Chronic conditions are on rise globally and in India. Prevailing intra-urban inequities in access to healthcare services compounds the problems faced by urban poor
This research paper reports trends in prevalence of chronic conditions and health seeking pattern among the urban poor neighbourhood in South India.
ABSTRACT

Background

Chronic conditions are on rise globally and in India. Prevailing intra-urban inequities in access to healthcare services compounds the problems faced by urban poor. This paper reports the trends in self-reported prevalence of chronic conditions and health-seeking pattern among residents of a poor urban neighborhood in south India.

Methods

A cross sectional survey of 1099 households (5340 individuals) was conducted using a structured questionnaire. The prevalence and health-seeking pattern for chronic conditions in general and for hypertension and diabetes in particular were assessed and compared with a survey conducted in the same community three years ago. The predictors of prevalence and health-seeking pattern were analyzed through a multivariable logistic regression analysis.

Results

The overall self-reported prevalence of chronic conditions was 12 %, with hypertension (7 %) and diabetes (5.8 %) being the common conditions. The self-reported prevalence of chronic conditions increased by 3.8 percentage point over a period of three years (OR: 1.5). Older people, women and people living below the poverty line had greater odds of having chronic conditions across the two studies compared. Majority of patients (89.3 %) sought care from private health facilities indicating a decrease by 8.7 percentage points in use of government health facility compared to the earlier study (OR: 0.5). Patients seeking care from super specialty hospitals and those living below the poverty line were more likely to seek care from government health facilities.

Conclusion

There is need to strengthen health services with a preferential focus on government services to assure affordable care for chronic conditions to urban poor

Read more…

Admissions open for 2020!

In this Certificate course in Research Methods (eRM) course, we start with helping the student develop clear and well formulated research questions. Participants are then taught how to select research designs and methods best suited to answer the research question, beyond the usual epidemiological disciplines.

You have Successfully Subscribed!