Public health care in Afghanistan: an investigation in suboptimal utilization of facilities.
Public health care in Afghanistan: an investigation in suboptimal utilization of facilities.
复制标题
DOI：
10.4236/health.2012.410123
复制
发表时间：
2012-01-01
期刊：
影响因子：
2.1
通讯作者：
Shinwari, S.
中科院分区：
文献类型：
--
作者：
Singh, L. P.;Anupama Sharma, Anupama Sharma;Shinwari, S.
自2001年以来，阿富汗在增加获得保健服务方面取得了很大进展，但仍在努力解决服务利用率不高的问题。为了增加对服务的需求，开展了一项研究，以探索社区关于保健服务的知识、态度和做法问题的答案。这项研究设计为横断面定性研究，横跨六个省份，代表该国的地理和民族文化区域。在这六个省中，每个省通过混合抽样技术选择了两个地区，代表城乡人口。共有12个区的48个村庄入选。这项研究是在2009年9月至2010年3月进行的。这项研究强调了与身体可及性相关的不良健康寻求行为，包括高昂的交通费用、妇女的社会文化障碍、对公共卫生设施的认识和信任。基于系统的问题增加了普遍存在的与准入有关的障碍，如隐私、效率和卫生设施内的可获得性；缺乏女医生以及行为和态度方面的问题，以及治理问题。
Afghanistan has made strides in increasing access to health care services since 2001 however it is still battling with poor utilization of services. In order to enhance demand for services a study was conducted to explore answers to the questions on knowledge, attitude and practices of communities in relation to healthcare services. The study design was cross-sectional qualitative spanning in six provinces representing geographical and ethno cultural regions of the country. In each of the six provinces, two districts were selected through mixed sampling technique representing urban-rural population. A total of 48 villages were selected in twelve districts. The study was conducted from September 2009 to March 2010. The study highlights poor heath seeking behavior associated with physical accessibility including high cost of transportation, socio-cultural barriers for women, awareness and trust for public health facilities. The system based issues adds to prevailing access related barriers such as privacy, efficiency and availability within health facilities; lack of female physicians and, aspects of behavior and attitude, and governance issues.