Ozawa, Sachiko

Public Health - International Health

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

Lack of knowledge about medicines and health insurance is a major barrier to accessing healthcare, especially in low-income countries. Many villagers in rural Cambodia ask for unnecessary intravenous (iv) injections from doctors regardless of illness, and prefer to seek care from private providers who are willing to provide these injections. Because private providers are not covered by insurance and many villagers do not understand the value of health insurance, people continue to become poorer by incurring unnecessary health expenditures. The proposed study will develop an educational tool to inform people about injection practices and health financing. Greater awareness is likely to build people’s trust in the health system. Our goal is to empower people to make informed decisions about medications and insurance, prevent them from seeking inappropriate and unnecessary care, and stop them from becoming poor due to illness. The specific objectives of the project are: (1) develop an educational tool for injection practices and health insurance; (2) assess changes in people’s trust, knowledge and injections/insurance seeking behaviors over time; and (3) evaluate the effectiveness of the educational tool comparing the intervention and control districts. This proposal combines the strengths of the International Health Department and the Center for Communication Programs at JHSPH with the Center for Pharmaceutical Outcomes and Policy at JHMI, and an established relationship with a local partner in Cambodia. Findings from the proposed study will contribute to building informed trust by educating people in Cambodia about injections and insurance, and will provide the key preliminary data for future federal grant applications to pilot the new educational module in other low-income country settings.

Kenneth Shermock, JHH

People

Caitlin Kennedy, PhD MPH,BA

Co-Director, MPH concentration in Social and Behavioral Sciences in Public Health; Associate Director, Center for Qualitative...

Robert Bollinger Jr., MD MPH

Director, Johns Hopkins Center for Clinical Global Health Education (CCGHE); Associate Director, Johns Hopkins Center for Global...

Yukari C. Manabe, MD

Associate Director of Global Health Research and Innovation

Noreen Hynes, MD MPH

Director, Geographic Medicine Center of the Division of Infectious Diseases

Stefan Baral, MD MPH,MBA,MSc

Director, Key Populations Program

Joanne Katz, ScD MS,BSc

Associate Chair, Director of Academic Programs
«

September 2017

»
S
M
T
W
T
F
S
·
·
·
·
·
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

Projects

Vaccine Implementation Technical Assistance Consortium

The Vaccine Implementation Technical Assistance Consortium (VITAC) - a collaboration of PATH, CDC, and IVAC - supports the...

Read More

Nutrition Innovation Lab

"Poshan", which means good nutrition in Nepali is ongoing research that involves two interlinked large-scale research studies...

Read More

Mpilonhle

Mpilonhle brings multi-dimensional services to adolescents in rural South Africa. Its objective is to reduce the very high...

Read More

Building an Enabling Environment for Vaccines in India...

This project, now in its second phase, aims to create an enabling environment for vaccines in India and contribute to...

Read More

Identification and Enumeration of Pathogens in Drinking...

CWH researchers are using polymerase chain reaction and mass spectrometry technologies to develop a microbial isolation and...

Read More