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Building informed trust: developing an educational tool for injection practices and health insurance in Cambodia

Ozawa, Sachiko and Villar-Uribe, Manuela and Evans, Daniel R. and Kulkarni, Vivek and Ir, Por (2018) Building informed trust: developing an educational tool for injection practices and health insurance in Cambodia. Health Policy and Planning, 33 (9). pp. 1009-1017. ISSN 0268-1080. doi:10.1093/heapol/czy080.

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Unnecessary injections increase the risk of blood-borne infections as well as pose an avoidable financial burden on patients. Perceptions in rural Cambodia that medical drug injections provide the best quality medical care have resulted in a large proportion of the population seeking injections across medical conditions. As private providers have a higher propensity to offer injections, patients pursue more expensive care contributing to a greater financial burden. This study aimed to use an educational intervention to improve participant knowledge about injections and health insurance in order to build informed trust in safer injection practices and health insurance. Using an experimental study design, villages in rural Cambodia were randomly assigned to an intervention or control arm. Community educational workshops were implemented to improve participant knowledge about injections and health insurance. Pre-and post-intervention assessments were used to record the resulting changes in knowledge and trust in providers. Statistical analysis of survey results from the two study arms showed increases of 16.8% and 15.9% in study participant knowledge regarding injections and health insurance, respectively. Trust in health insurance increased by 12.9%. However, trust in healthcare providers proved to be resilient with small to no change. These results show that knowledge about injection safety and health insurance, as well as trust in health insurance, can be increased through information dissemination in rural Cambodia. However, health information campaigns may not easily influence people’s trust in healthcare providers. Education of the general populace about safe injection practices and health insurance can contribute toward the country’s efforts to reach universal health coverage.

Item Type:Article
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Ozawa, Sachiko0000-0001-7608-9038
Additional Information:© The Author(s) 2018. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model ( Accepted: 20 August 2018; Published: 11 October 2018.
Funding AgencyGrant Number
Johns Hopkins Center for Global HealthUNSPECIFIED
Subject Keywords:Trust, health insurance, injection, Cambodia, low-income country, education
Issue or Number:9
Record Number:CaltechAUTHORS:20181022-103913353
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Official Citation:Sachiko Ozawa, Manuela Villar-Uribe, Daniel R Evans, Vivek Kulkarni, Por Ir; Building informed trust: developing an educational tool for injection practices and health insurance in Cambodia, Health Policy and Planning, Volume 33, Issue 9, 1 November 2018, Pages 1009–1017,
Usage Policy:No commercial reproduction, distribution, display or performance rights in this work are provided.
ID Code:90321
Deposited By: Tony Diaz
Deposited On:22 Oct 2018 21:15
Last Modified:16 Nov 2021 03:31

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