Table 5.
Factors associated with the utilization of healthcare from SSK scheme and MTPs other than SSK
| Socio demographic factors | Healthcare utilization from SSK scheme Adjusted OR (95% CI) a) |
Healthcare utilization from MTPs other than SSK Adjusted OR (95% CI) a) |
|---|---|---|
| Age group | ||
| Fewer than 18 years | Ref | Ref |
| 18 to 34 years | 3.002 (0.08,119.04) | 3.195 (0.69,14.78) |
| 35 to 44 years | 1.550 (0.04,67.86) | 2.362 (0.47,11.98) |
| 45 to 60 years | 1.870 (0.04,81.49) | 2.217 (0.44,11.30) |
| > 60 years | 2.805 (0.06,134.33) | 2.188 (0.39,12.38) |
| Sex | ||
| Male | Ref | Ref |
| Female | 1.456 (0.56,3.81) | 0.902 (0.52,1.57) |
| Marital status | ||
| Married | Ref | Ref |
| Unmarried | 0.122 (0.01,2.48) | 0.448 (0.14,1.39) |
| Widowed/separated/destitute | 0.306 (0.05,1.96) | 1.153 (0.47,2.85) |
| Not applicable (age < = 5) | 4.056 (0.08,204.21) | 1.625 (0.28,9.32) |
| Education of members | ||
| No institutional education | Ref | Ref |
| Primary level (years 1–5) | 1.335 (0.56,3.19) | 1.278 (0.77,2.12) |
| Secondary level and above | 0.166* (0.03,0.90) | 1.851* (1.05,3.25) |
| Not applicable (age < = 5) | 1 (1.00,1.00) | 1 (1.00,1.00) |
| Household size | ||
| Less than 4 persons | Ref | Ref |
| 4—5 persons | 0.498 (0.24,1.05) | 1.161 (0.77,1.74) |
| 6 persons or more | 0.909 (0.33,2.53) | 0.949 (0.51,1.77) |
| Occupation | ||
| Housewife | Ref | Ref |
| Student | 10.89 (0.13,882.57) | 2.498 (0.41,15.36) |
| Agricultural/labor | 1.384 (0.38,5.05) | 0.427* (0.21,0.87) |
| Service worker | 1.857 (0.31,11.06) | 0.762 (0.29,2.00) |
| Small business | 1.152 (0.23,5.71) | 0.526 (0.22,1.24) |
| Unemployed | 5.939* (1.42,24.81) | 0.405 (0.16,1.03) |
| Transport worker | 0.968 (0.09,10.69) | 0.099* (0.01,0.82) |
| Not applicable (age < = 5 years) | 10.89 (0.13,882.57) | 1 (1.00,1.00) |
| At least one household member heard about SSK | ||
| No | Ref | Ref |
| Yes | 10.78** (2.45,47.50) | 0.643* (0.44,0.95) |
| Current BPL status | ||
| BPL | Ref | Ref |
| non-BPL | 2.275* (1.13,4.56) | 1.110 (0.75,1.64) |
| Distance of health facility from union | ||
| Nearer (less than 6 km) | Ref | Ref |
| Medium (7 to 15 km) | 0.479* (0.23,0.99) | 1.632* (1.01,2.64) |
| Far (More than 15 km) | 0.238** (0.10,0.58) | 1.267 (0.77,2.08) |
| Monthly income quintile (in BDT) | ||
| < = 8000 | Ref | Ref |
| > 8000 to < = 10,250 | 4.523* (1.27,16.11) | 0.662 (0.35,1.25) |
| < 10,250 to < = 14,000 | 1.985 (0.54,7.35) | 1.058 (0.60,1.87) |
| > 14,000 to < = 18,500 | 2.991 (0.82,10.86) | 1.505 (0.84,2.70) |
| > 18,500 | 2.233 (0.62,7.98) | 1.154 (0.64,2.07) |
| Self-reported illness/symptoms | ||
| Non-communicable | Ref | Ref |
| Communicable | 2.166 (0.75,6.27) | 0.826 (0.44,1.56) |
| Accident/Injury | 4.810* (1.22,19.00) | 1.781 (0.71,4.46) |
| Female reproductive problem | 2.172 (0.35,13.45) | 2.596 (0.97,6.92) |
| Symptoms | 1.156 (0.46,2.92) | 0.668 (0.42,1.06) |
| Others (e.g., Polip, scars) | 1 (1.00,1.00) | 0.791 (0.20,3.11) |
| Constant | 0.00162** (0.00,0.14) | 0.172 (0.03,1.16) |
| N | 766.00 | 781.00 |
| Loglikelihood | -146.30 | -385.60 |
| Chi-square | 82.34 | 72.04 |
| p-value | 0.000 | 0.000 |
| Pseudo-R2 | 0.220 | 0.085 |
* p < 0.05; **p < 0.01; *** p < 0.001
a Statistical model includes the following: age, marital status, education, household size, occupation, heard about SSK scheme, current BPL status, distance from facility, monthly household income, and self-reported illness