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Health service seeking behavior and factors associated with under utilization of public health care facilities in a rural area of Bangladesh

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Author(s): Mahbubur Rahman | Mofakkharul Islam | Md. Rafiqul Islam | Gautam Sadhya | Md. Abdul Latif

Journal: International Journal of Collaborative Research on Internal Medicine & Public Health
ISSN 1840-4529

Volume: 3;
Issue: 3;
Start page: 246;
Date: 2011;
Original page

Keywords: Healthcare service | public healthcare facilities | under-utilization | rural area | Bangladesh

ABSTRACT
Background: Healthcare funding is an important issue in developing countries. The overall situation ofhealth care system is poor in developing countries like Bangladesh due to inadequate access to modernhealth services and poor utilization.Aim & objectives: Aim of the study was to determine the health service seeking behavior and factorsassociated with under-utilization of public healthcare facilities in rural areas of Bangladesh.Methods: It was a community-based cross sectional study conducted among 492 systematically selectedhouseholds having at least one child up to 1 year of age. Data were collected through face-to-faceinterview of the spouses of the household heads or any married women aged 15-49 years who could giveinformation about the household.Findings: Education status of the household heads and the respondents, monthly family income andstandard of living were significant predictors for non-utilization of public healthcare facilities.Respondents pointed out poor quality of care and long waiting time as the main reasons for not takingservices from public healthcare facilities. Inconvenient service timing was the best predictor for nottaking public health services for family planning (OR 1.67; p
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