ArticleBMJ open2017
Health inequity on access to services in the ethnic minority regions of Northeastern Myanmar: a cross-sectional study.
Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Regional disparities, dynamic evolution, and convergence of China's resident health service development levels.BMC health services research · 2026Article
- The right people, in the right place-assessing the impact of a new outreach model for paediatric neurology specialist services in Myanmar.Frontiers in health services · 2026Article
- Factors associated with Myanmar women's attitudes toward negotiating safer sexual relations.Frontiers in public health · 2025Article
- Difficulties faced by older Rohingya (forcibly displaced Myanmar nationals) adults in accessing medical services amid the COVID-19 pandemic in Bangladesh.BMJ global health · 2021Article
- Evaluation of progress toward universal health coverage in Myanmar: A national and subnational analysis.PLoS medicine · 2021Article
- Perceptions about the accessibility of healthcare services among ethnic minority women: a qualitative study among Arab Bedouins in Israel.International journal for equity in health · 2021Article
- Association between media exposure and family planning in Myanmar and Philippines: evidence from nationally representative survey data.Contraception and reproductive medicine · 2021Article
- Empowerment and health care access barriers among currently married women in Myanmar.BMC public health · 2021Article
- Article
- Status of Emergency Signal Functions in Myanmar Hospitals: A Cross-Sectional Survey.The western journal of emergency medicine · 2019Article
- A new hope: from neglect of the health sector to aspirations for Universal Health Coverage in Myanmar.Health policy and planning · 2019Article
- Creating a locally driven research agenda for the ethnic minorities of Eastern Myanmar.Health research policy and systems · 2019Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo evaluate health inequity on access to services in the ethnic regions of Northeastern Myanmar from three points of analysis: geographic barrier, gender-based disparity and financial burden of health services.
settingA multistage-stratified random cluster survey was conducted in Shan State Special Region 2 and Eastern Shan State Special Region 4 of Northeastern Myanmar in 2016, including a total number of 774 households.
participantsA total number of 4235 participants were recruited during the survey. PRIMARY AND SECONDARY OUTCOME MEASURES: Geographic distance, gender, household income and inpatient/outpatient service utilisation.
resultsThe study results showed that residents living within 5 km of any form of healthcare facilities paid more outpatient visits (90.06 visits per thousand population) in the past 2 weeks, compared with those living 5-20 km and over 20 km (54.84 and 54.02 per thousand population, respectively) from healthcare facilities. A similar trend with little significant differences was found for inpatient service use. Regarding household income, adults with an annual household income of above US$720 were more likely to seek outpatient service (OR=1.43, 95% CI 0.98 to 2.10) compared with those with an annual income of <US$360. After adjusting for other covariates, female adults were less likely to seek inpatient treatment (OR=0.55, 95% CI 0.35 to 0.84) and outpatient services (OR=0.86, 95% CI 0.64 to 1.15) than male adults.
conclusionsGeographic barrier, gender-based disparity and financial burdens were identified as key causes that significantly restrict ethnic people's access to healthcare facilities. The study concludes that tackling health inequity in Northeastern Myanmar ethnic regions requires an improved primary healthcare system, proper financial protection mechanisms and a special focus on women.
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