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Privatization of health care services in Malaysia: implications with ergards HIV vulnerability of marginalized groups.
Verghis S; Fernandez II
December 30, 1998
Int Conf AIDS. 1998;12:1019 (abstract no. 60105). Unique Identifier :

OBJECTIVES: To examine the factors in the privatization of health care services in Malaysia which will impact the HIV vulnerability of marginalized groups like foreign migrant workers, sex workers and plantation workers. METHODS: Interviews with members of the target communities complemented with case files of case handling with the same communities, as well as secondary data analysis. RESULTS: According to the WHO and IMF Malaysia has one of the most well distributed health care services in the world. The active privatization of health care services will change this scenario. Accessibility and affordability to/of health care will be reduced. The appropriateness of health care is likely to be severly compromised owing to the peculiar situation of life and work of the target groups which puts them at the periphery of society. Suggested evidence of socio-economic inequalities in health also points to the same. The structure and processes of health care envisaged both strongly suggest that HIV vulnerability of the above communities will be aggravated. The privatization of health care services needs to be evaluated within the context of growth strategies of states Development policies and programs ignoring redistibutive aspects of growth will engender socio-economic polarization of health and HIV vulnerability of societies. Experience suggests that a purely market response is inadequte to meet the health needs of peop-le, more so of marginalized communities.

MEETING ABSTRACTS *Developing Countries Health Services Accessibility Human HIV Infections/PREVENTION & CONTROL/*TRANSMISSION *Medical Indigency *National Health Programs *Privatization Risk Factors Thailand