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Household expenditure on leprosy outpatient services in the Indian health system: A comparative study.

TIWARI, Ajun
et al
January 2018

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The primary objective of this study is to estimate the expenditure in primary (outpatient) care incurred by leprosy patients in two different health system settings in India. The secondary objective is to compare the effect of the health systems on consumer behaviour and practices. 

The study followed a cross-sectional design, where a cohort from the Union Territory of DNH (an administrative division ruled directly by the federal government) was compared with a cohort from Umbergaon block of Valsad district, Gujarat, India. A block is the smallest administrative unit under a district. The cohorts were leprosy cases detected between April 2015 and March, 2016. A sample of 120 participants from each group was selected randomly. In the financial year of 2015–16, DNH reported 425 and Umbergaon reported 287 cases. 

A household survey was conducted between June and October, 2016 by means of a structured questionnaire collecting data on patient demographics, HH socioeconomic status, accessibility of health services, treatment seeking history and OPD expenditure. Respondents were asked to report on the last three OPD visits, either in a public or private facility, in the last 6 months. 

The costs were categorized as direct and indirect expenditure. The direct part included the expenditure on consultation, investigations and medicines & supplies. The indirect part constituted expenditure on transport, food, and days lost during illness of the patient and attendant

PLOS Neglected Tropical Diseases, January 4, 2018

https://doi.org/10.1371/journal.pntd.0006181

healthsites.io website

November 2016

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The Global Healthsites Mapping Project is an initiative to create an online map of every health facility in the world and make the details of each location easily accessible. The aim of this website is the long term curation and validation of health care location data. The healthsites.io map will enable users to discover what healthcare facilities exist at any global location and the associated services and resources. Through collaborations with users, trusted partners and OpenStreepMap the location and contact details of every facility will be captured and the data made freely available under an Open Data License (ODBL). When a natural disaster or disease outbreak occurs there is a rush to establish accurate health care location data that can be used to support people on the ground. healthsites.io map aims to reduce the time wasted in establishing accurate and accessible baseline data.

 

A modern paradigm for improving healthcare quality

MASSOUD, M Rashad F
et al
2001

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Outlines the principles and frameworks underlying modern quality improvement in healthcare, including the integration of evidence-based medicine in improving clinical quality. Simplifies QI, recognising that this flexible methodology can be applied through a variety of approaches, along a spectrum of increasing complexity. Four applications of QI are described and illustrated with case examples: individual problem solving, rapid team problem solving, systematic team problem solving, and ongoing process improvement. The final section describes a number of useful tools for QI in developing countries.

Hope Clinic Lukuli

MITCHELL, Philip

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The Hope Clinic Lukuli aims at providing high quality primary and community care to the poorer sections of the community living in the Lukuli area. These webpages detail the work carried out by the clinic, give a historical overview of the project and provide some key medical statistics.
They include summaries of donor-funded programmes promoting reproductive health, youth awareness and access to health services, and HIV/AIDS treatment and information.

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