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Out-of-pocket expenditure for seeking health care for sick children younger than 5 years of age in Bangladesh: findings from cross-sectional surveys, 2009 and 2012

Overview of attention for article published in Journal of Health, Population, & Nutrition, September 2017
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  • Above-average Attention Score compared to outputs of the same age (51st percentile)

Mentioned by

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4 tweeters

Citations

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9 Dimensions

Readers on

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59 Mendeley
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Title
Out-of-pocket expenditure for seeking health care for sick children younger than 5 years of age in Bangladesh: findings from cross-sectional surveys, 2009 and 2012
Published in
Journal of Health, Population, & Nutrition, September 2017
DOI 10.1186/s41043-017-0110-4
Pubmed ID
Authors

Tazeen Tahsina, Nazia Binte Ali, D.M. Emdadul Hoque, Tanvir M. Huda, Shumona Sharmin Salam, Mohammad Mehedi Hasan, Md Altaf Hossain, Ziaul Matin, Lianne Kuppen, Sarah P. Garnett, Shams El Arifeen

Abstract

Bangladesh has committed to universal health coverage, and options to decrease household out-of-pocket expenditure (OPE) are being explored. Understanding the determinants of OPE is an essential step. This study aimed to estimate and identify determinants of OPE in seeking health care for sick under-five children. Cross-sectional data was collected by structured questionnaire in 2009 (n = 7362) and 2012 (n = 6896) from mothers of the under-five children. OPE included consultation fees and costs of medicine, diagnostic tests, hospital admission, transport, accommodation, and food. Expenditure is expressed in US dollars and adjusted for inflation. Linear regression was used for ascertaining the determinants of OPE. Between 2009 and 2012, the median OPE for seeking care for a sick under-five child increased by ~ 50%, from USD 0.82 (interquartile range 0.39-1.49) to USD 1.22 (0.63-2.36) per child/visit. Increases were observed in every component OPE measured, except for consultation fees which decreased by 12%. Medicine contributed the major portion of overall OPE. Higher overall OPE for care seeking was associated with a priority illness (20% increase), care from trained providers (90% public/~ 2-fold private), residing in hilly/wet lands areas (20%), and for mothers with a secondary education (19%). OPE is a major barrier to quality health care services and access to appropriate medicine is increasing in rural Bangladesh. To support the goal of universal health care coverage, geographic imbalances as well as expanded health financing options need to be explored.

Twitter Demographics

The data shown below were collected from the profiles of 4 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 59 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 59 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 11 19%
Researcher 7 12%
Student > Bachelor 5 8%
Other 4 7%
Student > Doctoral Student 4 7%
Other 13 22%
Unknown 15 25%
Readers by discipline Count As %
Medicine and Dentistry 9 15%
Social Sciences 9 15%
Economics, Econometrics and Finance 6 10%
Nursing and Health Professions 5 8%
Agricultural and Biological Sciences 2 3%
Other 10 17%
Unknown 18 31%

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 September 2017.
All research outputs
#7,282,311
of 12,913,810 outputs
Outputs from Journal of Health, Population, & Nutrition
#133
of 288 outputs
Outputs of similar age
#123,733
of 266,027 outputs
Outputs of similar age from Journal of Health, Population, & Nutrition
#1
of 2 outputs
Altmetric has tracked 12,913,810 research outputs across all sources so far. This one is in the 42nd percentile – i.e., 42% of other outputs scored the same or lower than it.
So far Altmetric has tracked 288 research outputs from this source. They receive a mean Attention Score of 3.6. This one has gotten more attention than average, scoring higher than 53% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 266,027 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 51% of its contemporaries.
We're also able to compare this research output to 2 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them