Inequities in valuation of benefits, choice of drugs, and mode of payment for malaria treatment services provided by community health workers in Nigeria
Inequities in valuation of benefits, choice of drugs, and mode of payment for malaria treatment services provided by community health workers in Nigeria
复制标题
DOI：
10.4269/ajtmh.2007.77.16
复制
发表时间：
2007-07-01
影响因子：
3.3
通讯作者：
Uzochukwu, Benjamin
中科院分区：
文献类型：
--
作者：
Onwujekwe, Obinna;Ojukwu, Juliana;Uzochukwu, Benjamin
本研究确定了在尼日利亚东南部使用社区卫生工作者（CHW）及时和适当治疗疟疾的不公平性：1）利益评估; 2）实际购买药物; 3）支付方式。社会经济地位（SES）影响了福利的估值。最贫困家庭对价格较低的药物的消费量较高，而对价格较高的药物的消费量较低（P < 0.05）。最不贫困户多为全额支付，而最贫困户多为分期支付（P < 0.05）。CHW的使用改善了药物的整体地理公平性，但没有改善社会经济公平性。因此，及时和适当治疗疟疾的干预措施应辅之以药物提供和支付战略，以确保社会经济部门在适当的疟疾治疗服务消费方面的公平性。
This study determined inequities of using community health workers (CHWs) for timely and appropriate treatment of malaria in terms of: 1) valuation of benefits; 2) actual purchase of drugs; and 3) payment modality in southeast Nigeria. Socioeconomic status (SES) influenced the valuation of benefits. Also, the poorest households consumed more of the cheaper drug and less of the more expensive drug (P < 0.05). The least poor households mostly paid in full, whereas the poorest households paid mostly through installments (P < 0.05). The use of CHWs improved overall geographic but not socioeconomic equity to the drugs. Hence, interventions for timely and appropriate treatment of malaria should be accompanied by drug delivery and payment strategies that would ensure SES equity in consumption of appropriate malaria treatment services.