OBJECTIVE: To study the gender role in child health care utilization in Nepal. METHODS: We analysed 8112 individual observations of age </=15 years from 2847 households in 274 communities, obtained from the 1996 Nepal Living Standard Survey. Four steps of a health seeking action, namely illness reporting, choosing an external care, choosing a specific health care provider, and spending money to treat the sick child, were examined using discrete/continuous choice models. RESULTS: There was no statistically significant difference between boys and girls by demographic, socio-economic and geographical status in the sample. However, gender was associated with all four utilization decision steps. While the net effect of being a boy was modest in illness reporting (p<0.10), it appeared stronger in the choice of external care, in the choice of public provider and in the choice of expenditure with the private provider (p<0.05). CONCLUSION: Gender role not only affects illness reporting but also affects the decision to choose a health care provider and how much to spend on the sick child, i.e. it affects the entire steps of a health seeking action.
OBJECTIVE: To study the gender role in child health care utilization in Nepal. METHODS: We analysed 8112 individual observations of age </=15 years from 2847 households in 274 communities, obtained from the 1996 Nepal Living Standard Survey. Four steps of a health seeking action, namely illness reporting, choosing an external care, choosing a specific health care provider, and spending money to treat the sick child, were examined using discrete/continuous choice models. RESULTS: There was no statistically significant difference between boys and girls by demographic, socio-economic and geographical status in the sample. However, gender was associated with all four utilization decision steps. While the net effect of being a boy was modest in illness reporting (p<0.10), it appeared stronger in the choice of external care, in the choice of public provider and in the choice of expenditure with the private provider (p<0.05). CONCLUSION: Gender role not only affects illness reporting but also affects the decision to choose a health care provider and how much to spend on the sick child, i.e. it affects the entire steps of a health seeking action.
Authors: Richard Rheingans; Matt Kukla; Abu Syed Golam Faruque; Dipika Sur; Anita K M Zaidi; Dilruba Nasrin; Tamer H Farag; Myron M Levine; Karen L Kotloff Journal: Clin Infect Dis Date: 2012-12 Impact factor: 9.079
Authors: Richard Rheingans; Matt Kukla; Richard A Adegbola; Debasish Saha; Richard Omore; Robert F Breiman; Samba O Sow; Uma Onwuchekwa; Dilruba Nasrin; Tamer H Farag; Karen L Kotloff; Myron M Levine Journal: Clin Infect Dis Date: 2012-12 Impact factor: 9.079
Authors: Paul Jacob Robyn; Allan Hill; Yuanli Liu; Aurélia Souares; Germain Savadogo; Ali Sié; Rainer Sauerborn Journal: Health Policy Plan Date: 2011-03-16 Impact factor: 3.344
Authors: Chandrashekhar T Sreeramareddy; Ravi P Shankar; Binu V Sreekumaran; Sonu H Subba; Hari S Joshi; Uma Ramachandran Journal: BMC Int Health Hum Rights Date: 2006-05-23