<div class="titlegroup"><div class="title-document">Earnest, Jaya and Finger, Robert P. 2009. General health in Timor-Leste: self-assessed health in a large household survey. Australian and New Zealand Journal of Public Health. Vol 33 Issue 4. pp 378-383<br><span style="text-decoration: underline;"><span style="font-weight: bold;"><br>http://www3.interscience.wiley.com/journal/122538914/abstract<br></span></span><p class="pubOnline"><strong></strong><span class="name">^{<nobr></nobr>}</span><span class="b">Correspondence to:</span>             <br></p></div></div><div class="author-info"><div class="correspondence-address"><span id="c1"> Dr Jaya Earnest, Associate Professor and Postgraduate Research Co-ordinator, Centre for International Health, Curtin University of technology, GPO Box U1987, Perth WA, 6845. Fax: (08) 9266 2608; e-mail: <a class="externallink" href="mailto:J.Earnest@curtin.edu.au">J.Earnest@curtin.edu.au</a></span>         </div></div><br><div xmlns="http://www.w3.org/1999/xhtml" class="abstract-content" id="abstract"> <div class="summary"> <div class="header_divide"><h1 class="abstract-title" id="h0">ABSTRACT</h1></div> <p class="para">           <span class="b">             <span class="i">Objective:</span>           </span> 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.</p> <p class="para">           <span class="b">             <span class="i">Methods:</span>           </span> 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.</p> <p class="para">           <span class="b">             <span class="i">Results:</span>           </span> 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.</p> <p class="para">           <span class="b">             <span class="i">Conclusions:</span>           </span> 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.</p> <p class="para">           <span class="b">             <span class="i">Implications:</span>           </span> 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.</p></div></div><br><br>Bu V.E. Wilson<br>Centre for International Governance and Justice<br>Regulatory Institutions Network<br>Australian National University<br>+61 407 087 086<br>