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Building informed trust:  Injection practices in Cambodia Sachiko Ozawa 1 , Kenneth Shermock 2 , Sovuthikar Inuong 3   1 Johns Hopkins Bloomberg School of Public Health 2 The Johns Hopkins Hospital 3 Cambodia Heath Committee Social Science & Medicine Conference, December 11, 2011
What’s the Problem? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Vong S, Perz JF, Sok S, Som S, Goldstein S, Hutin Y, Tulloch J. Rapid assessment of injection practices in Cambodia, 2002.  BMC Public Health,  2005; 5:56.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],What’s the Problem?
Injection practices in Cambodia Why is injection use so common? What do people think about injections?
Qualitative Research ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Interview with Private Provider Focus group with villagers
Illnesses that call for injections  Injection received Injection not necessary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Injection preference ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Injection preference “ Most people prefer injections” “ Some people prefer injection and some prefer oral medicine” “ Most  people prefer oral pills” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Main injection benefits ,[object Object],[object Object],[object Object],[object Object]
Main injection risks ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Perception of injection risk ,[object Object],[object Object],[object Object],[object Object],[object Object]
“ Medical reaction” ,[object Object],[object Object],[object Object],[object Object]
Side effects ,[object Object],[object Object],[object Object],[object Object]
Demand for injections ,[object Object],[object Object],[object Object],[object Object],[object Object]
Providers catering to patient demand ,[object Object],[object Object],[object Object]
High use of injections: systemic problem ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis for injection ,[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object],[object Object],[object Object]
Policy Implications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank you! Sachiko Ozawa, sozawa@jhsph.edu We gratefully acknowledge financial support by the  Johns Hopkins Center for Global Health for a Faculty Pilot Grant.

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Building Informed Trust: Injection Practices in Cambodia

  • 1. Building informed trust: Injection practices in Cambodia Sachiko Ozawa 1 , Kenneth Shermock 2 , Sovuthikar Inuong 3 1 Johns Hopkins Bloomberg School of Public Health 2 The Johns Hopkins Hospital 3 Cambodia Heath Committee Social Science & Medicine Conference, December 11, 2011
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  • 4. Injection practices in Cambodia Why is injection use so common? What do people think about injections?
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  • 20. Thank you! Sachiko Ozawa, sozawa@jhsph.edu We gratefully acknowledge financial support by the Johns Hopkins Center for Global Health for a Faculty Pilot Grant.

Notes de l'éditeur

  1. Built on reputation as a micro-credit organization