Studying the reality of management of medical information in 7 poor communes of Nam Dong mountain district, Thua Thien – Hue. Results showed that: commune people’s committees and district medical centers had been supervised and directed but not regularly, medical information management was not yet put into monthly workplan of local authority. Medical activities have been written almost in books, tables, statistical reports at commune medical stations, but the writing was inadequate as required. The equipment for management of medical information at medical stations were deficient. The system of medical workers in hamlets had worked not effectively.
Medical Informatics ; Poverty

The Party and Government interested in health care for poor ethinic people, therefore ensure equitableness and equality in all aspects for ethnics of Vietnam. The poor ethnic people still have many difficulties in term of accessibility to health care services, especially to hospital. The major causes were uncomfortable traffic, lack of budget for moving, low education and awareness of people, less accessibility to communication and information means. Health facilities in the mountainous and remote areas had not met the need in health care services of the people due to poor infrastructure, old equipment, inadaquate drugs, lack human and financial resources
Delivery of Health Care ; Poverty

The health activities in the mountain, remote and deep areas have been many difficulties. In order to care better the people health in these areas, the ministry of health introduced major solutions, including the establishment of the center for the health communication and education, center for social disease prevention and control, establishment of the local general clinics, strengthen of the local health network, enhancement of the socialization of the health activities and building the communal health stations.
Delivery of Health Care ; Poverty Areas

After one year implementation of the decision Number 139 about the health care for the poor, some realizations were achieved in all provinces, the steering committee was assigned to conduct the service of health care for the poor and the fund of health care for the poor was established. In the year 2003, the Ministry of Finance had supplied for 100% of subjects who covered by the Decision Number 139. The fund of health care was responsive for clearing the cost of health care services. The sponsorship for this implementation was encouraged. In the coming future, 100% of the poor population were benefited by this strategy.
Delivery of Health Care ; Poverty ; Epidemiology

Tuberculosis (TB) remains a very common disease in most of the low- and middle-income countries. As a result of high disease burden, TB control measures in these countries are usually concentrated on intensifying active disease case-finding and early treatment of infectious TB. On the contrary, in countries with low disease burden, the focus is on contact investigation to identify latently infected individuals and prophylactically treating them to prevent disease reactivation and transmission. These two strategies are deemed important for the effective TB control. Nonetheless, WHO cautions that targeted contact investigation and latent TB infection (LTBI) treatment should only be undertaken by countries that have the operational capacity/resources and have achieved ≥ 85% treatment success rate of active TB. The screening of LTBI is further challenged by the lack of a “gold standard” test to identify and validate individuals with this condition. Tuberculin skin test (TST) is still the preferred investigation as it is cheap, widely available and validated in many trials. The sensitivity and specificity of the newer test—interferon gamma release assay (IGRA) for LTBI screening has been encouraging in low prevalence countries. However, the evidence supporting such usage remains uncertain in high burden settings. Diagnosis of LTBI should adhere to the strict criteria outlined in the guidelines to avoid misdiagnosing active TB as LTBI. The treatment of the latter involved only one or two anti-TB drugs. It has been demonstrated that in the properly conducted contact screening and LTBI treatment, chances of the emergence of multi-drug-resistant TB is very low.
Tuberculosis ; Poverty ; Antifungal Agents ; Itraconazole

No abstract available.
Communicable Diseases ; Nepal ; Poverty Areas

The persons with internal organ impairments are a vulnerable group, having very complex medical conditions. This type of disability may affect one or more of the body's systems, including respiratory, neurological, circulatory, urological, and gastrointestinal systems. These persons differ from those with other disabilities, since numerous chronic health disabilities may fluctuate in severity. In addition, it is often the case that they are burdened by high medical costs, which in turn leads to poverty. Korean health care system should be reorganized to address the needs of the persons with internal organ impairments more effectively. Most importantly, development of medical security system is needed.
Delivery of Health Care ; Disabled Persons ; Humans ; Poverty

No abstract available.
Delivery of Health Care* ; Health Care Costs* ; Poverty*

Analyze secondary data from the Vietnam National Health Survey 2001-2002 and some related available data in order to assess the burden of health care costs for the households in 5 levels of living and this impact on the use of healthcare services of the poor and near poor households, focused on inpatient healthcare costs. Results: healthcare costs accounted for 22.8% and 24% of total non-food expenditures per capita annually in the poor and near poor groups, respectively. Healthcare costs accounted for 8% of income per capita in the poorest group. High healthcare costs were associated significantly with lower level of health care utilization of the poor and near poor. Economic shock due to high health expenditures was the common reason for people falling under poverty line, especially for the near poor
Health Care Costs ; Poverty ; Health Services

Assessment 3 communes of Khang Ninh, Thuong Giao and Cao Thuong, Ba Be district, Bac Can province showed that: the rate of poor households were very high, the pollution of the enviroment was very serious. On the health care: the medical stations at 3 communes were lack in number and insufficient quality. The medical index were very low:malnourished children at 3 communes were very high; remained malaria, the incidence of intestinal parasite in children were at high level; women who had gynecological examination was very low; the health care for mothers were very poor.
Delivery of Health Care ; Poverty ; Environment ; Child