International Journal of Current Research and Review
ISSN: 2231-2196 (Print)ISSN: 0975-5241 (Online)
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IJCRR - Vol 08 Issue 06, March, 2016

Pages: 35-39

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HEALTH INSURANCE COVERAGE : A CROSS-SECTIONAL STUDY AMONG PATIENTS FOLLOWED AT THE DIABETES CENTRE OF ABIDJAN COTE D'IVOIRE (CADA)

Author: Kadidiatou Raissa KOUROUMA, Apollinaire YAPI, Felix Kouame ACKA

Category: Healthcare

Abstract:Objective: This study aimed to evaluate the extent and types of health insurance coverage in a representative sample of adults with diabetes. Methods: This descriptive cross-sectional study was performed from May 6, 2015 till July 1, 2015 in the Diabetes Centre of Abidjan, with a sample of 500 diabetic patients followed for more than one year. Data was analyzed using SPSS version 18. Results: A total of 76.8% of all adults with diabetes had no form of health insurance. The main reason was the lack of financial resources (65.2%). Of the insured diabetic patients (23.2%), 51.7% were covered only by Civil Servants and State Workers of Côte d'Ivoire Fund, 20.7% had only a private for profit health insurance and 5.2% were covered through community based health insurance. Besides, 22.4% of responding patients had a private for-profit health insurance to supplement their Civil Servants and State Workers of Côte d'Ivoire Fund coverage. The fact to have a health insurance was influenced by age, gender, the level of education, employment sector and monthly income (p< 0.0001). Conclusion: Our findings show of the necessity to develop health policy to improve access to coverage for patients suffering from chronic disease such as diabetes, notably through Universal Health Coverage.

Keywords: Health insurance, Diabetes, Healthcare financing, Health system, Cote d’Ivoire

Full Text:

INTRODUCTION Health financing mechanism was developed to counteract the detrimental effects of user fees introduced in the 1980s, which now appears to inhibit heath care utilization, particularly for marginalized populations, and to sometimes lead to catastrophic health expenditures1 . In sub-Saharan Africa, the cost of health is often taken over by individuals; public contributions and health insurance companies hardly covering 10 to 15 % of the population2 . In Cote d’Ivoire, according to the World Health Organization’s Global Health Observatory, the total health spending was $172 per capita in 20133 . Of this, 69 % was paid out-ofpocket by households, while 27 % was funded by the government. In fact, in Côte d’Ivoire, household payments as a percentage of total health spending have long been among the highest in the West African Economic and Monetary Union (WAEMU)4 .

To improve healthcare utilization and to protect households against impoverishment from out-of-pocket expenditures, health insurance appears as a promising means, since it is attracting more and more attention in low and middle-income countries 5,6 In Cote d’Ivoire the main health insurance organizations are nonprofit groups including: Civil Servants and State Workers of Côte d’Ivoire Fund (MUGEFCI), National Social Security Fund for private sector employees (CNPS), Military Social Security Fund (Fonds de Prévoyance Militaire, FPM), National Police Social Security Fund (Fonds de Prévoyance de la Police Nationale, FPPN); Community-Based Health Insurance (CBHI)4 . Besides the nonprofit health insurance organizations, there are also private for-profit health insurance organizations (PPHI)4 . However, very few people (3-4% of the total population) in Côte d’Ivoire have health insurance7 .

The lack of health insurance coverage is often a barrier to receive routine, preventive medical care, yet these services are essential for people with diabetes who need regular checkups to monitor metabolic control, diabetes complications, and disease progression8 . Indeed, chronically ill patients such as diabetic patients often experience difficulty, paying for their medications9 . In Cote d’Ivoire where the prevalence of Diabetes is around 4.95% according to the International Federation of Diabetes (IFD), the cost of diabetes for the society in 2013 was around $162.4 compared to France where the cost was around $5,600.22 ; showing that an important part is supported by the patient.

Health insurance coverage is an important health policy issue in diabetes care, but very few studies in Cote d’Ivoire have examined the proportion of diabetic patients insured, the types of health insurance, or the reasons for not having health insurance among people with diabetes. Thus, in a context of progress towards Universal Health Coverage (UHC), this study aimed to explore theses issues among diabetic patients followed at the Diabetes Centre of Abidjan (CADA).

MATERIAL AND METHODS This is a descriptive cross-sectional study carried out in CADA, a healthcare service of the National Public Health Institute of Cote d’Ivoire. CADA is an outpatient clinic specialized in diabetes treatment, research, training and public awareness. The sample size was composed of 500 ambulatory diabetic patients followed regularly at CADA for more than one year, and chosen at random. Women with gestational diabetes were not included in the sample. Data was collected from May 6th 2015 until July 1st 2015, by the mean of a questionnaire with closed and opened questions.

The questionnaire was designed, based on a review of the literature and revised after a pilot testing with 30 diabetic patients. The first section of the questionnaire collected information about socioeconomic and demographic characteristics, information on medical history. The second section concerned health insurance status. If uninsured, diabetic patients should report reasons for not having health insurance. All the collected data were entered into SPSS 18.0. Descriptive statistics were used to describe the participant charac teristics, to show health insurance coverage, types of health insurance, and reasons for no health insurance coverage among uninsured people. Pearson’s chi-square was used to determine whether age, gender, level of education, monthly income, employment sector and complications of diabetes are related to health insurance status (p< 0.05 was considered as significant). The respondents signed the Informed Consent Form and their anonymity was preserved in the study. The study was approved by Research Ethics Committee and the National Public Health Institute of Cote d’Ivoire.

RESULTS Characteristics of the respondents (n=500) A total of 500 diabetic patients participated in this study; the characteristics of the responding patients are summarized in Table 1. The sample was in majority composed of women (57 %), and patients aged 60 and over (45.4%). Regarding economic characteristics of the patients, 59% worked in informal employment sector and 48% had a monthly income below the minimum inter professional guarantee salary wage (SMIG).

Health insurance status (n=500) The results showed that the majority of the diabetic patients (76.8%) had no health insurance. Chi-square of Pearson showed a highly significant correlation between gender, age, level of education, employment sector, monthly income and health insurance status; with p values less than 10-4. No difference (p=0.11) was found between those who had complications of diabetes and those who had not in terms of health insurance status (Table 2). Type of health insurance (n=116) Regarding the type of health insurance, the majority of the insured patients (51.7%) were covered only by MUGEFCI, 20.7% had only a PPHI and 5.2% were covered by CBHI.

In addition, 22.4% of responding patients also had PPHI to supplement their MUGEFCI coverage (Table 3) Reason for not having health insurance (n=384) Diabetic patients, who were not covered by health insurance, were asked about the reasons for not having health insurance. The results showed that the main reason was the lack of financial resources (65.2%), followed by the lack of confidence in health insurance systems (18.7%) and the lack of knowledge concerning the functioning of health insurance (16.1%). The uninsured diabetic patients turned to relatives to pay for the treatment in 54% of the cases or paid themselves in 46% of the cases.

DISCUSSION Health insurance coverage faces several challenges in Cote d’Ivoire notably the protection of people living with diabetes against the expenditures of medical care; this challenge remaining more important as regards indigent diabetic patients. Our findings showed that 76.8 % of diabetic patients followed at CADA had no form of health insurance and 23.2% was insured. These results are far from those obtained in a study performed in Burkina Faso in a sample of 388 diabetic patients, where only 1.5% of them had health insurance10. As regards the insured patients, 51.7% was covered by MUGEFCI.

Besides, 22.4% of the respondents stated to have PPHI to supplement their MUGEFCI coverage. This recourse to PPHI can be explained by the limits of government to finance care; it is also to be expected that demands unsatisfied in the public sector will be expressed as private payment, which might be more efficient than public mechanism11. Moreover, despite the implication of CBHI in the protection of poor household and workers of informal sectors against catastrophic expenditures12, only 5.2% was covered by CBHI. It is important for the Ivoirian government in a context of progress towards the UHC, to extend risk health coverage by the promotion of CBHI and sensitization of individual of working in the informal sector and living in rural area. Our study noticed that gender, age, level of education, employment sector and monthly income influenced health insurance status. Among the insurant diabetic patients, men, patients aged 40-59, patients with at least a secondary school level, diabetic patients working in formal employment sector and diabetic patients with a monthly income above 180000 FCFA ($300) are more numerous (p<0.0001).

As regards education, according to Dubois, people who received a formal education would give greater attention to health risks, would be more opened to innovation and have larger intellectual abilities to understand the interests of the mutual healthcare insurance system13. However, a study conducted in Senegal highlighted that health insurance status is not influenced by age, gender and complications of diabetes. This last variable would have been able to be a favoring factor12. Concerning the reasons for not having health insurance, 65.2% of the participants cited the lack of financial resources as the main reason. Indeed, the lack of financial resources is often the first reason mentioned by insured and uninsured to explain the low participation in mutual health13,14,15,16. However, the phenomenon of low insurance in developing is multifaceted. Substantial evidence suggests that negative attitudes toward the idea of health insurance have their roots in financial, cultural, traditional, religious, cognitive, experiential, psychological and other grounds17. Additionally, our findings revealed that the uninsured diabetic patients paid themselves for their treatment in 46% of the cases, or they turned to a relative or the religious community in 54% of the cases. Kyelem CG et al, also highlighted the financial support provided by the relatives of diabetic patients10. Indeed in their study, a total of 155 diabetic patients declared to benefit from the financial support of their family in 97.4% of the cases and of a friend or a donor in 2.6% of the cases10.

Another study in Cameroun, reported that the global care of diabetes is supported at 73% by the patient himself18. The effects of diabetes on the individual have repercussions on the whole family, even community. A study found that 15% of the members of the concerned families had stopped working to take care of a relative suffering from diabetes and that 20% had had to reduce their hourly working19. As Cote d’Ivoire is moving towards UHC, the results of our study will help health policy makers to adopt a national strategy to ensure that diabetic patients have coverage for routine care and protect them against expenditures of medical care.

Given the fact that half of the diabetic patients are working in the informal sector and earn less than 60000FCFA ($100), the minimum inter professional guarantee salary wage, it would be interesting to organize this sector into community based health found. Our study has a few limitations. It is cross-sectional study; hence it captures only a single point in time. Besides, this study was conducted in a single Diabetes Centre; therefore the results obtained might not be generalized to all the diabetic patients living in Cote d’Ivoire.

CONCLUSION Health insurance is an important matter for diabetic patients. Our study shows the need to implement adequate and affordable health insurance in order to help diabetic patients to access the supplies, medications and healthcare. The Ivorian government should develop health policies to improve access to coverage for diabetic patients, notably by the mean of Universal Health Coverage.

Conflits of Interests: none

ACKNOWLEDGEMENTS The authors would like to thank all of the participants who volunteered their time to participate in the study. Authors acknowledge the immense help received from the scholars whose articles are cited and included in references of this manuscript. The authors are also grateful to authors / editors / publishers of all those articles, journals and books from where the literature for this article has been reviewed and discussed.

References:

1. Mcintyre D, Thiede M, Dahlgren G, et al. What are the economic consequences for households of illness and of paying for health care in low-and middle-income country contexts?.Social science and medicine, 2006; 62(4):858-865.

2. International Diabetes Federation (IFD). IDF Diabetes Atlas, Sixth edition. Brussels, Belgium : International Diabetes Federation; 2013. Available from www.idf.org/sites:default/EN_6E_ Atlas_Full_0.pdf

3. World Health Organization Global Health Observatory. Available from http://www.who.int/countries/civ/en/

4. Juillet A, Konan C, Hatt L et al. Measuring and Monitoring Progress Toward Universal Health Coverage: A Case Study in Côte d’Ivoire. Bethesda, MD: Health Finance and Governance Project, Abt Associates.2014.

5. World health report 2010- Health systems financing: the path to universal coverage. Geneva: World Health Organization; 2010.

6. Spaan E, Mathijssen J, Tromp N et al. The impact of health insurance in Africa and Asia: a systematic review. Bull World Health Organ 2012;90:685–692A | doi:10.2471/BLT.12.102301

7. Institut National de la Statistique et ICF International. Enquête Démographique et de Santé et à Indicateurs Multiples de Côte d’Ivoire 2011-2012. Calverton, Maryland, USA: INS et ICF International 2012.

8. Casagrande SS, and Catherine CC. Health insurance coverage among people with and without diabetes in the US adult population. Diabetes care; 2012; 35(11): 2243-2249.

9. Piette JD, Wagner TH., Potter MB and Schillinger D. Health insurance status, cost-related medication underuse, and outcomes among diabetes patients in three systems of care. Medical care 2004;42(2):102-109.

10. Kyelem CG., Yaméogo TM., Ouédraogo MS et al. Caracté- ristiques thérapeutiques des diabétiques suivis au CHU de Bobo-Dioulasso, Burkina Faso. Health Sciences and Disease, 2014;15(2).

11. Pauly MV, Zweifel P, Sheffler RM et al. “Private health insurance in developing countries. Health Affairs, 2006; 25(2): 369- 379.

12. Jütting JP. “Do community-based health insurance schemes improve poor people’s access to health care? Evidence from rural Senegal. World development, 2004;(32)2: 273-288.

13. Dubois F. «Les déterminants de la participation aux mutuelles de santé: étude appliquée à la mutuelle Leeré Laafi Bolem de Zabré.» Mémoire de fin d’études, Université de Liège, DES en Gestion du Développement, 2002.

14. Harris MI. “Racial and ethnic differences in health insurance coverage for adults with diabetes. Diabetes Care, 1999; 22(10): 1679-1682.

15. DE Allegri M., Kouyante B., Becker H.et al. Understanding enrolment in community health insurance in sub-Saharan Africa: a population-based case-control study in rural Burkina Faso. Bulletin World Health Organisation, 2006;84(11): 852-858.

16. Durairaj V, D’Almeida S and Kirigia, J. Obstacles in the process of establishing a sustainable National Health Insurance Scheme: Insights from Ghana. Geneva, Switzerland: World Health Organization. 2010.

17. Kalenscher T. Attitude Toward Health Insurance in Developing Countries From a Decision-Making Perspective. Journal of Neuroscience, Psychology, and Economics, 2014; 7(3):174–193 http://dx.doi.org/10.1037/npe0000024

18. Ngassam E, Nguewa JL, Ongnessek S, et al. Coût de la prise en charge du diabète de type 2 à l’hôpital central de Yaoundé. Diabetes Metab 2012;38(Special issue 2):A105 [Abstract P318].

19. Betz Brown J, Gagliardino JJ and Ramaiya K. For International Diabetes Federation. Studies on the economic and social impact of diabetes in low- and middle-income countries. Presentation to IDF World Diabetes Congress. Montreal, October 2009. Available from http://www.idf.org/webdata/docs/WDC-PC-IDF%20Impact%20Studies.pdf

 

Announcements

Dr. Pramod Kumar Manjhi joined Editor-in-Chief since July 2021 onwards

COPE guidelines for Reviewers

SCOPUS indexing: 2014, 2019 to 2021


Awards, Research and Publication incentive Schemes by IJCRR

Best Article Award: 

One article from every issue is selected for the ‘Best Article Award’. Authors of selected ‘Best Article’ are rewarded with a certificate. IJCRR Editorial Board members select one ‘Best Article’ from the published issue based on originality, novelty, social usefulness of the work. The corresponding author of selected ‘Best Article Award’ is communicated and information of award is displayed on IJCRR’s website. Drop a mail to editor@ijcrr.com for more details.

Women Researcher Award:

This award is instituted to encourage women researchers to publish her work in IJCRR. Women researcher, who intends to publish her research work in IJCRR as the first author is eligible to apply for this award. Editorial Board members decide on the selection of women researchers based on the originality, novelty, and social contribution of the research work. The corresponding author of the selected manuscript is communicated and information is displayed on IJCRR’s website. Under this award selected women, the author is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.

Emerging Researcher Award:

‘Emerging Researcher Award’ is instituted to encourage student researchers to publish their work in IJCRR. Student researchers, who intend to publish their research or review work in IJCRR as the first author are eligible to apply for this award. Editorial Board members decide on the selection of student researchers for the said award based on originality, novelty, and social applicability of the research work. Under this award selected student researcher is eligible for publication incentives. Drop a mail to editor@ijcrr.com for more details.


Best Article Award

A Study by Humaira Tahir et al. entitled "Comparison of First Analgesic Demand after Major Surgeries of Obstetrics and Gynecology between Pre-Emptive Versus Intra-Operative Groups by Using Intravenous Paracetamol: A Cross-Sectional Study" is awarded Best Article for Vol 14 issue 14
A Study by Monica K. entitled "Risk Predictors for Lymphoma Development in Sjogren Syndrome - A Systematic Review" is awarded Best Article for Vol 14 issue 13
A Study by Mokhtar M Sh et al. entitled "Prevalence of Hospital Mortality of Critically Ill Elderly Patients" is awarded Best Article for Vol 14 issue 12
A Study by Vidya S. Bhat et al. entitled "Effect of an Indigenous Cleanser on the Microbial Biofilm on Acrylic Denture Base - A Pilot Study" is awarded Best Article for Vol 14 issue 11
A Study by Pandya S. et al. entitled "Acute and 28-Day Repeated Dose Subacute Toxicological Evaluation of Coroprotect Tablet in Rodents" is awarded Best Article for Vol 14 issue 10
A Study by Muhammad Zaki et al. entitled "Effect of Hemoglobin Level on the Severity of Acute Bronchiolitis in Children: A Case-Control Study" is awarded Best Article for Vol 14 issue 09
A Study by Vinita S & Ayushi S entitled "Role of Colour Doppler and Transvaginal Sonography for diagnosis of endometrial pathology in women presenting with Abnormal Uterine Bleeding" is awarded Best Article for Vol 14 issue 08
A Study by Prabhu A et al. entitled "Awareness of Common Eye Conditions among the ASHA (Accredited Social Health Activist) Workers in the Rural Communities of Udupi District- A Pilot Study" is awarded Best Article for Vol 14 issue 07
A Study by Divya MP et al. entitled "Non-Echoplanar Diffusion-Weighted Imaging and 3D Fiesta Magnetic Resonance Imaging Sequences with High Resolution Computed Tomography Temporal Bone in Assessment and Predicting the Outcome of Chronic Suppurative Otitis Media with Cholesteatoma" is awarded Best Article for Vol 14 issue 06
A Study by Zahoor Illahi Soomro et al. entitled "Functional Outcomes of Fracture Distal Radius after Fixation with Two Different Plates: A Retrospective Comparative Study" is awarded Best Article for Vol 14 issue 05
A Study by Ajai KG & Athira KN entitled "Patients’ Gratification Towards Service Delivery Among Government Hospitals with Particular Orientation Towards Primary Health Centres" is awarded Best Article for Vol 14 issue 04
A Study by Mbungu Mulaila AP et al. entitled "Ovarian Pregnancy in Kindu City, D.R. Congo - A Case Report" is awarded Best Article for Vol 14 issue 03
A Study by Maryam MJ et al. entitled "Evaluation Serum Chemerin and Visfatin Levels with Rheumatoid Arthritis: Possible Diagnostic Biomarkers" is awarded Best Article for Vol 14 issue 02
A Study by Shanthan KR et al. entitled "Comparison of Ultrasound Guided Versus Nerve Stimulator Guided Technique of Supraclavicular Brachial Plexus Block in Patients Undergoing Upper Limb Surgeries" is awarded Best Article for Vol 14 issue 01
A Study by Amol Sanap et al. entitled "The Outcome of Coxofemoral Bypass Using Cemented Bipolar Hemiarthroplasty in the Treatment of Unstable Intertrochanteric Fracture of Femur in a Rural Setup" is awarded Best Article Award of Vol 13 issue 24
A Study by Manoj KP et al. entitled "A Randomized Comparative Clinical Trial to Know the Efficacy of Ultrasound-Guided Transversus Abdominis Plane Block Against Multimodal Analgesia for Postoperative Analgesia Following Caesarean Section" is awarded Best Article Award of Vol 13 issue 23
A Study by Karimova II et al. entitled "Changes in the Activity of Intestinal Carbohydrases in Alloxan-Induced Diabetic Rats and Their Correction with Prenalon" is awarded Best Article of Vol 13 issue 22
A Study by Ashish B Roge et al. entitled "Development, Validation of RP-HPLC Method and GC MS Analysis of Desloratadine HCL and It’s Degradation Products" is awarded Best Article of Vol 13 issue 21
A Study by Isha Gaurav et al. entitled "Association of ABO Blood Group with Oral Cancer and Precancer – A Case-control Study" is awarded Best Article for Vol 13 issue 20
A Study by Amr Y. Zakaria et al. entitled "Single Nucleotide Polymorphisms of ATP-Binding Cassette Gene(ABCC3 rs4793665) affect High Dose Methotrexate-Induced Nephrotoxicity in Children with Osteosarcoma" is awarded Best Article for Vol 13 issue 19
A Study by Kholis Ernawati et al. entitled "The Utilization of Mobile-Based Information Technology in the Management of Dengue Fever in the Community Year 2019-2020: Systematic Review" is awarded Best Article for Vol 13 issue 18
A Study by Bhat Asifa et al. entitled "Efficacy of Modified Carbapenem Inactivation Method for Carbapenemase Detection and Comparative Evaluation with Polymerase Chain Reaction for the Identification of Carbapenemase Producing Klebsiella pneumonia Isolates" is awarded Best Article for Vol 13 issue 17
A Study by Gupta R. et al. entitled "A Clinical Study of Paediatric Tracheostomy: Our Experience in a Tertiary Care Hospital in North India" is awarded Best Article for Vol 13 issue 16
A Study by Chandran Anand et al. entitled "A Prospective Study on Assessment of Quality of Life of Patients Receiving Sorafenib for Hepatocellular Carcinoma" is awarded Best article for Vol 13 issue 15
A Study by Rosa PS et al. entitled "Emotional State Due to the Covid – 19 Pandemic in People Residing in a Vulnerable Area in North Lima" is awarded Best Article for Vol 13 issue 14
A Study by Suvarna Sunder J et al. entitled "Endodontic Revascularization of Necrotic Permanent Anterior Tooth with Platelet Rich Fibrin, Platelet Rich Plasma, and Blood Clot - A Comparative Study" is awarded Best Article for Vol 13 issue 13
A Study by Mona Isam Eldin Osman et al. entitled "Psychological Impact and Risk Factors of Sexual Abuse on Sudanese Children in Khartoum State" is awarded Best Article for Vol 13 issue 12
A Study by Khaw Ming Sheng & Sathiapriya Ramiah entitled "Web Based Suicide Prevention Application for Patients Suffering from Depression" is awarded Best Article for Vol 13 issue 11
A Study by Purushottam S. G. et al. entitled "Development of Fenofibrate Solid Dispersions for the Plausible Aqueous Solubility Augmentation of this BCS Class-II Drug" is awarded Best article for Vol 13 issue 10
A Study by Kumar S. et al. entitled "A Study on Clinical Spectrum, Laboratory Profile, Complications and Outcome of Pediatric Scrub Typhus Patients Admitted to an Intensive Care Unit from a Tertiary Care Hospital from Eastern India" is awarded Best Article for Vol 13 issue 09
A Study by Mardhiah Kamaruddin et al. entitled "The Pattern of Creatinine Clearance in Gestational and Chronic Hypertension Women from the Third Trimester to 12 Weeks Postpartum" is awarded Best Article for Vol 13 issue 08
A Study by Sarmila G. B. et al. entitled "Study to Compare the Efficacy of Orally Administered Melatonin and Clonidine for Attenuation of Hemodynamic Response During Laryngoscopy and Endotracheal Intubation in Gastrointestinal Surgeries" is awarded Best Article for Vol 13 issue 07
A Study by M. Muthu Uma Maheswari et al. entitled "A Study on C-reactive Protein and Liver Function Tests in Laboratory RT-PCR Positive Covid-19 Patients in a Tertiary Care Centre – A Retrospective Study" is awarded Best Article of Vol 13 issue 06 Special issue Modern approaches for diagnosis of COVID-19 and current status of awareness
A Study by Gainneos PD et al. entitled "A Comparative Evaluation of the Levels of Salivary IgA in HIV Affected Children and the Children of the General Population within the Age Group of 9 – 12 Years – A Cross-Sectional Study" is awarded Best Article of Vol 13 issue 05 Special issue on Recent Advances in Dentistry for better Oral Health
A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" is awarded Best Article of Vol 13 issue 06
A Study by Chen YY and Ghazali SRB entitled "Lifetime Trauma, posttraumatic stress disorder Symptoms and Early Adolescence Risk Factors for Poor Physical Health Outcome Among Malaysian Adolescents" is awarded Best Article of Vol 13 issue 04 Special issue on Current Updates in Plant Biology to Medicine to Healthcare Awareness in Malaysia
A Study by Kumari PM et al. entitled "Study to Evaluate the Adverse Drug Reactions in a Tertiary Care Teaching Hospital in Tamilnadu - A Cross-Sectional Study" is awarded Best Article for Vol 13 issue 05
A Study by Anu et al. entitled "Effectiveness of Cytological Scoring Systems for Evaluation of Breast Lesion Cytology with its Histopathological Correlation" is awarded Best Article of Vol 13 issue 04
A Study by Sharipov R. Kh. et al. entitled "Interaction of Correction of Lipid Peroxidation Disorders with Oxibral" is awarded Best Article of Vol 13 issue 03
A Study by Tarek Elwakil et al. entitled "Led Light Photobiomodulation Effect on Wound Healing Combined with Phenytoin in Mice Model" is awarded Best Article of Vol 13 issue 02
A Study by Mohita Ray et al. entitled "Accuracy of Intra-Operative Frozen Section Consultation of Gastrointestinal Biopsy Samples in Correlation with the Final Histopathological Diagnosis" is awarded Best Article for Vol 13 issue 01
A Study by Badritdinova MN et al. entitled "Peculiarities of a Pain in Patients with Ischemic Heart Disease in the Presence of Individual Combines of the Metabolic Syndrome" is awarded Best Article for Vol 12 issue 24
A Study by Sindhu Priya E S et al. entitled "Neuroprotective activity of Pyrazolone Derivatives Against Paraquat-induced Oxidative Stress and Locomotor Impairment in Drosophila melanogaster" is awarded Best Article for Vol 12 issue 23
A Study by Habiba Suhail et al. entitled "Effect of Majoon Murmakki in Dysmenorrhoea (Usre Tams): A Standard Controlled Clinical Study" is awarded Best Article for Vol 12 issue 22
A Study by Ghaffar UB et al. entitled "Correlation between Height and Foot Length in Saudi Population in Majmaah, Saudi Arabia" is awarded Best Article for Vol 12 issue 21
A Study by Siti Sarah Binti Maidin entitled "Sleep Well: Mobile Application to Address Sleeping Problems" is awarded Best Article for Vol 12 issue 20
A Study by Avijit Singh"Comparison of Post Operative Clinical Outcomes Between “Made in India” TTK Chitra Mechanical Heart Valve Versus St Jude Mechanical Heart Valve in Valve Replacement Surgery" is awarded Best Article for Vol 12 issue 19
A Study by Sonali Banerjee and Mary Mathews N. entitled "Exploring Quality of Life and Perceived Experiences Among Couples Undergoing Fertility Treatment in Western India: A Mixed Methodology" is awarded Best Article for Vol 12 issue 18
A Study by Jabbar Desai et al. entitled "Prevalence of Obstructive Airway Disease in Patients with Ischemic Heart Disease and Hypertension" is awarded Best Article for Vol 12 issue 17
A Study by Juna Byun et al. entitled "Study on Difference in Coronavirus-19 Related Anxiety between Face-to-face and Non-face-to-face Classes among University Students in South Korea" is awarded Best Article for Vol 12 issue 16
A Study by Sudha Ramachandra & Vinay Chavan entitled "Enhanced-Hybrid-Age Layered Population Structure (E-Hybrid-ALPS): A Genetic Algorithm with Adaptive Crossover for Molecular Docking Studies of Drug Discovery Process" is awarded Best article for Vol 12 issue 15
A Study by Varsha M. Shindhe et al. entitled "A Study on Effect of Smokeless Tobacco on Pulmonary Function Tests in Class IV Workers of USM-KLE (Universiti Sains Malaysia-Karnataka Lingayat Education Society) International Medical Programme, Belagavi" is awarded Best article of Vol 12 issue 14, July 2020
A study by Amruta Choudhary et al. entitled "Family Planning Knowledge, Attitude and Practice Among Women of Reproductive Age from Rural Area of Central India" is awarded Best Article for special issue "Modern Therapeutics Applications"
A study by Raunak Das entitled "Study of Cardiovascular Dysfunctions in Interstitial Lung Diseas epatients by Correlating the Levels of Serum NT PRO BNP and Microalbuminuria (Biomarkers of Cardiovascular Dysfunction) with Echocardiographic, Bronchoscopic and HighResolution Computed Tomography Findings of These ILD Patients" is awarded Best Article of Vol 12 issue 13 
A Study by Kannamani Ramasamy et al. entitled "COVID-19 Situation at Chennai City – Forecasting for the Better Pandemic Management" is awarded best article for  Vol 12 issue 12
A Study by Muhammet Lutfi SELCUK and Fatma entitled "Distinction of Gray and White Matter for Some Histological Staining Methods in New Zealand Rabbit's Brain" is awarded best article for  Vol 12 issue 11
A Study by Anamul Haq et al. entitled "Etiology of Abnormal Uterine Bleeding in Adolescents – Emphasis Upon Polycystic Ovarian Syndrome" is awarded best article for  Vol 12 issue 10
A Study by entitled "Estimation of Reference Interval of Serum Progesterone During Three Trimesters of Normal Pregnancy in a Tertiary Care Hospital of Kolkata" is awarded best article for  Vol 12 issue 09
A Study by Ilona Gracie De Souza & Pavan Kumar G. entitled "Effect of Releasing Myofascial Chain in Patients with Patellofemoral Pain Syndrome - A Randomized Clinical Trial" is awarded best article for  Vol 12 issue 08
A Study by Virendra Atam et. al. entitled "Clinical Profile and Short - Term Mortality Predictors in Acute Stroke with Emphasis on Stress Hyperglycemia and THRIVE Score : An Observational Study" is awarded best article for  Vol 12 issue 07
A Study by K. Krupashree et. al. entitled "Protective Effects of Picrorhizakurroa Against Fumonisin B1 Induced Hepatotoxicity in Mice" is awarded best article for issue Vol 10 issue 20
A study by Mithun K.P. et al "Larvicidal Activity of Crude Solanum Nigrum Leaf and Berries Extract Against Dengue Vector-Aedesaegypti" is awarded Best Article for Vol 10 issue 14 of IJCRR
A study by Asha Menon "Women in Child Care and Early Education: Truly Nontraditional Work" is awarded Best Article for Vol 10 issue 13
A study by Deep J. M. "Prevalence of Molar-Incisor Hypomineralization in 7-13 Years Old Children of Biratnagar, Nepal: A Cross Sectional Study" is awarded Best Article for Vol 10 issue 11 of IJCRR
A review by Chitra et al to analyse relation between Obesity and Type 2 diabetes is awarded 'Best Article' for Vol 10 issue 10 by IJCRR. 
A study by Karanpreet et al "Pregnancy Induced Hypertension: A Study on Its Multisystem Involvement" is given Best Paper Award for Vol 10 issue 09

List of Awardees

A Study by Ese Anibor et al. "Evaluation of Temporomandibular Joint Disorders Among Delta State University Students in Abraka, Nigeria" from Vol 13 issue 16 received Emerging Researcher Award


A Study by Alkhansa Mahmoud et al. entitled "mRNA Expression of Somatostatin Receptors (1-5) in MCF7 and MDA-MB231 Breast Cancer Cells" from Vol 13 issue 06 received Emerging Researcher Award


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IJCRR Code of Conduct: To achieve a high standard of publication, we adopt Good Publishing Practices (updated in 2022) which are inspired by guidelines provided by Committee on Publication Ethics (COPE), Open Access Scholarly Publishers Association (OASPA) and International Committee of Medical Journal Editors (ICMJE)

Disclaimer: International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal.



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International Journal of Current Research and Review (IJCRR) provides platform for researchers to publish and discuss their original research and review work. IJCRR can not be held responsible for views, opinions and written statements of researchers published in this journal

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