Shahab E. Saqib

Landholding size and farmers’ access to credit and its utilisation in Pakistan

ABSTRACT This article reports on a study that aimed to investigate the differences in access to, and utilisation of, agricultural credit among subsistence farmers in Pakistan. Primary data were collected from 87 randomly selected subsistence farmers. Results show that subsistence farmers with more land had greater access and utilisation, and that education, experience, type of farmer, and landholding size were significant factors influencing access to credit. As subsistence farmers with the least land were the most disadvantaged, there is a need for revamping the credit policy to protect their interests. Moreover, simplifying the existing complex procedures involved in securing agricultural credit is highly recommended.

Treatment Delay among Pulmonary Tuberculosis Patients within the Pakistan National Tuberculosis Control Program

Delay in diagnosis and treatment worsens the disease and clinical outcomes, which further enhances transmission of tuberculosis (TB) in the community. Therefore, this study aims to assess treatment delay and its associated factors among pulmonary TB patients in Pakistan. A cross-sectional study was conducted among 269 pulmonary TB patients in the district. Binary and multivariate logistic regressions were used to explore the factors associated with delay in TB treatment. Results reveal that most patients were from low socioeconomic backgrounds. For example, 74.7% were living in kacha houses, 54.7% were from lowest the income group (< 250 US

Subsistence farmers' access to agricultural credit and its adequacy: some empirical evidences from Pakistan

/month), 60.2% married, 54.3% illiterate, 62.5% rural, 56.1% had no house ownership, and 56.5% had insufficient income for daily family expenditures. Significant delays were revealed by this study: 160 patients had experienced a delay of more than 4 weeks, whereas the median delay was 5 weeks. Results show that the most important reason for patient delay was low income and poverty (42.0%) followed by unaware of TB center (41.6), stigma (felt ashamed = 38.7%), and treatment from local traditional healers. Old age (adjusted odds ratio [AOR] = 6.6; 95% confidence interval [CI] = 1.63-26.95); and rural areas patients (AOR = 2.1; 95% CI = 1.15-3.71) were more likely to have experienced delay. However, the higher income and sufficient income category (AOR = 0.5; 95% CI = 0.31-0.95) were associated factors and less likely to experience delay in patient treatment. Integrative prevention interventions, such as those involving community leaders, health extension workers such as lady health workers, and specialized TB centers, would help to reduce delay and expand access to TB-care facilities.

Socio-economic determinants of the family history of pulmonary tuberculosis patients in Pakistan

Purpose The Government of Pakistan has allocated a substantial proportion of agricultural credit to subsistence farmers. The purpose of this paper is to analyze farmers’ access to credit and its adequacy in the light of current agricultural credit policy of Pakistan. Design/methodology/approach The study has used both secondary and primary data for analysis. Secondary data were collected from the annual reports of Pakistan Economic Survey and State Bank of Pakistan. Primary data were collected from 168 subsistence farmers through households’ survey. Farmers’ credit access and credit adequacy were measured using credit access ratio and credit adequacy ratio, respectively. The Student’s t-test and analysis of variance were used to assess the differences in credit access and adequacy among farmers’ groups (i.e. upper, medium and lower subsistence farmers). Tobit regression model was employed to determine the factors influencing credit adequacy among farmers. Findings The empirical results revealed that the amount of credit provided to subsistence farmers was less than stated in the national agricultural credit policy. Upper subsistence farmers had more access to credit than lower and medium subsistence farmers. Lower subsistence farmers had above average access to informal sources of credit, and had below average access to formal sources. The findings also revealed that lower subsistence and medium subsistence farmers had the highest credit inadequacy of funds for investment in agriculture. The results of the Tobit regression revealed that age, education, experience, household size, total landholding of farmer and proportion of own land influenced the agricultural credit adequacy. Practical implications Most of the credit was distributed among the upper subsistence farmers. Lower subsistence farmers were still largely dependent on informal credit for farm production activities. The Government of Pakistan performed poor in the implementation of agricultural credit policy, and has failed to help subsistence farmers in their access to formal credit. It is needed to revamp the agricultural credit policy and facilitate credit acquisition by subsistence farmers, particularly for tenant farmers. It is important that the Government may classify the subsistence farmers into subgroups, and reallocate the funds accordingly. This study has lessons and implications for agricultural finance initiatives in developing countries. Originality/value Previous studies have focused primarily on access to agricultural credit. However, this study has adopted a holistic approach by using secondary and primary data to assess the farmers’ access to credit and adequacy. In addition, limited literature is available to explore the farmers’ accessibility and adequacy of agricultural credit. Furthermore, this study has focused exclusively on the farmers who are living in the flood-prone areas of Pakistan.

Understanding accessibility to healthcare for elderly people in Bangladesh

ABSTRACT This article aims to assess the role of important socio-economic factors in the family history of tuberculosis patients in Pakistan. Data were collected from 269 patients, and a logistic regression was used to determine the association between risk factors and the vicious circle of TB. Results of the logistic model show that significant risk factors associated with TB history in patients were education, household size, house structure, rooms in the home, room ventilation, monthly income, income food sufficiency, smoking, diabetes, and heart disease. The current TB control programme needs to formulate strategies to target specific risk factors and poverty reduction simultaneously to break the vicious circle of tuberculosis.

Assessment of bargaining power, market risk and coordination costs in the Thailand cassava marketing channel

ABSTRACT Healthcare facilities for the rising number of elderly people living in rural and semi-urban areas in Bangladesh are insufficient. This article assesses the accessibility to healthcare for elderly people living in rural and semi-urban areas. Data collection was carried out using surveys, focus group discussions, and key informant interviews, and both quantitative and qualitative tools were used in analysis. Upazila hospitals, which are geographically easily accessible for elderly people in rural and semi-urban areas, have a dearth of specialist doctors to treat their chronic diseases and lack sophisticated diagnostic facilities. It is recommended that a course on gerontology be introduced in the medical curriculum to increase the number of available geriatricians, and resources allocated for sophisticated diagnostic facilities in upazila hospitals.

Factors affecting access to primary health care services in Pakistan: a gender-based analysis

This paper examined the balance of bargaining power, market risks and coordination costs among producers and wholesalers in the Thailand cassava marketing channel using annual data spanning 1980–2007. The results revealed that cassava producers were exceedingly risk averse and that there was bilateral bargaining power between the producers and wholesalers. The variability in profit for the wholesalers was higher than that of producers. The coordination cost generally showed positive linear trend over the years and this demonstrates the existence of information asymmetry in the marketing channel. The policy recommendations are presented.

An empirical assessment of farmers' risk attitudes in flood-prone areas of Pakistan

ABSTRACT This article explores access to primary health care (PHC) services and associated factors in Pakistan. Data were collected from 302 respondents. The findings revealed that women accessed PHC services more than men due to their greater health needs. However, a large proportion of both genders did not access any PHC services. Besides general weaknesses, gender-related barriers were found in basic health unit locations, distance, transport, staff availability, income, service hours, and service organisation, confirming gender issues in access to PHC services. Policymakers are recommended to take measures to improve access to PHC services through the formulation of gender-responsive policies and strategies.