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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 10 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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