Distribution of selected healthcare resources for influenza pandemic response in Cambodia.
Identifieur interne : 000936 ( PubMed/Curation ); précédent : 000935; suivant : 000937Distribution of selected healthcare resources for influenza pandemic response in Cambodia.
Auteurs : Sara U. Schwanke Khilji [Thaïlande] ; James W. Rudge ; Tom Drake ; Irwin Chavez ; Khieu Borin ; Sok Touch ; Richard CokerSource :
- International journal for equity in health [ 1475-9276 ] ; 2013.
Descripteurs français
- KwdFr :
- MESH :
- organisation et administration : Allocation des ressources, Prestations des soins de santé.
- épidémiologie : Cambodge, Grippe humaine.
- Cartographie géographique, Facteurs socioéconomiques, Humains, Pandémies, Pauvreté.
- Wicri :
- geographic : Cambodge.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Cambodia.
- epidemiology : Influenza, Human.
- organization & administration : Delivery of Health Care, Resource Allocation.
- statistics & numerical data : Poverty.
- Geographic Mapping, Humans, Pandemics, Socioeconomic Factors.
Abstract
Human influenza infection poses a serious public health threat in Cambodia, a country at risk for the emergence and spread of novel influenza viruses with pandemic potential. Prior pandemics demonstrated the adverse impact of influenza on poor communities in developing countries. Investigation of healthcare resource distribution can inform decisions regarding resource mobilization and investment for pandemic mitigation.
DOI: 10.1186/1475-9276-12-82
PubMed: 24090286
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James.Rudge@lshtm.ac.uk.</nlm:affiliation><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Communicable Diseases Policy Research Group, London School of Hygiene & Tropical Medicine, 9th Floor, Satharanasukwisit Building, Mahidol University, 420/1 Rajavithi Road, Bangkok 10400</wicri:regionArea></affiliation></author><author><name sortKey="Rudge, James W" sort="Rudge, James W" uniqKey="Rudge J" first="James W" last="Rudge">James W. Rudge</name></author><author><name sortKey="Drake, Tom" sort="Drake, Tom" uniqKey="Drake T" first="Tom" last="Drake">Tom Drake</name></author><author><name sortKey="Chavez, Irwin" sort="Chavez, Irwin" uniqKey="Chavez I" first="Irwin" last="Chavez">Irwin Chavez</name></author><author><name sortKey="Borin, Khieu" sort="Borin, Khieu" uniqKey="Borin K" first="Khieu" last="Borin">Khieu Borin</name></author><author><name sortKey="Touch, Sok" sort="Touch, Sok" uniqKey="Touch S" first="Sok" last="Touch">Sok Touch</name></author><author><name sortKey="Coker, Richard" sort="Coker, Richard" uniqKey="Coker R" first="Richard" last="Coker">Richard Coker</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:24090286</idno><idno type="pmid">24090286</idno><idno type="doi">10.1186/1475-9276-12-82</idno><idno type="wicri:Area/PubMed/Corpus">000936</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000936</idno><idno type="wicri:Area/PubMed/Curation">000936</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000936</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Distribution of selected healthcare resources for influenza pandemic response in Cambodia.</title><author><name sortKey="Schwanke Khilji, Sara U" sort="Schwanke Khilji, Sara U" uniqKey="Schwanke Khilji S" first="Sara U" last="Schwanke Khilji">Sara U. Schwanke Khilji</name><affiliation wicri:level="1"><nlm:affiliation>Communicable Diseases Policy Research Group, London School of Hygiene & Tropical Medicine, 9th Floor, Satharanasukwisit Building, Mahidol University, 420/1 Rajavithi Road, Bangkok 10400, Thailand. James.Rudge@lshtm.ac.uk.</nlm:affiliation><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Communicable Diseases Policy Research Group, London School of Hygiene & Tropical Medicine, 9th Floor, Satharanasukwisit Building, Mahidol University, 420/1 Rajavithi Road, Bangkok 10400</wicri:regionArea></affiliation></author><author><name sortKey="Rudge, James W" sort="Rudge, James W" uniqKey="Rudge J" first="James W" last="Rudge">James W. Rudge</name></author><author><name sortKey="Drake, Tom" sort="Drake, Tom" uniqKey="Drake T" first="Tom" last="Drake">Tom Drake</name></author><author><name sortKey="Chavez, Irwin" sort="Chavez, Irwin" uniqKey="Chavez I" first="Irwin" last="Chavez">Irwin Chavez</name></author><author><name sortKey="Borin, Khieu" sort="Borin, Khieu" uniqKey="Borin K" first="Khieu" last="Borin">Khieu Borin</name></author><author><name sortKey="Touch, Sok" sort="Touch, Sok" uniqKey="Touch S" first="Sok" last="Touch">Sok Touch</name></author><author><name sortKey="Coker, Richard" sort="Coker, Richard" uniqKey="Coker R" first="Richard" last="Coker">Richard Coker</name></author></analytic><series><title level="j">International journal for equity in health</title><idno type="eISSN">1475-9276</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cambodia (epidemiology)</term><term>Delivery of Health Care (organization & administration)</term><term>Geographic Mapping</term><term>Humans</term><term>Influenza, Human (epidemiology)</term><term>Pandemics</term><term>Poverty (statistics & numerical data)</term><term>Resource Allocation (organization & administration)</term><term>Socioeconomic Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Allocation des ressources (organisation et administration)</term><term>Cambodge (épidémiologie)</term><term>Cartographie géographique</term><term>Facteurs socioéconomiques</term><term>Grippe humaine (épidémiologie)</term><term>Humains</term><term>Pandémies</term><term>Pauvreté ()</term><term>Prestations des soins de santé (organisation et administration)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Cambodia</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Influenza, Human</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Allocation des ressources</term><term>Prestations des soins de santé</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Delivery of Health Care</term><term>Resource Allocation</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Poverty</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Cambodge</term><term>Grippe humaine</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Geographic Mapping</term><term>Humans</term><term>Pandemics</term><term>Socioeconomic Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Cartographie géographique</term><term>Facteurs socioéconomiques</term><term>Humains</term><term>Pandémies</term><term>Pauvreté</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Cambodge</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Human influenza infection poses a serious public health threat in Cambodia, a country at risk for the emergence and spread of novel influenza viruses with pandemic potential. Prior pandemics demonstrated the adverse impact of influenza on poor communities in developing countries. Investigation of healthcare resource distribution can inform decisions regarding resource mobilization and investment for pandemic mitigation.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24090286</PMID><DateCompleted><Year>2014</Year><Month>05</Month><Day>14</Day></DateCompleted><DateRevised><Year>2019</Year><Month>01</Month><Day>08</Day></DateRevised><Article PubModel="Electronic"><Journal><ISSN IssnType="Electronic">1475-9276</ISSN><JournalIssue CitedMedium="Internet"><Volume>12</Volume><PubDate><Year>2013</Year><Month>Oct</Month><Day>04</Day></PubDate></JournalIssue><Title>International journal for equity in health</Title><ISOAbbreviation>Int J Equity Health</ISOAbbreviation></Journal><ArticleTitle>Distribution of selected healthcare resources for influenza pandemic response in Cambodia.</ArticleTitle><Pagination><MedlinePgn>82</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1186/1475-9276-12-82</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Human influenza infection poses a serious public health threat in Cambodia, a country at risk for the emergence and spread of novel influenza viruses with pandemic potential. Prior pandemics demonstrated the adverse impact of influenza on poor communities in developing countries. Investigation of healthcare resource distribution can inform decisions regarding resource mobilization and investment for pandemic mitigation.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A health facility survey performed across Cambodia obtained data on availability of healthcare resources important for pandemic influenza response. Focusing on five key resources considered most necessary for treating severe influenza (inpatient beds, doctors, nurses, oseltamivir, and ventilators), resource distributions were analyzed at the Operational District (OD) and Province levels, refining data analysis from earlier studies. Resources were stratified by respondent type (hospital vs. District Health Office [DHO]). A summary index of distribution inequality was calculated using the Gini coefficient. Indices for local spatial autocorrelation were measured at the OD level using geographical information system (GIS) analysis. Finally, a potential link between socioeconomic status and resource distribution was explored by mapping resource densities against poverty rates.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Gini coefficient calculation revealed variable inequality in distribution of the five key resources at the Province and OD levels. A greater percentage of the population resides in areas of relative under-supply (28.5%) than over-supply (21.3%). Areas with more resources per capita showed significant clustering in central Cambodia while areas with fewer resources clustered in the northern and western provinces. Hospital-based inpatient beds, doctors, and nurses were most heavily concentrated in areas of the country with the lowest poverty rates; however, beds and nurses in Non-Hospital Medical Facilities (NHMF) showed increasing concentrations at higher levels of poverty.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">There is considerable heterogeneity in healthcare resource distribution across Cambodia. Distribution mapping at the local level can inform policy decisions on where to stockpile resources in advance of and for reallocation in the event of a pandemic. These findings will be useful in determining future health resource investment, both for pandemic preparedness and for general health system strengthening, and provide a foundation for future analyses of equity in health services provision for pandemic mitigation planning in Cambodia.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Schwanke Khilji</LastName><ForeName>Sara U</ForeName><Initials>SU</Initials><AffiliationInfo><Affiliation>Communicable Diseases Policy Research Group, London School of Hygiene & Tropical Medicine, 9th Floor, Satharanasukwisit Building, Mahidol University, 420/1 Rajavithi Road, Bangkok 10400, Thailand. James.Rudge@lshtm.ac.uk.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rudge</LastName><ForeName>James W</ForeName><Initials>JW</Initials></Author><Author ValidYN="Y"><LastName>Drake</LastName><ForeName>Tom</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Chavez</LastName><ForeName>Irwin</ForeName><Initials>I</Initials></Author><Author ValidYN="Y"><LastName>Borin</LastName><ForeName>Khieu</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Touch</LastName><ForeName>Sok</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Coker</LastName><ForeName>Richard</ForeName><Initials>R</Initials></Author><Author ValidYN="Y"><CollectiveName>CamFlu Project Collaborators</CollectiveName></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>10</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Int J Equity Health</MedlineTA><NlmUniqueID>101147692</NlmUniqueID><ISSNLinking>1475-9276</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D002160" MajorTopicYN="N" Type="Geographic">Cambodia</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003695" MajorTopicYN="N">Delivery of Health Care</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D062305" MajorTopicYN="N">Geographic Mapping</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D007251" MajorTopicYN="N">Influenza, Human</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058873" MajorTopicYN="Y">Pandemics</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011203" MajorTopicYN="N">Poverty</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D040841" MajorTopicYN="N">Resource Allocation</DescriptorName><QualifierName UI="Q000458" MajorTopicYN="Y">organization & administration</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>05</Month><Day>22</Day></PubMedPubDate><PubMedPubDate 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