Health Service Delivery and Utilization in Timor-Leste : A Qualitative Study
This report was written as part of a broader Health Sector Review in Timor-Leste currently being undertaken by the World Bank. Timor-Leste struggles with a burden of disease since independence. Poor health is related to environmental sanitation, po...
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Format: | Health Sector Review |
Language: | English en_US |
Published: |
Washington, DC
2013
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Online Access: | http://documents.worldbank.org/curated/en/2005/05/16274798/health-service-delivery-utilization-timor-leste-qualitative-study-health-service-delivery-utilization-timor-leste-qualitative-study http://hdl.handle.net/10986/12461 |
Summary: | This report was written as part of a
broader Health Sector Review in Timor-Leste currently being
undertaken by the World Bank. Timor-Leste struggles with a
burden of disease since independence. Poor health is related
to environmental sanitation, poverty, food security, a
shortage of doctors, and the difficulty of reaching some
rural communities. Some problems are specific to
Timor-Leste: violence during the Indonesian occupation, the
destruction of the health care sector, and a situation of
medical pluralism in which long-established practices of
traditional healers co-exist with recent biomedical
services. One obstacle the health sector faces is client low
utilization of health services. The 2003 Demographic and
Health Survey (DHS) reports that about a fifth of poor
households have never used the health care facility closest
to their house. While it is clear that many households are
unwilling or unable to access health care, the reasons for
these barriers are poorly understood. One aim of this report
is to help fill this gap in knowledge by providing
contextual information on health seeking behavior. A second
aim is to shed light on human resource challenges in the
health sector. |
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