IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0312258.html
   My bibliography  Save this article

Seeking and receiving hypertension and diabetes mellitus care in Tanzania

Author

Listed:
  • Kassimu Tani
  • Brianna Osetinsky
  • Grace Mhalu
  • Sally Mtenga
  • Günther Fink
  • Fabrizio Tediosi

Abstract

The rapid increase in chronic non-communicable diseases (NCDs) poses a major challenge to already strained health systems in sub-Saharan Africa. This study investigates the factors associated with seeking and receiving NCD services in Tanzania, using a household survey and client exit interview data from Kilombero and Same districts. Both districts are predominantly rural, with one semi-urban area called Ifakara town and Same town. Of the 784 household survey respondents, 317 (40.4%), 37 (4.7%), and 20 (2.5%) were diagnosed with hypertension, diabetes mellitus, and other NCDs, respectively, of whom 69% had sought care in the past six months. After controlling for covariates, those enrolled in the National Health Insurance Fund (NHIF) and those who received a user fees waiver were more likely to use health services. However, even when NCD patients managed to access the care they needed, they were likely to receive incomplete services. The main reason for not receiving all services at the health facility visited on the day of the survey was drug stock-outs. Among health care users, those registered with the improved Community Health Funds (iCHF) were less likely to receive all prescribed services at the health facility visited than uninsured patients. The findings of this study highlight the need to strengthen both primary care and social health protection systems to improve access to needed care for NCD patients.

Suggested Citation

  • Kassimu Tani & Brianna Osetinsky & Grace Mhalu & Sally Mtenga & Günther Fink & Fabrizio Tediosi, 2024. "Seeking and receiving hypertension and diabetes mellitus care in Tanzania," PLOS ONE, Public Library of Science, vol. 19(11), pages 1-19, November.
  • Handle: RePEc:plo:pone00:0312258
    DOI: 10.1371/journal.pone.0312258
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0312258
    Download Restriction: no

    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0312258&type=printable
    Download Restriction: no

    File URL: https://libkey.io/10.1371/journal.pone.0312258?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Maria Agata Miselli & Francesco Cavallin & Samwel Marwa & Bruno Ndunguru & Rehema John Itambu & Katunzi Mutalemwa & Monica Rizzi & Giulia Ciccarelli & Simone Conte & Stefano Taddei & Gaetano Azzimonti, 2021. "An Integrated Management System for Noncommunicable Diseases Program Implementation in a Sub-Saharan Setting," IJERPH, MDPI, vol. 18(21), pages 1-13, November.
    2. Kellie J. Archer & Stanley Lemeshow, 2006. "Goodness-of-fit test for a logistic regression model fitted using survey sample data," Stata Journal, StataCorp LLC, vol. 6(1), pages 97-105, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Janvier Gasana & Boubakari Ibrahimou & Ahmed N. Albatineh & Mustafa Al-Zoughool & Dina Zein, 2021. "Exposures in the Indoor Environment and Prevalence of Allergic Conditions in the United States of America," IJERPH, MDPI, vol. 18(9), pages 1-13, May.
    2. Michał Brzozowski & Grzegorz Tchorek, 2017. "Exchange Rate Risk as an Obstacle to Export Activity," Gospodarka Narodowa. The Polish Journal of Economics, Warsaw School of Economics, issue 3, pages 115-141.
    3. Joanna F Dipnall & Julie A Pasco & Michael Berk & Lana J Williams & Seetal Dodd & Felice N Jacka & Denny Meyer, 2016. "Into the Bowels of Depression: Unravelling Medical Symptoms Associated with Depression by Applying Machine-Learning Techniques to a Community Based Population Sample," PLOS ONE, Public Library of Science, vol. 11(12), pages 1-19, December.
    4. Amir Tiyuri & Maryam Rasoulian & Ahmad Hajebi & Morteza Naserbakht & Amir Shabani & Mitra Hakim Shooshtari & Aziz Rezapour & Seyed Abbas Motevalian, 2023. "Psychological impact of the Spring 2019 flood among adult population of Iran," International Journal of Social Psychiatry, , vol. 69(8), pages 1916-1927, December.
    5. Riillo, Cesare Fabio Antonio & Sarracino, Francesco, 2014. "Motivations for Corporate Social Responsibility: all talk and no walk?," MPRA Paper 60211, University Library of Munich, Germany.
    6. Richard Fabling & Steven Stillman & David C. Maré, 2011. "Immigration and Innovation," Working Papers 11_05, Motu Economic and Public Policy Research.
    7. Ashley D. Ross & Abbey Hotard & Manoj Kamalanathan & Rayna Nolen & David Hala & Lauren A. Clay & Karl Kaiser & Antonietta Quigg, 2020. "Awareness Is Not Enough: Frequent Use of Water Pollution Information and Changes to Risky Behavior," Sustainability, MDPI, vol. 12(20), pages 1-17, October.
    8. Meldrum, James R. & Champ, Patricia A. & Bond, Craig A., 2013. "Heterogeneous nonmarket benefits of managing white pine bluster rust in high-elevation pine forests," Journal of Forest Economics, Elsevier, vol. 19(1), pages 61-77.
    9. Anna Kokkevi & Myrto Stavrou & Eleftheria Kanavou & Anastasios Fotiou & Clive Richardson, 2018. "Adolescents in Greece in Time of Economic Crisis," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 11(3), pages 945-962, June.
    10. Hisham S. El-Osta & Ashok K. Mishra & Mitchell J. Morehart, 2008. "Off-Farm Labor Participation Decisions of Married Farm Couples and the Role of Government Payments," Review of Agricultural Economics, Agricultural and Applied Economics Association, vol. 30(2), pages 311-332.
    11. repec:plo:pone00:0091252 is not listed on IDEAS
    12. Millett, Lina Sapokaite & Seay, Kristen D. & Kohl, Patricia L., 2015. "A national study of intimate partner violence risk among female caregivers involved in the child welfare system: The role of nativity, acculturation, and legal status," Children and Youth Services Review, Elsevier, vol. 48(C), pages 60-69.
    13. Valentina Santarsiero & Antonio Lanorte & Gabriele Nolè & Giuseppe Cillis & Biagio Tucci & Beniamino Murgante, 2023. "Analysis of the Effect of Soil Erosion in Abandoned Agricultural Areas: The Case of NE Area of Basilicata Region (Southern Italy)," Land, MDPI, vol. 12(3), pages 1-22, March.
    14. Carlos Arango & Dylan Hogg & Alyssa Lee, 2012. "Why Is Cash (Still) So Entrenched? Insights from the Bank of Canada’s 2009 Methods-of-Payment Survey," Discussion Papers 12-2, Bank of Canada.
    15. Marion Ravit & Martine Audibert & Valery Ridde & Myriam de Loenzien & Clémence Schantz & Alexandre Dumont, 2018. "Do free caesarean section policies increase inequalities in Benin and Mali?," Post-Print hal-01811304, HAL.
    16. Friberg, Richard & Wilander, Fredrik, 2008. "The currency denomination of exports -- A questionnaire study," Journal of International Economics, Elsevier, vol. 75(1), pages 54-69, May.
    17. Guy Stecklov & Alexander Weinreb & Calogero Carletto, 2018. "Can incentives improve survey data quality in developing countries?: results from a field experiment in India," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 181(4), pages 1033-1056, October.
    18. Archer, Kellie J. & Lemeshow, Stanley & Hosmer, David W., 2007. "Goodness-of-fit tests for logistic regression models when data are collected using a complex sampling design," Computational Statistics & Data Analysis, Elsevier, vol. 51(9), pages 4450-4464, May.
    19. Ciarli, Tommaso & Parto, Saeed & Savona, Maria, 2010. "Conflict and Entrepreneurial Activity in Afghanistan: Findings from the National Risk Vulnerability Assessment Data," WIDER Working Paper Series 008, World Institute for Development Economic Research (UNU-WIDER).
    20. Xiaoyu Zhang & Ee Shiang Lim & Maowei Chen, 2024. "Promoting Sustainable Urban Mobility: Factors Influencing E-Bike Adoption in Henan Province, China," Sustainability, MDPI, vol. 16(22), pages 1-15, November.
    21. Constantin Johnen & Oliver Mußhoff, 2023. "Digital credit and the gender gap in financial inclusion: Empirical evidence from Kenya," Journal of International Development, John Wiley & Sons, Ltd., vol. 35(2), pages 272-295, March.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0312258. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.