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CHOICE OF SELF-TREATMENT IN THAI NGUYEN PROVINCE OF VIETNAM AND ITS INFLUENCING FACTORS

CHOICE OF SELF-TREATMENT IN THAI NGUYEN PROVINCE OF VIETNAM AND ITS INFLUENCING FACTORS. introduction. Definition: “Self-treatment “

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CHOICE OF SELF-TREATMENT IN THAI NGUYEN PROVINCE OF VIETNAM AND ITS INFLUENCING FACTORS

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  1. CHOICE OF SELF-TREATMENT IN THAI NGUYEN PROVINCE OF VIETNAM AND ITS INFLUENCING FACTORS

  2. introduction • Definition: “Self-treatment “ Patients treat themselves using medicines available at home, purchased from drug sellers without any medical examination, or taken following the advice given by any person without formal medical background”(Giang and Allebeck 2003)

  3. Introduction • Overall objective of the national strategy on health protection & care: “to improve the accessibility and utilization of health care services with high quality” (VN Government, 2001, 2011) • Studies showed that self-treatment is pervasive health-seeking behavior in Vietnam(Thuan, Lofgren et al. 2008; Giang and Allebeck 2003; Khe 2004; Tipping and Segall 1996; Ha, Berman et al. 2002; Chang and Trivedi 2003; Toan, Trong et al. 2002; Tipping and Segall 1996; Trivedi and Hall 2002).

  4. Introduction • Not every illness needs professional care, some illness can be treated by over-the-counter (OTC) drugs purchased at pharmacies. The problem is that the drug regulation has been implemented poorly e.g. prescription-only drugs on sale broadly without prescription, improper dosage & instruction of drug vendors (Lonnroth et al. 2000; Chalker et al. 2002; Hoa et al. 2007) • Self-treatment contains high risk of overuse/misuse of medications, drug resistance, risk of side effects & drug interaction, delay to access proper treatment, extra-spending (Chang and Trivedi 2003).

  5. Objectives • To examine the frequency of self-treatment when having illness and types of self-treatment • To explore its financial burden • To to understand factors influencing self-treatment IMPLICATIONS • To provide evidence for health planners, health care professionals in health-policy making & intervention planning • To establish background for further studies

  6. methods Survey information: used the data of 2 surveys (household, and individual surveys) of the research “Improved access, equity, quality and utilization of CHC services, in particular by women from poor, ethnic minorities and remote areas in Thai Nguyen” conducted by PHAD & PCVN 2695 individuals more than 18 years old from 2490 households from May to June 2011 Health seeking behavior since last month of the survey was used to reduce the recall bias.

  7. methods • Data analysis: data entry by EpiData, data analysis by Stata • Descriptive statistics will be used for self-treatment prevalence & self-treatment expenditure. • Multivariate logistic regression model will be applied to identify the influencing factors & the level of association. Po <0.05 is statistical significant value.

  8. FINDINGS: HEALTH SEEKING BEHAVIORS

  9. FINDINGS: DISTRIBUTION OF HEALTH SEEKING BEHAVIORS BY CHARATERISTICS

  10. FINDINGS: DISTRIBUTION OF HEALTH SEEKING BEHAVIORS BY CHARATERISTICS

  11. FINDINGS: TYPES OF SELF-TREATMENT • Pharmacy contact is the dominant type of self-treatment in Thai Nguyen

  12. FINDINGS: HEALTH SEEKING BEHAVIORS • Buying medication and ask the drug vendors is the most types of self-treatment in both Kinh and ethnic minorities. • The choice of using medication available at home was more common in ethnic minorities group than Kinh group.

  13. Findings: self-treatment financial burden Table . Mean costs for self-treatment & for provider services

  14. Findings: self-treatment financial burden Table . Mean costs for self-treatment & for provider services

  15. Findings: self-treatment financial burden • The percentage of self-treatment expenditure per income was much lower than those of public and private providers. • For all types of treatment, the financial burden for the poor is much higher

  16. Findings: influencing factors

  17. DISCUSSION • Self-treatment is common in Thai Nguyen • Pharmacy contact is the most common type of self-treatment • Self-treatment expenditure is a financial burden for the poor • Compared with seeking care from providers, the mild illness, the younger age, Kinh ethnicity, males, non-chronic diseases, uninsured status, commune not under program 135 are more likely to use self-treatment. • The likelihood of self-treatment for severe illness and of those living in households with male heads is higher when compared with no-treatment options.

  18. CONCLUSIONS • As buying medication is the dominant type of self-treatment, it is necessary to improve the implementation of the drug regulation and the awareness of the population on self-treatment especially for the poor • The influencing factors provide evidence for health planners, health care professionals in designing health policy or intervention programs.

  19. LIMITATIONS • This paper did not evaluate the efficiency/quality of self-treatment activity

  20. THANK YOU!

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