Page 43 - 5th APA Conference Program Book Final

1042 Correlates of Healthcare Utilization and Unmet Need for Health Services among
Older Filipinos

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1
Mark Ryan Paguirigan , Grace Cruz , Yasuhiko Saito , Truls Ostbye
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3
1 University of the Philippines, Quezon City, Philippines. Nihon University, Tokyo, Japan. Duke University School
2
of Medicine, Durham, USA
Categories
4. Mortality, Morbidity, Epidemiology and Causes of Death

Abstract

This study aims to examine the factors associated with healthcare utilization, namely inpatient care and outpatient
care, and the unmet need for health services, among older Filipinos using Andersen's Behavioral Model for Health
Services Use as the framework. Data for the analysis was drawn from the baseline data of the Longitudinal Study of
Ageing and Health in the Philippines (LSAHP). Employing logistic regression, findings indicate that need factors are
the most consistent and important correlates of inpatient utilization and outpatient utilization, as well as the unmet
need for health services. Enabling factors, particularly, perceived income adequacy and wealth quintile, show
significant association with outpatient care and unmet need, but not in inpatient care. Marital status, living
arrangements, health insurance, and falls do not show any significant influence on the three healthcare outcomes.
Further studies on the relationship between sociodemographic factors and unmet need for health services are
warranted.

67 Plague, Public Health and Public Reaction towards Plague Prevention Policies: A
Case Study of Colonial Punjab.

Ritu ., Devendr Kumar
Jawaharlal Nehru University, new Delhi, India

Categories

4. Mortality, Morbidity, Epidemiology and Causes of Death

Abstract

This work is concerned with the Plague epidemic in colonial Punjab. Lack of public health facilities, apathetic
administration and ignorance regarding plague resulted in the heavy death toll in the first decade of the twentieth
century. Around twenty lakh people died because of the plague in this decade.

It was a colonial mindset that this disease related to poor people who live in dirty places. Their health was not a
priority of government. However, the government was concerned about the army, therefore, she introduced plague
prevention measures in Punjab. These measures were forced segregation, vaccination, evacuation, disinfection of
houses, isolation etc. Due to distrust towards colonial regime, unawareness regarding disease and fear of being
isolated, people concealed information about plague cases. At some places, people even attacked medical

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