Factors affecting Nepalese rural dwellers’ choice of first-contact health facility: a cross-sectional survey
# Background Despite significant progress in Nepal's health indicators over the past three decades, regional disparities in public health centre (PHC) provision and accessibility remain severe. It has been reported that rural dwellers prefer and place more trust in outreach centres (ORCs) run...
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| Format: | Article |
| Language: | English |
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Inishmore Laser Scientific Publishing Ltd
2023-05-01
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| Series: | Journal of Global Health Reports |
| Online Access: | https://doi.org/10.29392/001c.75143 |
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| author | Hocheol Lee Hyeyeon Jo Biraj Man Karmacharya Bimala Sharma Pramita Shrestha Prajwal Satyal Eun Woo Nam |
| author_facet | Hocheol Lee Hyeyeon Jo Biraj Man Karmacharya Bimala Sharma Pramita Shrestha Prajwal Satyal Eun Woo Nam |
| author_sort | Hocheol Lee |
| collection | DOAJ |
| description | # Background
Despite significant progress in Nepal's health indicators over the past three decades, regional disparities in public health centre (PHC) provision and accessibility remain severe. It has been reported that rural dwellers prefer and place more trust in outreach centres (ORCs) run by the Dhulikhel Hospital. However, the reasons behind this remain unclear. We aimed to examine the determinants of Nepalese rural dwellers’ choice of first-contact health facility.
# Methods
This was a cross-sectional survey among 1,098 adult rural dwellers in Nepal. The study sample was first divided into PHC and ORC groups, and intergroup differences were tested using Pearson chi-square test and independent sample t-test. Then, binary logistic regression was performed to analyse first-contact health facility decision-making.
# Results
Sex, education level, importance of health care satisfaction, importance of free health care, diagnosis of hypertension, diagnosis of diabetes, insurance coverage, savings, community-level cooperation, and distance to the health facility were significant factors affecting the choice of the first-contact health facility. Most significantly, people who were unconcerned about receiving free health care were 19.417 times more likely to use ORCs. Additionally, it was observed that rural dwellers perceived ORCs as providing higher quality health care.
# Conclusions
The government must promote cooperation between PHCs and ORCs, as it is essential to understand consumer demand, supply-side issues, and institutional aspects of health care in rural areas to achieve universal access to health care. |
| format | Article |
| id | doaj-art-e53f844f193a4000bdd77cfc73effb33 |
| institution | DOAJ |
| issn | 2399-1623 |
| language | English |
| publishDate | 2023-05-01 |
| publisher | Inishmore Laser Scientific Publishing Ltd |
| record_format | Article |
| series | Journal of Global Health Reports |
| spelling | doaj-art-e53f844f193a4000bdd77cfc73effb332025-08-20T02:40:10ZengInishmore Laser Scientific Publishing LtdJournal of Global Health Reports2399-16232023-05-01710.29392/001c.75143Factors affecting Nepalese rural dwellers’ choice of first-contact health facility: a cross-sectional surveyHocheol LeeHyeyeon JoBiraj Man KarmacharyaBimala SharmaPramita ShresthaPrajwal SatyalEun Woo Nam# Background Despite significant progress in Nepal's health indicators over the past three decades, regional disparities in public health centre (PHC) provision and accessibility remain severe. It has been reported that rural dwellers prefer and place more trust in outreach centres (ORCs) run by the Dhulikhel Hospital. However, the reasons behind this remain unclear. We aimed to examine the determinants of Nepalese rural dwellers’ choice of first-contact health facility. # Methods This was a cross-sectional survey among 1,098 adult rural dwellers in Nepal. The study sample was first divided into PHC and ORC groups, and intergroup differences were tested using Pearson chi-square test and independent sample t-test. Then, binary logistic regression was performed to analyse first-contact health facility decision-making. # Results Sex, education level, importance of health care satisfaction, importance of free health care, diagnosis of hypertension, diagnosis of diabetes, insurance coverage, savings, community-level cooperation, and distance to the health facility were significant factors affecting the choice of the first-contact health facility. Most significantly, people who were unconcerned about receiving free health care were 19.417 times more likely to use ORCs. Additionally, it was observed that rural dwellers perceived ORCs as providing higher quality health care. # Conclusions The government must promote cooperation between PHCs and ORCs, as it is essential to understand consumer demand, supply-side issues, and institutional aspects of health care in rural areas to achieve universal access to health care.https://doi.org/10.29392/001c.75143 |
| spellingShingle | Hocheol Lee Hyeyeon Jo Biraj Man Karmacharya Bimala Sharma Pramita Shrestha Prajwal Satyal Eun Woo Nam Factors affecting Nepalese rural dwellers’ choice of first-contact health facility: a cross-sectional survey Journal of Global Health Reports |
| title | Factors affecting Nepalese rural dwellers’ choice of first-contact health facility: a cross-sectional survey |
| title_full | Factors affecting Nepalese rural dwellers’ choice of first-contact health facility: a cross-sectional survey |
| title_fullStr | Factors affecting Nepalese rural dwellers’ choice of first-contact health facility: a cross-sectional survey |
| title_full_unstemmed | Factors affecting Nepalese rural dwellers’ choice of first-contact health facility: a cross-sectional survey |
| title_short | Factors affecting Nepalese rural dwellers’ choice of first-contact health facility: a cross-sectional survey |
| title_sort | factors affecting nepalese rural dwellers choice of first contact health facility a cross sectional survey |
| url | https://doi.org/10.29392/001c.75143 |
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