in timor-leste : a qualitative study
publisher Washington, DC
publishDate 2013
url http://documents.worldbank.org/curated/en/2005/05/16274798/health-service-delivery-utilization-timor-leste-qualitative-study-health-service-delivery-utilization-timor-leste-qualitative-study
http://hdl.handle.net/10986/12461
_version_ 1764419903484329984