Health facility access barriers for adults with impairment in Cambodia
Lead Research Organisation:
University of Southampton
Department Name: School of Social Sciences
Abstract
This research will examine impairment amongst adults in Cambodia at the subnational level. The focus will be on the inequities in healthcare usage and barriers to healthcare services difference between those with impairments and the non-impaired. Impairment will be defined as a problem or difficulty in a body function which limits activity and the ability to execute certain tasks. Across Cambodia, impairment impacts many different people; barriers to seeking and reaching healthcare services disproportionately impact poor people, therefore the project will offer information into what the barriers are and identify how access for healthcare services can be improved.
Using advanced quantitative methods, the project will examine associations and determinants of health facility usage, comparing those with impairment and without impairment. Out-of-pocket costs and other health expenditures will be estimated and compared between the impaired and non-impaired groups. These will give initial information into the barriers in accessing health facilities in Cambodia. Data will be taken from the Cambodian Socio-Economic Survey and recent Demographic Health Surveys. Following innovative Small Area Estimation (SAE) methodologies will be used, using different types of data to map health facilities at a subnational level alongside impairment prevalence. I will use both the national census and socio-economic remote sensing models to provide data for the SAE, comparing results and therefore developing SAE methodology. The results will show the access to health facilities for impaired adults and potential barriers to be assessed. This analysis has not previously been performed on impairment in Cambodia, thus is unique and will provide new and valuable information crucial for policy making.
Using advanced quantitative methods, the project will examine associations and determinants of health facility usage, comparing those with impairment and without impairment. Out-of-pocket costs and other health expenditures will be estimated and compared between the impaired and non-impaired groups. These will give initial information into the barriers in accessing health facilities in Cambodia. Data will be taken from the Cambodian Socio-Economic Survey and recent Demographic Health Surveys. Following innovative Small Area Estimation (SAE) methodologies will be used, using different types of data to map health facilities at a subnational level alongside impairment prevalence. I will use both the national census and socio-economic remote sensing models to provide data for the SAE, comparing results and therefore developing SAE methodology. The results will show the access to health facilities for impaired adults and potential barriers to be assessed. This analysis has not previously been performed on impairment in Cambodia, thus is unique and will provide new and valuable information crucial for policy making.
Description | As part of my PhD project, I have been collaborating with colleagues from the University of Southampton in health sciences and engineering, as well as a Non-Governmental Organisation, Exceed Worldwide, who provide prosthetic and orthotic services in Southeast Asia. Exceed have shared their client data to allow me to analyse the characteristics of their clients, as well as frequencies of repairs and replacements to devices. This work is still ongoing, however, I have shared with them some interim findings to help them understand their client base and the services they provide. I will continue to analyse this data for them, so they can further understand and improve on the services they provide. |
First Year Of Impact | 2019 |
Sector | Healthcare |
Impact Types | Policy & public services |
Description | Prosthetic and Orthotics use in Cambodia using data provided by Exceed Worldwide: a collaborative approach |
Organisation | Exceed Worldwide |
Country | United Kingdom |
Sector | Charity/Non Profit |
PI Contribution | For this project, I have been analysing client data from three Exceed Worldwide Prosthetic and Orthotic clinics. The findings have been shared with Exceed who utilise the findings to understand more about their client base and services they provide. |
Collaborator Contribution | The collaborators have provided the data, as well as, documents to support my thesis. |
Impact | The outputs of this project have been reports of the data analyse conducted so far. In March, I will start a secondment to the engineering department to work on the project full-time. This collaboration is multi-disciplinary, with colleagues from health sciences, psychology and engineering. |
Start Year | 2019 |
Description | Prosthetic and Orthotics use in Cambodia using data provided by Exceed Worldwide: a collaborative approach |
Organisation | University of Southampton |
Department | Faculty of Health Sciences |
Country | United Kingdom |
Sector | Academic/University |
PI Contribution | For this project, I have been analysing client data from three Exceed Worldwide Prosthetic and Orthotic clinics. The findings have been shared with Exceed who utilise the findings to understand more about their client base and services they provide. |
Collaborator Contribution | The collaborators have provided the data, as well as, documents to support my thesis. |
Impact | The outputs of this project have been reports of the data analyse conducted so far. In March, I will start a secondment to the engineering department to work on the project full-time. This collaboration is multi-disciplinary, with colleagues from health sciences, psychology and engineering. |
Start Year | 2019 |
Description | Prosthetic and Orthotics use in Cambodia using data provided by Exceed Worldwide: a collaborative approach |
Organisation | University of Southampton |
Country | United Kingdom |
Sector | Academic/University |
PI Contribution | For this project, I have been analysing client data from three Exceed Worldwide Prosthetic and Orthotic clinics. The findings have been shared with Exceed who utilise the findings to understand more about their client base and services they provide. |
Collaborator Contribution | The collaborators have provided the data, as well as, documents to support my thesis. |
Impact | The outputs of this project have been reports of the data analyse conducted so far. In March, I will start a secondment to the engineering department to work on the project full-time. This collaboration is multi-disciplinary, with colleagues from health sciences, psychology and engineering. |
Start Year | 2019 |