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首页> 外文期刊>Nepal Journal of Epidemiology >Acute morbidity profile and treatment seeking behaviour among people residing in an urban resettlement colony in Delhi, India
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Acute morbidity profile and treatment seeking behaviour among people residing in an urban resettlement colony in Delhi, India

机译：印度德里城市移民安置区居民的急性发病特征和寻求治疗的行为

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Background: Rapid urbanization has resulted in increased burden of communicable and non-communicable diseases, especially among urban poor population. In the absence of a well-functioning three tier health care system in urban India, health needs of urban poor are rarely fulfilled. The objective of this study was to assess primary health care services utilisation pattern and its associated selected socio-demographic determinants in an urban population of Dakshinpuri Extension, South-east district of Delhi. Materials and Methods: A community based cross-sectional study was done from November 2013 to November 2014 with a sample size of 440 households through simple random sampling. Information was obtained regarding the socio-demographic characteristics and morbidity pattern of all the members of household in the preceding one year of the conduct of the present study through a pretested semi structured interview schedule. Association of various socio-demographic characteristics with primary and secondary health care facilities utilisation was studied with bivariate and multivariate logistic regression. Result: In this study, 42% of the household members suffered from acute illnesses and symptoms in the preceding one year. Secondary/tertiary health care facilities were approached mostly for seeking treatment. Majority of the household members sought treatment from private health care facilities. Significantly higher utilisation of secondary/tertiary health care facilities was found by head of households and household members who are married. Conclusion: Primary health care system needs to be revamped to improve healthcare delivery among urban population. Strategies to decongest secondary/tertiary health care facilities in urban India needs focus.
机译：背景：快速的城市化导致传染病和非传染病的负担增加，特别是在城市贫困人口中。在印度城市，如果缺乏运行良好的三级医疗保健系统，城市贫困人口的健康需求将很难得到满足。这项研究的目的是评估德里东南部地区Dakshinpuri Extension城市人口的初级卫生保健服务利用模式及其相关的选定的社会人口统计学决定因素。材料和方法：2013年11月至2014年11月进行了一项基于社区的横断面研究，通过简单的随机抽样对440户家庭进行了抽样调查。通过预先测试的半结构化访谈时间表，获得了本研究开展的前一年中所有家庭成员的社会人口统计学特征和发病模式的信息。通过双变量和多变量logistic回归研究了各种社会人口统计学特征与一级和二级医疗保健机构的利用率之间的关系。结果：在这项研究中，有42％的家庭成员在前一年中患有急性疾病和症状。二级/三级医疗机构主要是寻求治疗。大多数家庭成员寻求私人医疗机构的治疗。户主和已婚家庭成员发现二级/三级保健设施的利用率大大提高。结论：需要改进初级卫生保健系统，以改善城市人口的医疗保健服务。印度城市二级/三级医疗机构的拥塞策略需要重点关注。

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