An Evaluation of Public, Private, and Mobile Health Clinic Usage for Children Under Age Five in Aceh After the Tsunami : Implications for Future Disasters
Aceh, Indonesia, was the hardest-hit area in the 26 December 2004 Indian Ocean earthquake and tsunami, with more than 500,000 people displaced, 120,000 people dead, and total damages and losses estimated at $4.5 billion. The relief effort following the tsunami was also immense. This study aimed to d...
| Main Authors: | , , , , |
|---|---|
| Format: | Journal Article |
| Language: | en_US |
| Published: |
Taylor and Francis
2014
|
| Subjects: | |
| Online Access: | http://hdl.handle.net/10986/18094 |
| id |
okr-10986-18094 |
|---|---|
| recordtype |
oai_dc |
| spelling |
okr-10986-180942021-04-23T14:03:41Z An Evaluation of Public, Private, and Mobile Health Clinic Usage for Children Under Age Five in Aceh After the Tsunami : Implications for Future Disasters Rassekh, Bahie Mary Shu, Winnie Santosham, Mathuram Burnham, Gilbert Doocy, Shannon health systems post-disaster relief utilization of health services tsunami Aceh child health infant health private care public care internally-displace persons health policy rehabilitation infants and toddlers children and adolescents immigrants migrants Aceh, Indonesia, was the hardest-hit area in the 26 December 2004 Indian Ocean earthquake and tsunami, with more than 500,000 people displaced, 120,000 people dead, and total damages and losses estimated at $4.5 billion. The relief effort following the tsunami was also immense. This study aimed to determine and assess utilization patterns of formal public versus private and mobile health services for children under age 5 with diarrhea, cough and difficulty breathing, fever, or skin disease and to identify determinants of care usage. A household survey of 962 households was administered to caretakers of children aged 1–5 years. A sample of clusters within Banda Aceh and Aceh Besar were selected and those caretakers within the cluster who fit the inclusion criteria were interviewed. Of those caretakers who utilized formal health services as the first line of care for their sick child, 62% used a public health facility, 30% used a private health facility, and 8% used a mobile clinic. In terms of significant factors associated with public, private, and mobile care utilization, mobile clinics were at one side of the spectrum and private clinics were at the other side overall, with public care somewhere in between. This was true for several variables. Mobile clinic users reported the lowest cost of services and medicine and the highest perceived level of accessibility, and private care users reported the highest perceived level of satisfaction. Utilization of formal health services for children was quite high after the tsunami. The caretaker's perceived satisfaction with public health services could have been improved. Mobile clinics were an accessible source of health care and could be used in future disaster relief efforts to target those populations that seek less care for their sick children, including displaced populations, and those children whose parents have died. 2014-04-28T18:37:16Z 2014-04-28T18:37:16Z 2014-03-27 Journal Article Health Psychology and Behavioral Medicine 2164-2850 10.1080/21642850.2014.896744 http://hdl.handle.net/10986/18094 en_US CC BY-NC-ND 3.0 IGO http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Taylor and Francis Publications & Research :: Journal Article Indonesia |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
en_US |
| topic |
health systems post-disaster relief utilization of health services tsunami Aceh child health infant health private care public care internally-displace persons health policy rehabilitation infants and toddlers children and adolescents immigrants migrants |
| spellingShingle |
health systems post-disaster relief utilization of health services tsunami Aceh child health infant health private care public care internally-displace persons health policy rehabilitation infants and toddlers children and adolescents immigrants migrants Rassekh, Bahie Mary Shu, Winnie Santosham, Mathuram Burnham, Gilbert Doocy, Shannon An Evaluation of Public, Private, and Mobile Health Clinic Usage for Children Under Age Five in Aceh After the Tsunami : Implications for Future Disasters |
| geographic_facet |
Indonesia |
| description |
Aceh, Indonesia, was the hardest-hit area in the 26 December 2004 Indian Ocean earthquake and tsunami, with more than 500,000 people displaced, 120,000 people dead, and total damages and losses estimated at $4.5 billion. The relief effort following the tsunami was also immense. This study aimed to determine and assess utilization patterns of formal public versus private and mobile health services for children under age 5 with diarrhea, cough and difficulty breathing, fever, or skin disease and to identify determinants of care usage. A household survey of 962 households was administered to caretakers of children aged 1–5 years. A sample of clusters within Banda Aceh and Aceh Besar were selected and those caretakers within the cluster who fit the inclusion criteria were interviewed. Of those caretakers who utilized formal health services as the first line of care for their sick child, 62% used a public health facility, 30% used a private health facility, and 8% used a mobile clinic. In terms of significant factors associated with public, private, and mobile care utilization, mobile clinics were at one side of the spectrum and private clinics were at the other side overall, with public care somewhere in between. This was true for several variables. Mobile clinic users reported the lowest cost of services and medicine and the highest perceived level of accessibility, and private care users reported the highest perceived level of satisfaction. Utilization of formal health services for children was quite high after the tsunami. The caretaker's perceived satisfaction with public health services could have been improved. Mobile clinics were an accessible source of health care and could be used in future disaster relief efforts to target those populations that seek less care for their sick children, including displaced populations, and those children whose parents have died. |
| format |
Journal Article |
| author |
Rassekh, Bahie Mary Shu, Winnie Santosham, Mathuram Burnham, Gilbert Doocy, Shannon |
| author_facet |
Rassekh, Bahie Mary Shu, Winnie Santosham, Mathuram Burnham, Gilbert Doocy, Shannon |
| author_sort |
Rassekh, Bahie Mary |
| title |
An Evaluation of Public, Private, and Mobile Health Clinic Usage for Children Under Age Five in Aceh After the Tsunami : Implications for Future Disasters |
| title_short |
An Evaluation of Public, Private, and Mobile Health Clinic Usage for Children Under Age Five in Aceh After the Tsunami : Implications for Future Disasters |
| title_full |
An Evaluation of Public, Private, and Mobile Health Clinic Usage for Children Under Age Five in Aceh After the Tsunami : Implications for Future Disasters |
| title_fullStr |
An Evaluation of Public, Private, and Mobile Health Clinic Usage for Children Under Age Five in Aceh After the Tsunami : Implications for Future Disasters |
| title_full_unstemmed |
An Evaluation of Public, Private, and Mobile Health Clinic Usage for Children Under Age Five in Aceh After the Tsunami : Implications for Future Disasters |
| title_sort |
evaluation of public, private, and mobile health clinic usage for children under age five in aceh after the tsunami : implications for future disasters |
| publisher |
Taylor and Francis |
| publishDate |
2014 |
| url |
http://hdl.handle.net/10986/18094 |
| _version_ |
1764438859868798976 |