Problems in Accessing Health Care

 

Percentage of women who reported serious problems in accessing health care for themselves, by type of problem

 

Definition

 

Percentage of women who reported that they have serious problems in accessing health care for themselves when they are sick, by type of problem.

 

Coverage:

Population base: All women age 15-49 at the time of the survey (IR File)

Time period: Current status at the time of the survey

 

Numerator:

Number of women age 15-49 who reported that they have serious problems in accessing health care for themselves when they are sick, for each type of problem:

1)      Getting permission to go for treatment (v467b = 1)

2)      Getting money for treatment (v467c = 1)

3)      Distance to the health facility (v467d = 1)

4)      Not wanting to go alone (v467f = 1)

5)      At least one problem accessing health care (one or more of the above)

 

Denominator: Number of women age 15-49 at the time of the survey

 

Variables: IR file.

v467b

Getting medical help for self: getting permission to go

v467c

Getting medical help for self: getting money needed for treatment

v467d

Getting medical help for self: distance to health facility

v467f

Getting medical help for self: not wanting to go alone

v005

Woman’s individual sample weight

 

Calculation

 

Numerator divided by denominator, multiplied by 100.

 

Handling of Missing Values

 

Women with missing information are included in the denominator.

 

Notes and Considerations

 

Accessing health care applies to any type of health care when the respondent is sick and is not limited to reproductive health care.

 

Changes over Time

 

Prior to DHS-V (2003), this question was asked only of women who had at least one child living with. Although DHS-V and DHS-VI included the above response options in the core questionnaire, prior phases have also included various additional response options; surveys may add country-specific response options at their discretion.

 

References

 

Gupta, S., G. Yamada, R. Mpembeni, G. Frumence, J.A. Callaghan-Koru, R. Stevenson, N. Brandes, and A.H. Baqui. 2014. “Factors associated with four or more antenatal care visits and its decline among pregnant women in Tanzania between 1999 and 2010.” PloS one9(7), p.e101893. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0101893

 

Woldemicael, G. and E.Y. Tenkorang. 2010. “Women’s autonomy and maternal health-seeking behavior in Ethiopia.” Maternal and child health journal, 14(6), pp.988-998.

 

Resources

 

DHS-8 Tabulation plan: Table 9.20

 

API Indicator IDs:

RH_PAHC_W_PRM, RH_PAHC_W_MON, RH_PAHC_W_DIS, RH_PAHC_W_ALN, RH_PAHC_W_PR1

(API link, STATcompiler link)

 


 

Percent distribution of women by travel time to nearest health facility and by means of transport to nearest health facility.

 

Definition

 

1)      Percent distribution of women by travel time to nearest health facility.

2)      Percent distribution of women by means of transport to nearest health facility.

 

Coverage:

Population base: All women age 15-49 at the time of the survey (IR File)

Time period: Current status at the time of the survey

 

Numerators:

1)      The number women in each group of travel time to nearest health facility, according to grouped travel times (v483a)

2)      The number of women who take each means of transport to the nearest health facility, according to grouped types of transportation (v483b)

 

Denominator: Number of women age 15-49 at the time of the survey

 

Variables: IR file.

v483a

Minutes to nearest healthcare facility

v483b

Mode of transportation to nearest healthcare facility

v005

Woman’s individual sample weight

 

Calculation

 

Travel time to nearest facility is grouped into categories of <30 minutes (v483a in 0:29), 30-59 minutes (v483a in 30:59), 60-119 minutes (v483a in 60:119), and > 2 hours (v483a in 120:900) before calculating percentages. Means of transport to nearest health facility are grouped into motorized (v483b in 11:19), not motorized (v483b in 21:29), and other (v483b = 96) before calculating percentages.

 

For percentages, the numerators divided by the same denominator, multiplied by 100.

 

Handling of Missing Values

 

“Don’t know” and missing values included in the denominator.

 

Notes and Considerations

 

Percent distribution adds up to 100 percent.

 

Motorized means of transport include car/truck, public bus, motorcycle/scooter, and boat with motor. Not motorized means of transport include animal-drawn cart, bicycle, boat without motor, and walking.

 

Resources

 

DHS-8 Tabulation plan: Table 9.21

 

API Indicator IDs:

TBD

(API link TBD, STATcompiler link TBD)