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This study explores the access to medicines for treating chronic diseases in five low and middle-income countries (Ghana, Kenya, Uganda, Jordan, and the Philippines). Utilizing descriptive secondary analysis of cross-sectional survey data from 2007 and 2009, the findings reveal critical predictors of access at the household level, including socioeconomic status and insurance coverage. The evidence highlights significant barriers such as affordability and geographic distance to health facilities, underscoring the need for improved healthcare access in these regions.
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1208Evidence on Access to and Use ofMedicines to Treat ChronicDiseases from Household Surveys in Five Low and Middle Income Countries
Authors: Brian Serumaga (1), Dennis Ross-Degnan (2), Maryam Bigdeli (3), Robert LeCates (2), Anita Wagner (2), Catherine Vialle-Valentin (2)1.Division of Primary Care, School of CommunityHealth Sciences, University Of NottinghamMedical School, UK2.Department of Population Medicine, HarvardMedical School/Harvard Pilgrim HealthcareInstitute, USA3.Alliance for Health Policy and Systems Research,World Health Organization, Switzerland
What is the problem? Evidence about treatment of chronic diseases in the community is lacking in most low and middle income countries.
Design • Descriptive secondary analysis of cross-sectional of survey data • Low income countries: Ghana, Kenya, and Uganda • Middle income countries: Jordan, Philippines • 2007 and 2009
Predictors of access to medicines for chronic diseases at household level • Socioeconomic status : 0.61 (0.44 to 0.85, p=0.004) • Insurance coverage : 2.22 (1.98 to 2.93, p=0.017) Others • Household could not afford medicines • Have a member of the household who earns • > 1hr from a public health facility
Predictors of access to medicines for chronic diseases at household level