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1208 Evidence on Access to and Use of Medicines to Treat Chronic Diseases from Household Surveys in Five Low and Middle Income Countries.

Published bySharlene Marsh Modified over 9 years ago

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Presentation on theme: "1208 Evidence on Access to and Use of Medicines to Treat Chronic Diseases from Household Surveys in Five Low and Middle Income Countries."— Presentation transcript:

1 1208 Evidence on Access to and Use of Medicines to Treat Chronic Diseases from Household Surveys in Five Low and Middle Income Countries

2 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 Community Health Sciences, University Of Nottingham Medical School, UK 2.Department of Population Medicine, Harvard Medical School/Harvard Pilgrim Healthcare Institute, USA 3.Alliance for Health Policy and Systems Research, World Health Organization, Switzerland

3 What is the problem? Evidence about treatment of chronic diseases in the community is lacking in most low and middle income countries.

4 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

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10 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

11 Thank you

12 Predictors of access to medicines for chronic diseases at household level Predictorodds ratiolowerupperP>|z| Socioeconomic status (poor vs non-poor) 0.610.4400.8580.004 located in capital or commercial region 0.760.5011.1500.194 Jordan 0.530.2161.3060.168 Ghana 0.540.1611.7940.313 Kenya 0.360.1300.5260.033 Uganda 0.230.0930.3660.001 > 1hr from free public health facility 0.930.5461.5960.801 > 1hr from private health facility 0.740.4621.1760.201 reported multiple chronic illnesses 1.621.1302.3100.009 medicines partly/wholly covered by insurance 2.221.9762.9320.017 have member of household who earns 1.010.9991.0190.066 total cost of chronic disease medicines (dollars) 1.220.5272.8470.638

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