• 보건행정학회지
• /
• 제25권3호
• /
• pp.207-220
• /
• 2015

Background: The purpose of this exploratory study is to explain where, when and how the introduction of user fee system works in low and middle income countries using context, mechanism, and outcome configuration. Methods: Considering advanced research in realist review approach, we made a review process including those following 4 steps. They are identifying the review question, initial theory and mechanism, searching and selecting primary studies, and extracting, analyzing, and synthesizing relevant data. Results: User fee had a detrimental effect on medical utilization in low and middle income countries. Also previous and current interventions and community participation were critical context in user fee system. Those contexts were associated with intervention initiation and recognition and coping strategies. Such contexts and mechanisms were critical explanatory factors in medical utilization. Conclusion: User fee is a series of interventions that are fragile and dynamic. So the introduction of user fee system needs a comprehensive understanding of previous and new intervention, policy infrastructure, and other factors that can influence on medical utilization.

• Child Health Nursing Research
• /
• 제26권4호
• /
• pp.463-469
• /
• 2020

Reduction of the under-5 mortality rate is a target of the Sustainable Development Goals. Therefore, this study aimed to estimate under-5 child mortality rates in 52 low-migration countries using population data. The study utilized population data from the US Census Bureau from 1990 to 2015. The method involved first estimating mortality rates for countries with negligible net migration and then applying these rates to countries with matching mortality profiles, where it is reasonable to assume that migration is negligible for children under the age of 5 years. The highest child mortality was concentrated in the African region, followed by Asia and the Western region. However, steady progress in child mortality trends was concentrated in low-income countries. This simple method demonstrated that child mortality has significantly improved in high-income countries, followed by middle- and low-income countries. To reduce the under-5 mortality rates even further in these 52 countries, there is a need to accelerate equitable plans and policies related to child health to promote children's longevity and survival.

• Asian Pacific Journal of Cancer Prevention
• /
• 제13권2호
• /
• pp.407-409
• /
• 2012

The ACTION (Asean CosTs In ONcology) Study will be one of the largest observational studies of the burden of cancer ever conducted in Asia. The study will involve 10,000 newly diagnosed patients with cancer and will be carried out across eight low- and middle income countries within the ASEAN region (Indonesia, Thailand, Malaysia, Cambodia, Myanmar, Viet Nam, Laos and the Philippines). Patients will be interviewed three times over 12 months to assess their health, use of health care services, out of pocket costs related to their illness, social and quality of life issues. The project is a collaboration between the George Institute for Global Health, the ASEAN Foundation and Roche. The aim of the study is to assess the health and socioeconomic impact of cancer on patients in ASEAN communities, and the factors that may impact on these outcomes.

• 보건의료산업학회지
• /
• 제12권2호
• /
• pp.89-99
• /
• 2018

Objectives : To compare the degree of achievement of Universal Health Coverage (UHC) among 39 developing countries in Africa and to investigate the correlation between health care financing and the UHC index. Methods : For data, 14 UHC indexes were used in 2015 supplied by the World Health Organization (WHO). In addition, this study used a 10% of threshold point corresponding to the catastrophic health expenditures and a 25% of threshold points as a health care financing index. Results : It was found that there were significant difference among Least Low Developed Countries (LLDCs), Other Low Income Countries (Other LICs), Lower Middle Income Countiies (LMICs), Upper Middle Income Countires (UMICs) to compare the average value by nation on the UHC index. This study showed that the UHC index of LLDCs was lowest, but the average value was higher as it moved towards LMICs and UMICs. In addition, it was found that there was an average value difference among the groups like LLDCs, Other LICs, LMICs and UMICs. As a result of comparison, it was found that the spending of household health expenditure increased as LLDCs moved towards UMICs when the burden of household health expenditure was 25%. Conclusions : This study aimed to compare the UHC indexes of African nations and to investigate the correlation between the degree of spending of total expenditure on health and burden of household health expenditure and UHC, and its effect.

• Journal of Preventive Medicine and Public Health
• /
• 제56권5호
• /
• pp.485-486
• /
• 2023

• Asian Pacific Journal of Cancer Prevention
• /
• 제15권12호
• /
• pp.5035-5042
• /
• 2014

Background: Knowledge and individual perceptions about adverse effects of all forms of tobacco exert direct influence on the level of tobacco consumption in various socio-demographic groups. The objective of this study was to determine the nature, extent and demographic correlates of knowledge, attitudes and perceptions of use of tobacco among adults in low and middle income countries. Materials and Methods: The Global Adult Tobacco Survey, conducted in fourteen different countries from 2008-2010, was sourced for the data analyzed in this study. Descriptive statistical analyses were conducted to determine the prevalent knowledge and individual perceptions amongst adults about all forms of tobacco consumption. Results: There was relatively high awareness about the harmful effects of smoking tobacco with main awareness being about its relationship with lung cancer (>90% in most countries). In contrast, there was relatively low awareness about harmful effects of smokeless tobacco (< 90% in all countries except India and Bangladesh), and observed correlation of smoking tobacco with heart attack (40.6% in China, 65.1% in India) and stroke (28.2% in China, 50.5% in India). Conclusions: A large proportion of adults living in low and middle income countries possess adequate knowledge about smoking tobacco but have inadequate awareness as well as false perceptions about smokeless forms of tobacco. Popular beliefs of inverse relationships of tobacco consumption with knowledge, attitudes and perception of populations towards tobacco are challenged by the findings of this study.

• 자원ㆍ환경경제연구
• /
• 제28권1호
• /
• pp.1-37
• /
• 2019

본 연구는 152개 국가의 불균형 패널 자료를 활용하여 1980~2013년 기간의 국가별 소득수준에 따른 1인당 $CO_2$ 배출 수렴 현상을 시그마 수렴 모형과 베타 수렴 모형을 통해 분석하였다. 절대적 베타 수렴과 시그마 수렴 현상은 $CO_2$ 배출 감축을 위한 국가별 정책 상황에 따라 소득 그룹별로, 기간별로 상이하게 나타났다. 조건부 베타 수렴 분석 결과, 고소득 국가에서 1인당 소득의 증가가 1인당 $CO_2$ 배출량 수렴에 기여하였으며 제도의 수준과 기술의 수준이 높을수록 소득의 증가가 배출량 수렴 속도를 더 빠르게 감소시키는 것으로 나타났다. 중소득 국가는 1인당 소득의 증가가 1인당 $CO_2$ 배출량 수렴에 영향을 미쳤으나, 제도의 수준은 유의미하지 않게 나타났다. 반면 중소득 국가와 저소득 국가의 기술 수준 향상은 1인당 $CO_2$ 배출량 수렴 속도를 늦추는 것으로 나타나 배출량 증가에 기여하는 것으로 분석되었다.

• The Journal of Asian Finance, Economics and Business
• /
• 제8권11호
• /
• pp.31-39
• /
• 2021

This study empirically examines the proposition that the domestic fundamentals of a nation can emerge as absorptive capacity factors to reap the benefits of inward FDI. The study is contextualized in Asia, set from1982 to 2017, and data is grouped into low-income and lower-middle-income economies, in comparison to high-income and upper-middle-income economies, catering to different geographical regions within Asia. The investigation is based on a series of absorptive capacity factors such as infrastructure, human capital, domestic credit, and health indicator. The methodological analysis is premised on dynamic panel structure and employs the Generalized Method of Moments (GMM) estimation technique. The empirical findings suggest that that the infrastructure variable appears to be the major absorptive capacity factor for both groups of countries. The health indicator, on the other hand, can help reap the benefits of inward FDI, but only if the threshold level is met. The selected economies must achieve this threshold level to reap the benefits of FDI. To absorb the benefits of inward FDI, countries must be proactive in providing sound infrastructure and implementing proper healthcare measures.

• Asian Pacific Journal of Cancer Prevention
• /
• 제15권17호
• /
• pp.7235-7239
• /
• 2014

Cervical cancer, the third commonest cancer in women worldwide, can be prevented through early detection by cervical screening (Pap smear). The aim of this study was to investigate the attitudes and practice of cervical cancer screening among female undergraduate university students from 25 low, middle income and emerging economy countries. Using anonymous questionnaires, data were collected from 9,194 female undergraduate university students aged 18-26 years (mean age 20.9, SD=2.0) from 26 universities in 25 countries across Asia, Africa and the Americas. Overall, 11.6% of the female students indicated that they had conducted one or more times a cervical (Pap) smear test; 8.3% among 18-20 year-olds and 15.6% among 21-26 year-old students. There was considerable country variation on having had a cervical (Pap) smear test among 21-26 year-old female university students, ranging from 59.2% in Colombia and 50.9% in Barbados to 0% in India and 1.0% in Tunesia. Logistic regression showed that cervical cancer screening importance or positive attitude were highly associated with the cervical screening practice. Moreover, risky sexual behaviour and tobacco use, two cervical cancer risk factors, were associated with screening. Cervical cancer screening practices were found to be inadequate and e fforts should be made to develop programmes that can increase the uptake of cervical cancer screening.

• Asian Pacific Journal of Cancer Prevention
• /
• 제15권20호
• /
• pp.8637-8640
• /
• 2014

The aim of this study was to investigate the knowledge, attitude and practice of Breast Self-Examination (BSE) among female university students from 24 low, middle income and emerging economy countries. Using anonymous questionnaires, data were collected from 10,810 female undergraduate university students aged 16-30 (mean age 20.7, SD=2.9) from 25 universities in 24 countries across Asia, Africa and the Americas. Overall, 50.4% of the female students indicated that they knew how to conduct BSE. Among all women, 59.3% had never practiced BSE in the past 12 months, 21.3% 1-2 times, 10.3% 3-10 times, and 9.1% monthly. The proportion of monthly BSE was above 20% in Nigeria and Laos and below 2% in Bangladesh, India, Singapore, Russia, and South Africa. Logistic regression found that BSE importance or positive attitude was highly associated with BSE practice. BSE practices were found to be inadequate and efforts should be made to develop programmes that can increase knowledge related to breast cancer as well as the practice of breast self-examination.