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首页> 外文期刊>The American Journal of Tropical Medicine and Hygiene >Inequities in Valuation of Benefits, Choice of Drugs, and Mode of Payment for Malaria Treatment Services Provided by Community Health Workers in Nigeria.
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Inequities in Valuation of Benefits, Choice of Drugs, and Mode of Payment for Malaria Treatment Services Provided by Community Health Workers in Nigeria.

机译：尼日利亚社区卫生工作者提供的疟疾治疗服务的效益评估，药物选择和付款方式不公平。

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摘要

This study determined inequities of using community health workers (CHWs) for timely and appropriate treatment of malaria in terms of: 1) valuation of benefits; 2) actual purchase of drugs; and 3) payment modality in southeast Nigeria. Socioeconomic status (SES) influenced the valuation of benefits. Also, the poorest households consumed more of the cheaper drug and less of the more expensive drug (P < 0.05). The least poor households mostly paid in full, whereas the poorest households paid mostly through installments (P < 0.05). The use of CHWs improved overall geographic but not socioeconomic equity to the drugs. Hence, interventions for timely and appropriate treatment of malaria should be accompanied by drug delivery and payment strategies that would ensure SES equity in consumption of appropriate malaria treatment services.
机译：这项研究从以下方面确定了使用社区卫生工作者（CHW）及时适当治疗疟疾的不公平性：1）利益评估; 2）实际购买药品; 3）尼日利亚东南部的付款方式。社会经济地位（SES）影响了收益的评估。同样，最贫穷的家庭消费的便宜药品更多，而便宜药品更少（P <0.05）。最贫穷的家庭多数以全额付款，而最贫穷的家庭多数以分期付款方式进行（P <0.05）。使用CHW可以改善药物的整体地域，但不能改善社会经济公平性。因此，在及时和适当地治疗疟疾的干预措施中，应伴有药物输送和付款策略，以确保SES在适当的疟疾治疗服务的消费中具有公平性。

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