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All Journal Makara Journal of Health Research
Clara, Naw
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Factors influencing health service utilization among the elderly in Insein Township, Yangon Region Min Min Hlaing, Sandar; Clara, Naw; Nanda Han, Aye
Makara Journal of Health Research Vol. 24, No. 3
Publisher : UI Scholars Hub

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Abstract

Background: With the increasing needs of the aging population and the increasing prevalence of non-communicable diseases, assessment of the equity and accessibility of health care among the elderly has become important. Methods: A cross-sectional descriptive study was conducted from December 2018 to December 2019 among 225 elderly to describe the factors influencing health service utilization. Multistage sampling was applied, and structured questionnaire was used to interview the elderly. Chi-squared test and multiple logistic regression were performed in data analysis. Results: The average age of the respondents was 71.7 ± 8.17 years old, and 68.4% of the respondents utilized health services within a year. Although sex, health habit, and diagnosed chronic disease were associated with health service utilization in bivariate analysis, multiple logistic regression results reported that physical exercise [adjusted odd ratios (AOR) = 3.02, 95%CI: 1.07–8.53], financial support of family [AOR = 2.77, 95%CI: 1.00–7.69], perceived transportation cost [AOR = 0.08, 95%CI: 0.01–0.54], accessibility to health care personnel [AOR = 0.14, 95%CI: 0.04–0.50], and perceived health status [AOR = 0.03, 95%CI: 0.01–0.09] were predictors of health service utilization. Conclusion: This study highlighted the significant influence of perceived health status, financial support of family, perceived transportation cost, and accessibility to health care personnel referred to the possible indicators of health care inequality issues.
Factors Predicting Work Ability among Community Healthcare Providers in Yangon, Myanmar Wai, Phyu Nyein; Clara, Naw
Makara Journal of Health Research Vol. 28, No. 1
Publisher : UI Scholars Hub

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Background: In healthcare organizations, a high level of work ability is necessary for workers to perform their tasks under different working conditions. This study aimed to describe the quality of work life, work environment, and work ability and examine predictors of the work ability of community healthcare providers. Methods: A cross-sectional descriptive study was conducted from May 2020 to July 2020. The study enrolled 284 registered nurses and midwives from 38 public health departments in Yangon, Myanmar. Data were collected using the work-related quality of life scale (WRQoL) 2, work environment impact scale (WEIS-SR), and work ability index (WAI). The multiple regression method was used to analyze predictors of work ability. Results: Overall, 71.13% of the participants were between 26 and 45 years old, and 99.30% were female. High WEIS-SR (61.98 ± 6.38), average WRQoL (106.10 ± 15.63), and good WAI (39.29 ± 4.99) scores were found (p = 0.05). WRQoL was found to be a predictor of the WAI of community healthcare providers (R2 = 0.140, B = 0.124) (p = 0.05). Conclusions: Improving the quality of work life of community healthcare providers will also motivate them to perform their jobs better and thus satisfy their clients.
Co-Authors Min Min Hlaing, Sandar Nanda Han, Aye Wai, Phyu Nyein