Informal Health Care Service Provider: A Health Protection Challenge for Developing Countries

Rafia Rahman
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Abstract

75 countries had less than 2.5 health workers per 1000 people.Countries with less than 2.28 doctors, nurses, and midwives per 1000 people failed to fulfil the aim of 80 percent skilled birth attendance and child immunisation, according to the World Health Report. Due to the lack, patients, particularly the poor and disadvantaged, have been forced to seek health care from the informal sector as they are more socially and community focused Appropriate formal health workforce is required to build an effective, efficient, and equitable health system that improves population health. There is a scarcity and a crisis of it. Healthcare-seeking is not a simple human behavioral nature.  The combined efforts of the public and private sectors nearly impossible  to produce the required formal health workforce. Transform unregistered health care service providers (HCSP) into government-registered, well-trained HCSP. It would be able to prevent malpractice, ensure standard treatment, and hold people accountable for referral responsibility. Both primary and secondary data were collected. A face-to-face interview and a focus group discussion were conducted.  People who are illiterate (no education) as well as literate (completed primary school to a higher level of education) seek out informal healthcare providers. Households with incomes ranging from $10,000 to $30,000 were classified as low, middle, and upper middle, with people aged zero to sixty having the option of receiving health services from a traditional healer (kobiraj), homoeopathy, RMP, and drug seller.
非正式卫生保健服务提供者:发展中国家的健康保护挑战
75个国家每1000人中卫生工作者不足2.5人。根据《世界卫生报告》,每1000人中医生、护士和助产士不足2.28人的国家未能实现熟练助产和儿童免疫覆盖率达到80%的目标。由于缺乏这些资源,患者,特别是穷人和弱势群体,被迫从非正规部门寻求卫生保健,因为非正规部门更注重社会和社区,需要适当的正规卫生人力来建立一个有效、高效和公平的卫生系统,以改善人口健康。这是一种稀缺和危机。寻求医疗保健不是一种简单的人类行为天性。公共和私营部门的共同努力几乎不可能产生所需的正规卫生人力。将未注册的卫生保健服务提供者(HCSP)转变为政府注册的、训练有素的HCSP。它将能够防止渎职行为,确保标准治疗,并让人们对转诊责任负责。收集了主要和次要数据。进行了面对面访谈和焦点小组讨论。文盲(没有受过教育)和识字(完成小学至高等教育)的人寻求非正式的保健提供者。收入在1万美元至3万美元之间的家庭被分为低、中、中高三个等级,0岁至60岁的人可以选择接受传统治疗师(kobiraj)、顺势疗法、RMP和药品销售商提供的医疗服务。
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