Economic Activities, Illness Pattern and Utilisation of Health Care Facilities in the Rural Population of Kwazulu-Natal, South Africa
Identifieur interne : 000053 ( Pmc/Curation ); précédent : 000052; suivant : 000054Economic Activities, Illness Pattern and Utilisation of Health Care Facilities in the Rural Population of Kwazulu-Natal, South Africa
Auteurs : Monjurul Hoque [Afrique du Sud]Source :
- African Journal of Primary Health Care & Family Medicine [ 2071-2928 ] ; 2009.
Abstract
The study was undertaken among the rural and black communities of the Uthungulu health district of the KwaZulu-Natal province, South Africa.
A cross-sectional community-based descriptive study was conducted. A multi-stage sampling strategy was adopted to obtain a representative sample of the communities.
The mean age of the population was 27 years and majority was female (54%). Among the adult population only 30% were educated, 19% were engaged in some form of economic activities while 9% were in the formal employment sector. The average monthly income per household was R1 301 (95% CI, R1 283; R1 308). The illnesses were reported by 27% of the total population over a period of one month. Notably higher rates of female individuals (29%) were sick compared to males (24%, p < 0.001). The rates of illnesses among adult females (39%) were also significantly higher than among males (31%, p < 0.009). Most of them (69%) attended primary health care (PHC) clinics for medical services, while 67% reported chronic conditions. Age (OR = 1.4), gender (OR = 0.711), education (OR = 0.64) and economic activities (OR = 1.9) were found to be associated with being ill or not.
The rural black communities are underdeveloped and deprived, which results in higher prevalence of illnesses; however, the utilisation of PHC facilities is comparatively higher than in the rest of the province and other parts of the country. Interventions to improve community health care services among the deprived population should be focused through public health strategies such as all-encompassing PHC that includes health promotion, education and basic essential amenities.
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DOI: 10.4102/phcfm.v1i1.24
PubMed: NONE
PubMed Central: 4709497
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Economic Activities, Illness Pattern and Utilisation of Health Care Facilities in the Rural Population of Kwazulu-Natal, South Africa</title><author><name sortKey="Hoque, Monjurul" sort="Hoque, Monjurul" uniqKey="Hoque M" first="Monjurul" last="Hoque">Monjurul Hoque</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Empangeni Hospital, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Empangeni Hospital</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmc">4709497</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4709497</idno><idno type="RBID">PMC:4709497</idno><idno type="doi">10.4102/phcfm.v1i1.24</idno><idno type="pmid">NONE</idno><date when="2009">2009</date><idno type="wicri:Area/Pmc/Corpus">000053</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000053</idno><idno type="wicri:Area/Pmc/Curation">000053</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000053</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Economic Activities, Illness Pattern and Utilisation of Health Care Facilities in the Rural Population of Kwazulu-Natal, South Africa</title><author><name sortKey="Hoque, Monjurul" sort="Hoque, Monjurul" uniqKey="Hoque M" first="Monjurul" last="Hoque">Monjurul Hoque</name><affiliation wicri:level="1"><nlm:aff id="AF0001">Empangeni Hospital, South Africa</nlm:aff><country xml:lang="fr">Afrique du Sud</country><wicri:regionArea>Empangeni Hospital</wicri:regionArea></affiliation></author></analytic><series><title level="j">African Journal of Primary Health Care & Family Medicine</title><idno type="ISSN">2071-2928</idno><idno type="eISSN">2071-2936</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><title>ABSTRACT</title><sec id="st1"><title>Background</title><p>The study was undertaken among the rural and black communities of the Uthungulu health district of the KwaZulu-Natal province, South Africa.</p></sec><sec id="st2"><title>Method</title><p>A cross-sectional community-based descriptive study was conducted. A multi-stage sampling strategy was adopted to obtain a representative sample of the communities.</p></sec><sec id="st3"><title>Results</title><p>The mean age of the population was 27 years and majority was female (54%). Among the adult population only 30% were educated, 19% were engaged in some form of economic activities while 9% were in the formal employment sector. The average monthly income per household was R1 301 (95% CI, R1 283; R1 308). The illnesses were reported by 27% of the total population over a period of one month. Notably higher rates of female individuals (29%) were sick compared to males (24%, p < 0.001). The rates of illnesses among adult females (39%) were also significantly higher than among males (31%, p < 0.009). Most of them (69%) attended primary health care (PHC) clinics for medical services, while 67% reported chronic conditions. Age (OR = 1.4), gender (OR = 0.711), education (OR = 0.64) and economic activities (OR = 1.9) were found to be associated with being ill or not.</p></sec><sec id="st4"><title>Conclusion</title><p>The rural black communities are underdeveloped and deprived, which results in higher prevalence of illnesses; however, the utilisation of PHC facilities is comparatively higher than in the rest of the province and other parts of the country. Interventions to improve community health care services among the deprived population should be focused through public health strategies such as all-encompassing PHC that includes health promotion, education and basic essential amenities.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Bradshaw, D" uniqKey="Bradshaw D">D Bradshaw</name></author><author><name sortKey="Groenewald, P" uniqKey="Groenewald P">P Groenewald</name></author><author><name sortKey="Laubscher, R" uniqKey="Laubscher R">R Laubscher</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bond, P" uniqKey="Bond P">P Bond</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Crankshaw, O" uniqKey="Crankshaw O">O Crankshaw</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cunha, M" uniqKey="Cunha M">M Cunha</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hirschowitz, R" uniqKey="Hirschowitz R">R Hirschowitz</name></author><author><name sortKey="Orkin, M" uniqKey="Orkin M">M Orkin</name></author><author><name sortKey="De Castro, J" uniqKey="De Castro J">J De Castro</name></author><author><name sortKey="Hirschowitz, S" uniqKey="Hirschowitz S">S Hirschowitz</name></author><author><name sortKey="Segel, K" uniqKey="Segel K">K Segel</name></author><author><name sortKey="Taunyane, L" uniqKey="Taunyane L">L Taunyane</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Krige, D" uniqKey="Krige D">D Krige</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Rensburg, Hcj" uniqKey="Van Rensburg H">HCJ Van Rensburg</name></author><author><name sortKey="Fourie, A" uniqKey="Fourie A">A Fourie</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mametja, D" uniqKey="Mametja D">D Mametja</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wilkinson, D" uniqKey="Wilkinson D">D Wilkinson</name></author><author><name sortKey="Sach, M" uniqKey="Sach M">M Sach</name></author><author><name sortKey="Abdool Karim, Ss" uniqKey="Abdool Karim S">SS Abdool Karim</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Gilmore, Abc" uniqKey="Gilmore A">ABC Gilmore</name></author><author><name sortKey="Mckee, M" uniqKey="Mckee M">M McKee</name></author><author><name sortKey="Rose, R" uniqKey="Rose R">R Rose</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Mashego, M" uniqKey="Mashego M">M Mashego</name></author><author><name sortKey="Johnson, D" uniqKey="Johnson D">D Johnson</name></author><author><name sortKey="Carrara, H" uniqKey="Carrara H">H Carrara</name></author><author><name sortKey="Karrim, Qa" uniqKey="Karrim Q">QA Karrim</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Monden, Cws" uniqKey="Monden C">CWS Monden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pikhart, H" uniqKey="Pikhart H">H Pikhart</name></author><author><name sortKey="Bobak, M" uniqKey="Bobak M">M Bobak</name></author><author><name sortKey="Siegrist, J" uniqKey="Siegrist J">J Siegrist</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wr Blewska, W" uniqKey="Wr Blewska W">W Wróblewska</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Develay, A" uniqKey="Develay A">A Develay</name></author><author><name sortKey="Sauerborn, R" uniqKey="Sauerborn R">R Sauerborn</name></author><author><name sortKey="Diesfeld, Hj" uniqKey="Diesfeld H">HJ Diesfeld</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kahn, K" uniqKey="Kahn K">K Kahn</name></author><author><name sortKey="Garenne, Ml" uniqKey="Garenne M">ML Garenne</name></author><author><name sortKey="Collinson, Ma" uniqKey="Collinson M">MA Collinson</name></author><author><name sortKey="Tollman, Sm" uniqKey="Tollman S">SM Tollman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bradshaw, D" uniqKey="Bradshaw D">D Bradshaw</name></author><author><name sortKey="Nannan, N" uniqKey="Nannan N">N Nannan</name></author><author><name sortKey="Groenewald, P" uniqKey="Groenewald P">P Groenewald</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Epping Jordan, Je" uniqKey="Epping Jordan J">JE Epping-Jordan</name></author><author><name sortKey="Galea, G" uniqKey="Galea G">G Galea</name></author><author><name sortKey="Tukuitonga, C" uniqKey="Tukuitonga C">C Tukuitonga</name></author><author><name sortKey="Beaglehole, R" uniqKey="Beaglehole R">R Beaglehole</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Case, A" uniqKey="Case A">A Case</name></author><author><name sortKey="Menendez, A" uniqKey="Menendez A">A Menendez</name></author><author><name sortKey="Ardington, C" uniqKey="Ardington C">C Ardington</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gerdtham, U" uniqKey="Gerdtham U">U Gerdtham</name></author><author><name sortKey="Ruhm, Cj" uniqKey="Ruhm C">CJ Ruhm</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Deaton, As" uniqKey="Deaton A">AS Deaton</name></author><author><name sortKey="Paxson, C" uniqKey="Paxson C">C Paxson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van De Mheen, H" uniqKey="Van De Mheen H">H Van de Mheen</name></author><author><name sortKey="Stronks, K" uniqKey="Stronks K">K Stronks</name></author><author><name sortKey="Looman, Cwn" uniqKey="Looman C">CWN Looman</name></author><author><name sortKey="Mackenbach, Jp" uniqKey="Mackenbach J">JP Mackenbach</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Afr J Prim Health Care Fam Med</journal-id><journal-id journal-id-type="iso-abbrev">Afr J Prim Health Care Fam Med</journal-id><journal-id journal-id-type="publisher-id">PHCFM</journal-id><journal-title-group><journal-title>African Journal of Primary Health Care & Family Medicine</journal-title></journal-title-group><issn pub-type="ppub">2071-2928</issn><issn pub-type="epub">2071-2936</issn><publisher><publisher-name>AOSIS OpenJournals</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">4709497</article-id><article-id pub-id-type="publisher-id">PHCFM-1-024</article-id><article-id pub-id-type="doi">10.4102/phcfm.v1i1.24</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Research</subject></subj-group></article-categories><title-group><article-title>Economic Activities, Illness Pattern and Utilisation of Health Care Facilities in the Rural Population of Kwazulu-Natal, South Africa</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Hoque</surname><given-names>Monjurul</given-names></name><xref ref-type="aff" rid="AF0001">1</xref></contrib></contrib-group><aff id="AF0001"><label>1</label>Empangeni Hospital, South Africa</aff><author-notes><corresp id="cor1"><bold>Correspondence to:</bold> Monjurul Hoque, <bold>e-mail:</bold><email xlink:href="monjurul.hoque@kznhealth.gov.za">monjurul.hoque@kznhealth.gov.za</email>, <bold>Postal address:</bold> Empangeni Hospital, KwaZulu-Natal, PO Box 2468, New Germany 3620, South Africa</corresp><fn><p><bold>How to cite this article:</bold> Hoque M. Economic activities, illness pattern and utilisation of health care facilities in the rural population of KwaZulu-Natal, South Africa. Afr J Prm Health Care Fam Med. 2009;1(1), Art. #24, 5 pages. DOI:10.4102/phcfm.v1i1.24</p><p><bold>This article is available at:</bold><ext-link ext-link-type="uri" xlink:href="http://www.phcfm.org">http://www.phcfm.org</ext-link></p></fn></author-notes><pub-date pub-type="epub"><day>10</day><month>6</month><year>2009</year></pub-date><pub-date pub-type="collection"><year>2009</year></pub-date><volume>1</volume><issue>1</issue><elocation-id>024</elocation-id><history><date date-type="received"><day>20</day><month>12</month><year>2008</year></date><date date-type="accepted"><day>07</day><month>3</month><year>2009</year></date></history><permissions><copyright-statement>© 2009. The Authors</copyright-statement><copyright-year>2009</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.0/"><license-p>AOSIS OpenJournals. This work is licensed under the Creative Commons Attribution License.</license-p></license></permissions><abstract><title>ABSTRACT</title><sec id="st1"><title>Background</title><p>The study was undertaken among the rural and black communities of the Uthungulu health district of the KwaZulu-Natal province, South Africa.</p></sec><sec id="st2"><title>Method</title><p>A cross-sectional community-based descriptive study was conducted. A multi-stage sampling strategy was adopted to obtain a representative sample of the communities.</p></sec><sec id="st3"><title>Results</title><p>The mean age of the population was 27 years and majority was female (54%). Among the adult population only 30% were educated, 19% were engaged in some form of economic activities while 9% were in the formal employment sector. The average monthly income per household was R1 301 (95% CI, R1 283; R1 308). The illnesses were reported by 27% of the total population over a period of one month. Notably higher rates of female individuals (29%) were sick compared to males (24%, p < 0.001). The rates of illnesses among adult females (39%) were also significantly higher than among males (31%, p < 0.009). Most of them (69%) attended primary health care (PHC) clinics for medical services, while 67% reported chronic conditions. Age (OR = 1.4), gender (OR = 0.711), education (OR = 0.64) and economic activities (OR = 1.9) were found to be associated with being ill or not.</p></sec><sec id="st4"><title>Conclusion</title><p>The rural black communities are underdeveloped and deprived, which results in higher prevalence of illnesses; however, the utilisation of PHC facilities is comparatively higher than in the rest of the province and other parts of the country. Interventions to improve community health care services among the deprived population should be focused through public health strategies such as all-encompassing PHC that includes health promotion, education and basic essential amenities.</p></sec></abstract><kwd-group><kwd>determinants of health condition</kwd><kwd>economic activity</kwd><kwd>illness</kwd><kwd>utilisation</kwd><kwd>rural South Africa</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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