Determination of access to medicines for children living on poor households of Peninsular Malaysia

A study on access to medicines for children living in poor households (living on RM100 per capita/month) in Peninsular Malaysia was carried out to determine whether these children can access medicines when they get sick. this study also aimed to determine the existing barriers that could limit the a...

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Main Author: Asmalita Syaiful
Format: Thesis
Language:English
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id my-usim-ddms-12431
record_format uketd_dc
institution Universiti Sains Islam Malaysia
collection USIM Institutional Repository
language English
topic Health services accessibility--Malaysia
spellingShingle Health services accessibility--Malaysia
Asmalita Syaiful
Determination of access to medicines for children living on poor households of Peninsular Malaysia
description A study on access to medicines for children living in poor households (living on RM100 per capita/month) in Peninsular Malaysia was carried out to determine whether these children can access medicines when they get sick. this study also aimed to determine the existing barriers that could limit the access to medicines for children living poor households. A semi- structured interview was conducted with the caregiver to determine the socio-demographical background, access to medicines, knowledge, attitude and practice of the caregiver in obtaining medicines for treatment fever, asthma and epilepsy. the study 132 poor households in Peninsular Malaysia containing of 435 children aged 12 years old and below showed that almost all (99.3%) were fully immunised. The children were described as healthy (89..9%) with 44 had illnesses, mentioned as asthma, febrile convulsion, G6PD deficiency, pneumonia, hypothyroidism and tonsilitis,. In the month before the interview, 76 caregivers reported that their children were unwell. the instances were respiratory tract infection, asthma exacerbation, skin conditions, fever,hypothyroidism, gastritis and a fractured hand. the caregivers obtained medicines for 71/76 (93.4%) of these instances. For the remaining 5 unwell children, the caregivers gave traditional medicines or waited for spontaneous recovery. However one disable caregiver was unable to obtain medicines. Comparing between children living in poor households in Klang Valley (urban area) and East Cost of Peninsular Malaysia (rural area) showed that these was no difference (p<0.05) in access to medicines whereby the children i both regions received medicines when they get sick. There was no significant difference sociodemographically between the two designated area, expert for the mean number of children in each household. Knowledge, attitude and practice among caregiver in obtained medicine for the unwell children were scored as good. Barriers to accessing medicine included cost, distance and disability. The caregiver had good knowledge on febrile illness and asthma but none on epilepsy. However all 132 interviewed caregiver will give medicine for epilepsy on doctor's advise. In conclusion, this study suggest that children in poor households of Malaysia are able to access medicine adequately.
format Thesis
author Asmalita Syaiful
author_facet Asmalita Syaiful
author_sort Asmalita Syaiful
title Determination of access to medicines for children living on poor households of Peninsular Malaysia
title_short Determination of access to medicines for children living on poor households of Peninsular Malaysia
title_full Determination of access to medicines for children living on poor households of Peninsular Malaysia
title_fullStr Determination of access to medicines for children living on poor households of Peninsular Malaysia
title_full_unstemmed Determination of access to medicines for children living on poor households of Peninsular Malaysia
title_sort determination of access to medicines for children living on poor households of peninsular malaysia
granting_institution Universiti Sains Islam Malaysia
url https://oarep.usim.edu.my/bitstreams/e6298aec-fedf-4451-98bf-3b70b9cf236b/download
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spelling my-usim-ddms-124312024-05-29T19:50:27Z Determination of access to medicines for children living on poor households of Peninsular Malaysia Asmalita Syaiful A study on access to medicines for children living in poor households (living on RM100 per capita/month) in Peninsular Malaysia was carried out to determine whether these children can access medicines when they get sick. this study also aimed to determine the existing barriers that could limit the access to medicines for children living poor households. A semi- structured interview was conducted with the caregiver to determine the socio-demographical background, access to medicines, knowledge, attitude and practice of the caregiver in obtaining medicines for treatment fever, asthma and epilepsy. the study 132 poor households in Peninsular Malaysia containing of 435 children aged 12 years old and below showed that almost all (99.3%) were fully immunised. The children were described as healthy (89..9%) with 44 had illnesses, mentioned as asthma, febrile convulsion, G6PD deficiency, pneumonia, hypothyroidism and tonsilitis,. In the month before the interview, 76 caregivers reported that their children were unwell. the instances were respiratory tract infection, asthma exacerbation, skin conditions, fever,hypothyroidism, gastritis and a fractured hand. the caregivers obtained medicines for 71/76 (93.4%) of these instances. For the remaining 5 unwell children, the caregivers gave traditional medicines or waited for spontaneous recovery. However one disable caregiver was unable to obtain medicines. Comparing between children living in poor households in Klang Valley (urban area) and East Cost of Peninsular Malaysia (rural area) showed that these was no difference (p<0.05) in access to medicines whereby the children i both regions received medicines when they get sick. There was no significant difference sociodemographically between the two designated area, expert for the mean number of children in each household. Knowledge, attitude and practice among caregiver in obtained medicine for the unwell children were scored as good. Barriers to accessing medicine included cost, distance and disability. The caregiver had good knowledge on febrile illness and asthma but none on epilepsy. However all 132 interviewed caregiver will give medicine for epilepsy on doctor's advise. In conclusion, this study suggest that children in poor households of Malaysia are able to access medicine adequately. Universiti Sains Islam Malaysia 2015 Thesis en https://oarep.usim.edu.my/handle/123456789/12431 https://oarep.usim.edu.my/bitstreams/f9b838ab-ae7a-4e31-ae3d-320a838cd287/download 8a4605be74aa9ea9d79846c1fba20a33 https://oarep.usim.edu.my/bitstreams/e6298aec-fedf-4451-98bf-3b70b9cf236b/download 110e09e9b9771e285938503b9b3ba98c https://oarep.usim.edu.my/bitstreams/6845de78-096c-4059-b3b3-5853a912874c/download 049c4185b7d79bdf150e931d82cd5440 https://oarep.usim.edu.my/bitstreams/a02e3aa9-70c0-49e4-a6ea-cab41b0a9459/download 51b847f6acb3ab09cf1e72d64bf6830e https://oarep.usim.edu.my/bitstreams/54187871-ed1d-4317-a970-95cdf22e2718/download 38988981830a1144c76bf030bb2a829e https://oarep.usim.edu.my/bitstreams/12268bee-5a5e-4227-b8b2-7d9401d8c652/download 84387f001f988be30a6dd1ab531ff646 https://oarep.usim.edu.my/bitstreams/4111af56-b352-438a-924e-747c9febd873/download 43f32286e6e353f540c4f89ebd49fdec https://oarep.usim.edu.my/bitstreams/8876a78b-44a5-4414-9739-c4238a5050af/download 023270b7d1ca80a62921b44409a33cb6 https://oarep.usim.edu.my/bitstreams/6dabdbef-c449-4a9d-8cf1-4b289a6ee2ec/download 6126a82dc85f29901f00cf26c7076f35 https://oarep.usim.edu.my/bitstreams/a1c81e9c-7fdb-4d2b-8f18-b795911f6bef/download 0296821608c97ee3a853e0ff3230e269 https://oarep.usim.edu.my/bitstreams/e6647577-a2cc-4716-96c4-b239276e9757/download 68b329da9893e34099c7d8ad5cb9c940 https://oarep.usim.edu.my/bitstreams/438fb7a6-e466-4986-a3a2-a6b9b1ce719b/download 20d1577b7933e2acd58cc7efe67f57f6 https://oarep.usim.edu.my/bitstreams/f63a1540-574f-44c7-9bb0-ffa9eecb4d6e/download 212b0306580d4f0044d18f9a3edcc832 https://oarep.usim.edu.my/bitstreams/8ebee424-f63c-40f4-b509-40bf63aaf29c/download 1b70f87af6fdb6f73d267b35669fa6d4 https://oarep.usim.edu.my/bitstreams/b053c3a1-6fe6-4fd8-b2fa-484c8428eb54/download 24e648839aa31918bceb936aff170ec0 https://oarep.usim.edu.my/bitstreams/fac68ea8-549f-4625-895f-51e92ec4336b/download 7f5b903a193cc66524e06d8c0458e34a https://oarep.usim.edu.my/bitstreams/22f88d11-0990-4be6-806a-217da0b97a0e/download 67e866c735744ec6037b77b623ee022d https://oarep.usim.edu.my/bitstreams/8b02b93d-bd5f-479d-b155-325e61135f0a/download e1c06d85ae7b8b032bef47e42e4c08f9 https://oarep.usim.edu.my/bitstreams/78f409f3-435b-449d-a21d-293a59b36d01/download 55182c43eecf0429a975fdcdddb487e7 Health services accessibility--Malaysia