Bringing Medicine to the Hamlet: Exploring the Experiences of Older Women in Rural Bangladesh Who Seek Health Care
Notice bibliographique
Résumé
The purpose of this study was to explore the experiences of older women in rural Bangladesh who seek health care. Qualitative methods were used to collect data from 17 older women in Bibirchar Union, Sherpur District, Bangladesh in June 2006. The study is intended to generate findings to help policy makers plan appropriate strategies to improve the health of this highly vulnerable population group.\nThe findings reveal that women’s culturally and socially determined roles greatly impair their health and play an important role in health-seeking behaviour through a complex web of social, economic, religious/cultural and behavioural interrelationships and synergies that pervade every aspect of their lives. Both demand factors—which include age, gender, cost, quality, geographic accessibility, availability of resources, the seriousness of the condition, and traditional and religious beliefs—and supply factors which include health system barriers such as perceived high cost of health services, geographical distance, scarcity of female health workers, understaffing, inadequate supply of drugs, discrimination and disrespectful treatment based on class, age and gender lead to reduced use of health services.\nThe social determinants of health perspective informing the study shapes the conclusion that there is an urgent need for changes to the publicly funded health care system that would make it more accessible to older women in Bibirchar. These changes include ensuring an adequate supply of medications and equipment in the primary health centres, provision of free medications, and training of health service providers in geriatrics. Further, it is recommended that the referral system among the various health services be strengthened, collaboration between traditional health providers and modern health providers be provided, and that spiritual beliefs be integrated into health care provision. Training in how to treat older patients respectfully is recommended for all health providers working in government-funded organizations as is the hiring of more female health care providers. Incentives to attract physicians to work in publicly-funded facilities in rural areas are suggested and provision of free hospital and preventive testing services for older adults.\nIn the longer term, recommendations are made that would increase the status, respect and resources commanded by older women in Bangladesh. These include health promotion programs to change public attitudes about the importance of providing health care to older women, investment in the social development of rural areas in Bangladesh, empowering local communities in health care decision making, and enhancement of economic opportunities for women. Finally a need is identified to redefine health from a limited understanding of it as “the absence of disease” to one grounded in a determinants of health perspective.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,001 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».