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Inequalities in access to health care for people with disabilities in Chile: the limits of universal health coverage

ROTAROU, Elena S
SAKELLARIOU, Dikaios
2017

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We analysed cross-sectional data collected as part of the National Socioeconomic Characterisation Survey (2013) in Chile, in order to explore if there are differences in access to health care between adult Chileans with and without disability. The study included 7459 Chilean adults with disability and 68,695 people without disability. Logistic regressions were performed in order to determine the adjusted odds ratios for the associated variables. We found that despite universal health coverage, Chileans with disabilities are more likely to report worse access to health care, even when controlling for socio-economic and demographic variables, including age, gender and income. Specifically, they are more likely to face greater difficulty arriving at a health facility, obtaining a doctor’s appointment, being attended to in a health facility, paying for treatment due to cost, and obtaining necessary medicine. Both people with and without disability are more likely to face difficulties in accessing health services if they are affiliated with the public health provider, an indication of the economic factors at play in accessing health care. This study shows that universal health coverage does not always lead to accessibility of health services and underlines the disadvantaged position of disabled people in Chile in accessing health services. While efforts have been made recently to improve equity in health care access, disability in Chile poses an additional burden on people’s access to health care, emphasising the necessity for policy to address this perpetual cycle of disadvantage for disabled people.

The economic lives of people with disabilities in Vietnam

PALMER, M
GROCE, N
MONT, D
NGUYEN, O H
MITRA, S
July 2015

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Through a series of focus group discussions conducted in northern and central Vietnam, this study gives voice to the lived economic experience of families with disabilities and how
they manage the economic challenges associated with disability. The dynamic of low and unstable income combined with on-going health care and other disability-related costs
gives rise to a range of coping mechanisms (borrowing, reducing and foregoing expenditures, drawing upon savings and substituting labour) that helps to maintain living standards
in the short-run yet threatens the longer-term welfare of both the individual with disability and their household. Current social protection programs were reported as not accessible to
all and while addressing some immediate economic costs of disability, do not successfully meet current needs nor accommodate wider barriers to availing benefits.

Nonparametric estimation of a compensating variation : the cost of disability

HANCOCK, Ruth
MORCIANO, Marcello
PUDNEY, Stephen
December 2013

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This paper proposes a nonparametric matching approach to estimation of implicit costs based on the compensating variation (CV) principle. The paper aims to introduce the matching approach, compare its properties with those of the conventional indirect parametric approach, and demonstrate its application in an important policy area. The authors apply the method to estimate the additional personal costs experienced by disabled older people in Great Britain, finding that those costs are substantial, averaging in the range £48-61 a week, compared with the mean level of state disability benefit (£28) or total public support (£47) received. Estimated costs rise strongly with the severity of disability. The authors compare the nonparametric approach with the standard parametric method, finding that the latter tends to generate large overestimates unless conditions are ideal, and recommend the nonparametric approach

ISER Working Paper Series, No. 2013-26

Violence and abuse against women with disabilities in Malawi

HOEM KVAM, Marit
HELLUM BRAATHEN, Stine
November 2006

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This is a case study of violence and sexual abuse towards women with disabilities in Malawi. It is based on in-depth interviews and focus group discussions. This work examines the childhood and adult experiences of these women, and asserts that discrimination, stigma and vulnerability is worse for adult women.It claims that improvements to access and education will lead to empowerment, thus improving the overall quality of life that women with disabilities can enjoy. This work would be useful for anyone with an interest in human/ women's rights and disability

Towards well-being for Afghans with disability : the health challenge

BAKHSHI, Parul
TRANI, Jean-Francois
2006

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This report is part of the National Disability Survey in Afghanistan. It aims to identify the number of Afghans with a disability, the barriers they face, and their access to rehabilitation services and other health provision. This report is inclusive of the needs of people with psycho-social disabilities and represents the first steps toward developing a systemic approach to health and disability provision in Afghanistan

Mexico Forum 8

GLOBAL FORUM FOR HEALTH RESEARCH
February 2005

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The Global Forum for Health Research aims at addressing the "10/90 gap": less than ten per cent of research funds are devoted to 90 per cent of the world health needs. This CD-ROM contains the full text of papers and posters presented at Forum 8 in Mexico City in 2004. Forum 8 gathered around 900 participants from 450 institutions in 109 countries. Participants represented governments, multilateral and bilateral aid agencies, international and national foundations and NGOs, women's organizations, research institutions and universities, the private sector and the media. Topics covered include health research, disease prevention, child mortality, maternal health, substance abuse, mental and neurological health

Women with disabilities: accessing trade

STIENSTRA, Deborah
et al
July 2004

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This resource examines how trade policy and the cost of health services and products further economically marginalize women with disabilities. The authors outline how a similar phenomenon leads to lack of access due to higher costs of goods that are imported from the US. This resource also includes a set of recommendations for government and private sector organisations. This work would be useful for anyone with an interest in women's rights, disability and trade issues

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