Inequities among the very poor: health care for children in rural southern Tanzania

  title={Inequities among the very poor: health care for children in rural southern Tanzania},
  author={Joanna Schellenberg and Cesar Gomes Victora and Adiel K Mushi and Don de Savigny and David Schellenberg and Hassan Mshinda and Jennifer W. Bryce},
  journal={The Lancet},

Tables from this paper

Sex and Socioeconomic Differentials in Child Health in Rural Bangladesh: Findings from a Baseline Survey for Evaluating Integrated Management of Childhood Illness

The findings indicated that children with severe illness in the least poor households were three times more likely to seek care from a trained provider than children in the poorest households, and care-seeking patterns were associated with the perceived severity of illness, the presence of danger signs, and the duration and number of symptoms.

Do health systems delay the treatment of poor children? A qualitative study of child deaths in rural Tanzania

Focusing on the third phase of the three-delay model, four main obstacles have been identified: confusions over payment, inadequate referral systems, the inefficient organization of health services and the culture of communication strike the poorest segment of the mothers particularly hard.

Determinants of equity in utilization of maternal health services in Butajira, Southern Ethiopia.

Assessing the determinants of equity in the provision and utilization of primary maternal health care services in Meskan and Mareko Woredas revealed that place of residence, average annual income, mothers’ education, distance from a health facility were determinants in the utilization public health programs.

Explaining household socio-economic related child health inequalities using multiple methods in three diverse settings in South Africa

Evidence is provided that socio-economic inequalities are highly prevalent within the relatively poor black population of South Africa and need to be explicitly addressed in future programme planning to improve child health for all South Africans.

Child health problems and use of health services in a rural district in Vietnam

Self-treatment and use of private practitioners were the most common measures taken in cases of respiratory symptoms and/or diarrhea, and the measures taken did not vary according to household economic status, as well as factors influencing self-medication.

Healthcare seeking for diarrhoea, malaria and pneumonia among children in four poor rural districts in Sierra Leone in the context of free health care: results of a cross-sectional survey

High healthcare seeking rates soon after the FHCI are found; however, many children do not receive recommended treatment, and some are given traditional treatment instead of seeking outside care.

Socioeconomic Inequalities in Access to Health Care: Examining the Case of Burkina Faso

It is argued that health care financing arrangements affect self-reported need and access to health care, and the poor do not access care, probably because of cost, exacerbated by non-availability of readily accessible health care facilities.

Socioeconomic inequities in the health and nutrition of children in low/middle income countries.

Careful documentation of the multiple levels of determination of socioeconomic inequities in child health is essential for understanding the nature of this problem and for establishing interventions that can reduce these differences.

Who is to blame? Perspectives of caregivers on barriers to accessing healthcare for the under-fives in Butere District, Western Kenya

Caregivers' actions were thought to influence children's progression to illness or health while the healthcare delivery system posed recurrent barriers to the accessing of healthcare for the under-fives, while actions on both fronts are necessary to reduce childhood mortality.

Poor newborn care practices - a population based survey in eastern Uganda

To improve newborn survival, newborn care should be integrated into the current maternal and child interventions, and should be implemented at both community and health facility level as part of a universal coverage strategy.



Integrated approach to child health in developing countries

  • J. Tulloch
  • Medicine, Political Science
    The Lancet
  • 1999

A computer simulation of household sampling schemes for health surveys in developing countries.

The results suggest that the unmodified EPI household sampling scheme may be adequate for rapid appraisal of morbidity prevalence or nutritional status of communities, but that it may not be appropriate for surveys which cover a wider range of topics such as health care, or seek to examine the association of health or nutrition with explanatory factors such as education and socioeconomic status.

The concepts and principles of equity and health.

  • M. Whitehead
  • Political Science, Medicine
    International journal of health services : planning, administration, evaluation
  • 1992
Seven principles for action are outlined, stemming from these concepts, to be borne in mind when designing or implementing policies, so that greater equity in health and health care can be promoted.

'The state of the world's children'.

The state of the world's children can be seen at a glance from the table of basic indicators which is included in this newsletter and which ranks countries in descending order of their U5MR for 1993 (with comparable figures given for 1960).

World development report 1997 : the state in a changing world

This is the twentieth in the annual series assessing major development issues. The report is devoted to the role and effectiveness of the state: what it should do, how it should do it, and how it can

Some basic concepts for design-based analysis of complex survey data

Submissions to the STB, including submissions to the supporting files (programs, datasets, and help files), are on a nonexclusive, free-use basis. In particular, the author grants to StataCorp the

State of the World's Children 1992