Dance Gudeva Nikovska1, Fimka Tozija2. 1. Department of Social Medicine, Faculty of Medicine, University Ss. Cyril and Methodius, Skopje, Macedonia. 2. National Institute of Public Health, Department of Social Medicine, Faculty of Medicine, University Ss. Cyril and Methodius, Skopje, Macedonia.
Abstract
BACKGROUND: Health is a complex phenomenon and equity as a basic human right an integral part of constitutions in almost all countries in the world. In Republic of Macedonia (RM), Tuberculosis (TB) is clustered regionally and in certain ethnic groups. The main objective of this study was to analyze Social Determinants of Health (SDH) and equity in access to healthcare services for TB patients in RM, aimed at complex analysis of factors that cause inequities. METHODS: Case-control study was conducted in the period March-December, 2013; "cases" are households of TB patients registered in the period July, 2012-June, 2013 and controls are households with no TB patients in their immediate vicinity. World Health Organization (WHO) World Health Survey questionnaire was used to collect data. RESULTS: Analysis of SDH of TB patients shows that patients are mostly males, of lower socio-economic status, are less educated, unemployed and TB is clustered in certain ethnic groups. Analysis of access has identified these determinants as important barriers in access to health services. CONCLUSION: The study has documented the basic SDH of TB patients in RM, as well as barriers in access to healthcare, providing useful baseline information to facilitate determination where to concentrate future efforts.
BACKGROUND: Health is a complex phenomenon and equity as a basic human right an integral part of constitutions in almost all countries in the world. In Republic of Macedonia (RM), Tuberculosis (TB) is clustered regionally and in certain ethnic groups. The main objective of this study was to analyze Social Determinants of Health (SDH) and equity in access to healthcare services for TB patients in RM, aimed at complex analysis of factors that cause inequities. METHODS: Case-control study was conducted in the period March-December, 2013; "cases" are households of TB patients registered in the period July, 2012-June, 2013 and controls are households with no TB patients in their immediate vicinity. World Health Organization (WHO) World Health Survey questionnaire was used to collect data. RESULTS: Analysis of SDH of TB patients shows that patients are mostly males, of lower socio-economic status, are less educated, unemployed and TB is clustered in certain ethnic groups. Analysis of access has identified these determinants as important barriers in access to health services. CONCLUSION: The study has documented the basic SDH of TB patients in RM, as well as barriers in access to healthcare, providing useful baseline information to facilitate determination where to concentrate future efforts.
Entities:
Keywords:
Equity; Macedonia; Social Determinants of Health (SDH); Tuberculosis (TB) Patients
Authors: Machteld Huber; J André Knottnerus; Lawrence Green; Henriëtte van der Horst; Alejandro R Jadad; Daan Kromhout; Brian Leonard; Kate Lorig; Maria Isabel Loureiro; Jos W M van der Meer; Paul Schnabel; Richard Smith; Chris van Weel; Henk Smid Journal: BMJ Date: 2011-07-26
Authors: Mellina Yamamura; Marcelino Santos Neto; Francisco Chiaravalloti Neto; Luiz Henrique Arroyo; Antônio Carlos Vieira Ramos; Ana Angélica Rêgo de Queiroz; Aylana de Souza Belchior; Danielle Talita Dos Santos; Juliane de Almeida Crispim; Ione Carvalho Pinto; Severina Alice da Costa Uchôa; Regina Célia Fiorati; Ricardo Alexandre Arcêncio Journal: Infect Dis Poverty Date: 2017-10-12 Impact factor: 4.520