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, 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.

Bibliographic Details

Main Author:	World Bank
Language:	English en_US
Published:	Washington, DC 2005-05
Subjects:	ABUSES, ACCESS TO CLINICS, ACCESS TO HEALTH CARE, AID, AILMENTS, AMBULANCE, ANAEMIA, ANTENATAL CARE, ANTIMALARIAL DRUGS, ANTIMALARIALS, ANXIETY, APPENDICITIS, BIOMEDICINE, BIRTH ATTENDANT, BIRTH ATTENDANTS, BIRTHS, BLEEDING, BRAIN, BREASTFEEDING, BURDEN OF DISEASE, CHILD HEALTH, CHILDBIRTH, CHILDBIRTHS, CLEANLINESS, CLINICS, COMMUNICABLE DISEASES, COMMUNITY HEALTH, COMMUNITY HEALTH CARE, COMMUNITY RELATIONS, CONTRACEPTION, DESCRIPTION, DIABETES, DIAGNOSIS, DISTRICTS, DOCTOR, DOCTORS, DYING, EMPLOYMENT, EPIDEMIC, EXPENDITURES, FAMILIES, FAMILY PLANNING, FATHER, FEVER, FOOD SECURITY, GENDER, GENDER ISSUES, HEALTH BELIEFS, HEALTH CARE, HEALTH CARE COSTS, HEALTH CARE EXPENDITURES, HEALTH CARE FACILITIES, HEALTH CARE PROVIDERS, HEALTH CARE SECTOR, HEALTH CARE UTILIZATION, HEALTH CARE WORKERS, HEALTH CLINICS, HEALTH EQUITY, HEALTH FACILITIES, HEALTH MINISTRIES, HEALTH ORGANIZATION, HEALTH ORGANIZATIONS, HEALTH OUTCOMES, HEALTH POLICY, HEALTH POSTS, HEALTH PROMOTION, HEALTH RESEARCH, HEALTH SECTOR, HEALTH SERVICE, HEALTH SERVICE DELIVERY, HEALTH SERVICE UTILIZATION, HEALTH SERVICES, HEALTH SYSTEM, HEALTH WORKERS, HERBAL REMEDIES, HIGH FEVER, HOME CARE, HOMES, HOSPITAL CARE, HOSPITALS, HOUSEHOLDS, HUMAN RESOURCES, ILLNESSES, IMMUNIZATION, INCOME, INFANTS, INFECTION, INJURY, INTEGRATION, INTERMEDIARIES, INTERVENTION, INTERVENTIONS, IRON, IRON DEFICIENCY ANEMIA, LABOUR MARKETS, LAWS, MALARIA, MALNUTRITION, MATERNAL AND CHILD HEALTH, MATERNAL HEALTH, MEDICAL ANTHROPOLOGY, MEDICAL ASSISTANCE, MEDICAL TECHNOLOGY, MEDICAL TREATMENT, MEDICINES, MENTAL HEALTH, MENTAL ILLNESS, MIDWIFE, MIDWIVES, MIGRATION, MISCARRIAGE, MOBILE CLINICS, MOTHER, MOTHERHOOD, MOTHERS, NURSE, NURSES, NURSING, NUTRITION, OCCUPATION, ORAL REHYDRATION, OVERCROWDING, PATIENT, PATIENTS, PHARMACEUTICALS, PHARMACIST, PHARMACISTS, PHARMACY, PHYSICIAN, PREGNANCY, PREGNANT WOMEN, PRENATAL CARE, PRIMARY CARE, PRIMARY HEALTH CARE, PRIVATE PHARMACIES, PSYCHOSIS, PUBLIC HEALTH, PUBLIC HEALTH SERVICES, REPRODUCTIVE HEALTH, RESPIRATORY INFECTIONS, RESPIRATORY TRACT INFECTIONS, ROOMS, RURAL AREA, RURAL AREAS, RURAL COMMUNITIES, SAFETY, SEXUALITY, SMEAR TEST, SOCIAL SCIENCE, SPECIALISTS, SURGERY, SYMPTOMS, TB, TRADITIONAL BIRTH ATTENDANTS, TRADITIONAL MEDICINE, TRAININGS, TREATMENT, TYPHUS, URBAN AREAS, VACCINATION, VACCINES, VECTORS, VICTIMS, VIOLENCE, VOMITING, WOMAN, WORKERS, WOUNDS,
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 https://hdl.handle.net/10986/12461
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