ザンビア地方部における小児疾患ケアの公的保健医療篇設の利用に対する供給側障壁―保健施設センサスデータと世帯調査デークの連結による横断研究―

• Material Type: 博士論文
• ISSN: 1660-4601
• Title: ザンビア地方部における小児疾患ケアの公的保健医療篇設の利用に対する供給側障壁―保健施設センサスデータと世帯調査デークの連結による横断研究―
• Volume: 18 10
• Author/Editor: 持田, 敬司
• Author Heading: 持田, 敬司
• Publication, Distribution, etc.: 琉球大学
• Publication Date: 2022-03-18
• Publication Date (W3CDTF): 2022-03-18
• Alternative Title: Supply-Side Barriers to the Use of Public Healthcare Facilities for Childhood Illness Care in Rural Zambia: A Cross-Sectional Study Linking Data from a Healthcare Facility Census to a Household Survey
• Periodical title: International Journal of Environmental Research and Public Health
• Degree grantor/type: 琉球大学
• Date Granted: 2022-03-18
• Date Granted (W3CDTF): 2022-03-18
• Dissertation Number: 甲第26号
• Degree Type: 博士(保健学)
• Conferring No. (Dissertation): 甲第26号
• Text Language Code: eng
• Alias of Author: Mochid, Keiji
• Subject Heading: physical access; human resources; equipment; fever; diarrhea; under-five childre; Zambia
• Target Audience: 一般
• Note (General): Abstract: Child mortality due to malaria and diarrheal diseases can be reduced if proper treatment is received timely at healthcare facilities, but various factors hinder this. The present study assessed the associations between the use of public healthcare facilities among febrile/diarrheal children in rural Zambia and supply-side factors (i.e., the distance from the village to the nearest facility and the availability of essential human resources and medical equipment at the facility). Data from the Demographic and Health Survey 2018 and the Health Facility Census 2017 were linked. Generalized linear mixed models were used to assess the associations, controlling for clustering and other variables. The median distances to the nearest facility were 4.5 km among 854 febrile children and 4.6 km among 813 diarrheal children. Children who were over 10 km away from the facility were significantly less likely to use it, compared to those within 5 km (fever group: odds ratio (OR) = 0.36, 95% confidence interval (CI) = 0.20-0.66; diarrhea group: OR= 0.30, 95% CI= 0.18—0.51). The availability of human resources and equipment was, however, not significantly associated with facility use. Poor geographic access could be a critical barrier to facility use among children in rural Zambia.
• Persistent ID (NDL): info:ndljp/pid/12314025; https://dl.ndl.go.jp/pid/12314025
• Collection: 障害者向け資料
• Collection (Materials For Handicapped People:1): テキストデータ
• Collection (particular): 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• Acquisition Basis: 博士論文（自動収集）
• Date Accepted (W3CDTF): 2022-08-08T06:02:54+09:00
• Format (IMT): application/pdf
• Access Restrictions: 国立国会図書館内限定公開
• Service for the Digitized Contents Transmission Service: 図書館・個人送信対象外
• Availability of remote photoduplication service: 可
• Periodical Title (URI): http://hdl.handle.net/20.500.12000/0002018083; https://u-ryukyu.repo.nii.ac.jp/records/2018083
• Data Provider (Database): 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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