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008 180910s2016 th a m rtm 000 eng d
035 _a.b12206209
099 9 _aAIT Thesis no.RD-16-12
100 1 _aAbdullah, JM
245 1 0 _aAccessibility to healthcare for the aged in Bangladesh :
_ban assessment
260 _aPathum Thani :
_bAsian Institute of Technology,
_c2016
300 _a111 leaves :
_bill.
490 1 _aThesis ;
_vno. RD-16-12
500 _aSubmitted in partial fulfillment of the requirements for the degreeof Master of Science in Regional and Rural Development Planning
502 _aThesis (M.Sc.) - Asian Institute of Technology, 2016
520 _aThe research assessed how much the healthcare services are accessible for the elderly people living in rural and semi-urban areas in Bangladesh. In the backdrop of increasing number of elderly people in the country the research tried to examine the prevalence of diseases, availability, accessibility and affordability of health services for the aged as well as their satisfaction on health services. Analyzing both the quantitative and qualitative type of primary data collected through survey in two districts selected following sampling method, interview, focus group discussion with elderly people and key informant interviews, the study found that elderly people have high prevalence of chronic diseases. For getting treatment of these diseases they have easy access to upazila hospitals, but there has a dearth of specialist doctors and diagnostic facilities. These facilities are available in district, national level hospitals and private hospitals which are not geographically easily accessible. However, expenses in those hospitals are not affordable to all. Elderly people from higher income groups only can afford these treatments and others who cannot afford the cost continue their treatment at upazila hospitals or resort to alternative medicine. It also found thatthere is no separate arrangement for elderly people in public hospitals and they are supposed to receive healthcare from the existing healthcare delivery system. In accessing healthcare no significant variation was found among elderly people from rural and semi-urban areas, but there were variations between male and female due to their economic status. Satisfaction on existing health facilities are assessed to get a complete understanding of accessibility to healthcare. The research found that elderly people are not satisfied with the treatment of chronic diseases at upazila hospitals and they also were not satisfied with pathological, radiology and imaging facilities. To get better services they move to district or national level hospitals or private diagnostic centres far away from rural area and this truncate accessibility to health services for the elderly people. The research suggested deploying specialist doctors and enhancing diagnostic facilities at are upazila level hospitals, arranging separate unit for elderly in public hospitals, incorporating courses on gerontology in medical curriculum to produce doctors, engaging private sector in elderly healthcare through policy guidelines and commissioning research to find ways for elderly healthcare.
650 0 _aHealth services administration
_zBangladesh
650 0 _aHealth surveys
_xBangladesh
700 1 _aAhmad, Mokbul Morshed,
_eChairperson
700 0 _aSoparth Pongquan,
_eExamination Committee
700 1 _aPhilippe Doneys,
_eExamination Committee
710 2 _aAsian Institute of Technology Fellowship,
_eScholarship donor
810 2 _aAsian Institute of Technology.
_tThesis ;
_vno. RD-16-12
856 _3Full-Text
_uhttp://203.159.5.9/ait-thesis/detail.php?q=B03820
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_vn
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