AB460         A DESCRIPTIVE STUDY ON THE HEALTH-SEEKING BEHAVIOUR IN STO. TOMAS, BATANGAS USING THE STO. TOMAS MORBIDITY SURVEY, JUNE 2000

Author(s): 
Concha AS, Lelina ABC, Espallardo N
Philippine General Hospital, MANILA, PHILIPPINES
Text: 
Background:
The Barangay Health Centre (BHC) is the edifice for government health services in the Philippines. Not everyone, however, who becomes sick utilises this for various reasons.
Objective:
To compare the household morbidity rate and the clinic utilization morbidity rate in Sto.Tomas, Batangas.
Methodology.
The utilization morbidity rate was computer based on the number of BHC consultation and the total population. Systematic cluster sampling was done and a questionnaire was used to determine the household morbidity for the past two weeks. Health-seeking behaviour was described according to the community's choice of health care provider in times of illness. The burden of illness was determined by computing for the cost of health care incurred by the household during illness.
Results: The utilization morbidity rate was 0.66%, while the household morbidity rate was 36.54%. The BHC was utilized in 44% and 50% of the time during acute and chronic illness, respectively. The most frequent reasons for non-consultation are the absence of medications and/or the disease does not warrant consultation. During an acute illness, a total household income lower than PhP 7600.00 increases the odds of consulting at the BHC (OR= 7.018) while during a chronic illness, a patient aged 45 years or younger tends to go more frequently to a BHC (OR=3.5). The average cost of illness was PhP 332.42. The total cost of illness, was not different among the different zones.
Conclusion:
There is under-reporting of morbidity by the BHC and under utilization of the said resource.