access to primary healthcare services for the roma population in serbia a secondary data analysis获得初级卫生保健服务的罗马人口在塞尔维亚一个次要的数据分析.pdfVIP

Idzerda et al. BMC International Health and Human Rights 2011, 11:10 /1472-698X/11/10 RESEARCH ARTICLE Open Access Access to primary healthcare services for the Roma population in Serbia: a secondary data analysis 1* 2 3 1 1,4 Leanne Idzerda , Orvill Adams , Jonathan Patrick , Ted Schrecker and Peter Tugwell Abstract Background: Serbia has proclaimed access to healthcare as a human right. In a context wherein the Roma population are disadvantaged, the aim of this study was to assess whether the Roma population are able to effectively access primary care services, and if not, what barriers prevent them from doing so. The history of the Roma in Serbia is described in detail so as to provide a context for their current vulnerable position. Methods: Disaggregated data were analyzed from three population groups in Serbia; the general population, the Roma population, and the poorest quintile of the general population not including the Roma. The effective coverage framework, which incorporates availability, affordability, accessibility, acceptability, and effectiveness of health services, was used to structure the secondary data analysis. Acute respiratory infection (ARI) in children less than five years of age was used as an example as this is the leading cause of death in children under 5 years old in Serbia. Results: Roma children were significantly more likely to experience an ARI than either the general population or the poorest quintile of the general population, not including the Roma. All three population groups were equally likely to not receive the correct treatment regime of antibiotics. An analysis of the factors that affect quality of access to health services reveal that personal documentation