Objective: Timor-Leste is one of the world's newest nations and became a democracy in 2002. Ranked 150 out of 177 in the 2007 UNDP Human Development Index, the country has the worst health indicators in the Asia-Pacific region. The objective of this study was to collect and analyse data on subjectively assessed general health, health service use, migration and mobility patterns.
Methods: The data collection involved recording self-reported status of general health using a structured questionnaire. The survey was administered to 1,213 Timorese households in six districts using a multi-stage random cluster sampling procedure. Basic descriptive statistical analyses were performed on all variables with SPSS version 13.
Results: More than a quarter (27%) of respondents reported a health problem at the time of the survey. Only approximately half of respondents assessed their health to be good (53%) or average (38%). Barriers reported in the uptake of healthcare services were no felt needed; difficulty in accessing services and unavailability of service.
Conclusions: Results reveal that Timor-Leste needs a more decentralised provision of healthcare through primary healthcare centres or integrated health services. Trained traditional healers, who are familiar with the difficult terrain and understand cultural contexts and barriers, can be used to improve uptake of public health services. An adult literacy and community health education program is needed to further improve the extremely poor health indicators in the country.
Implications: Key lessons that emerged were the importance of understanding cultural mechanisms in areas of protracted conflict and the need for integrated health services in communities.
Bu V.E. Wilson
Centre for International Governance and Justice
Regulatory Institutions Network
Australian National University
+61 407 087 086
Queries about this post should be sent to the poster NOT THE LIST. PLEASE DO NOT SEND PERSONAL REPLIES TO THE LIST.
TIMOR LESTE STUDIES ASSOCIATION MAILING LIST
For further information about this list (including Guidelines for posting and membership) please visit http://mailman.anu.edu.au/mailman/listinfo/easttimorstudies
Queries about the Timor Leste Studies List should be directed to the List Owner (email@example.com).
To post to the list send your email to Easttimorstudies@anu.edu.au.
To subscribe please visit http://mailman.anu.edu.au/mailman/listinfo/easttimorstudies
The List Owner accepts no responsibility for postings to this list.