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Enhancing care for urban poor living with chronic conditions: role of local health systems

Upendra Bhojani (2016) Monographs of the Department of Public Health, Ghent University.
abstract
Five-year research in a poor urban neighborhood in South India reveals a high burden of chronic conditions where the majority rely on private health facilities for care. Poverty hinders people from accessing health services and those who seek care get further impoverished. Socially defined roles and positions limit women and elderly in managing care. Fragmented services imply patients having to visit more than one facility for a single episode of care. The limited use of medical records and lack of referral systems hinder continuity of care. Poor regulation of the private sector, lack of platforms for community engagement and corruption mark ineffective governance of the mixed local health system. The government sector fails to provide adequate care, whereas the private sector strives to maximize profits. Care for the poor is at best seen as charity. Our study unravels the complex nature of the local health system wherein implementing positive change requires careful consideration of local dynamics and opportunities.
Please use this url to cite or link to this publication:
author
promoter
UGent, UGent and
organization
alternative title
Enhancing care for chronic conditions
year
type
dissertation
publication status
published
subject
keyword
chronic, health services, chronic diseases, urban, poverty, slum, India, health system, hypertension, health care, non communicable diseases, diabetes, local health system
in
Monographs of the Department of Public Health, Ghent University
pages
229 pages
publisher
Ghent University. Faculty of Medicine and Health Sciences
place of publication
Ghent, Belgium
defense location
Gent : Campus UZ (1K3, aud. 1)
defense date
2016-09-16 18:00
ISBN
9789078344445
language
English
UGent publication?
yes
classification
D1
copyright statement
I have retained and own the full copyright for this publication
id
8084058
handle
http://hdl.handle.net/1854/LU-8084058
date created
2016-09-21 17:14:34
date last changed
2017-01-16 10:52:22
@phdthesis{8084058,
  abstract     = {Five-year research in a poor urban neighborhood in South India reveals a high burden of chronic conditions where the majority rely on private health facilities for care. Poverty hinders people from accessing health services and those who seek care get further impoverished. Socially defined roles and positions limit women and elderly in managing care. Fragmented services imply patients having to visit more than one facility for a single episode of care. The limited use of medical records and lack of  referral systems hinder continuity of care. Poor regulation of the private sector, lack of platforms for community engagement and corruption mark ineffective governance of the mixed local health system. The government sector fails to provide adequate care, whereas the private sector strives to maximize profits. Care for the poor is at best seen as charity. Our study unravels the complex nature of the local health system wherein implementing positive change requires careful consideration of local dynamics and opportunities.},
  author       = {Bhojani, Upendra},
  isbn         = {9789078344445},
  keyword      = {chronic,health services,chronic diseases,urban,poverty,slum,India,health system,hypertension,health care,non communicable diseases,diabetes,local health system},
  language     = {eng},
  pages        = {229},
  publisher    = {Ghent University. Faculty of Medicine and Health Sciences},
  school       = {Ghent University},
  series       = {Monographs of the Department of Public Health, Ghent University},
  title        = {Enhancing care for urban poor living with chronic conditions: role of local health systems},
  year         = {2016},
}

Chicago
Bhojani, Upendra. 2016. “Enhancing Care for Urban Poor Living with Chronic Conditions: Role of Local Health Systems.” Monographs of the Department of Public Health, Ghent University. Ghent, Belgium: Ghent University. Faculty of Medicine and Health Sciences.
APA
Bhojani, U. (2016). Enhancing care for urban poor living with chronic conditions: role of local health systems. Monographs of the Department of Public Health, Ghent University. Ghent University. Faculty of Medicine and Health Sciences, Ghent, Belgium.
Vancouver
1.
Bhojani U. Enhancing care for urban poor living with chronic conditions: role of local health systems. Monographs of the Department of Public Health, Ghent University. [Ghent, Belgium]: Ghent University. Faculty of Medicine and Health Sciences; 2016.
MLA
Bhojani, Upendra. “Enhancing Care for Urban Poor Living with Chronic Conditions: Role of Local Health Systems.” Monographs of the Department of Public Health, Ghent University 2016 : n. pag. Print.