Health seeking practice: choice of health care provider

224 Health Seeking Behaviour towards Communicable Diseases among Foreign Workers in Industrial Agriculture Sectors of Selected Districts in Perak, Malaysia Figure 5. Comparison of health seeking behaviour for reported mild illness by sector Figure 6. Comparison of health seeking behaviour for reported mild illness by nationality Thailand Indonesia Bangladesh Nepal Vietnam Nationality Plantation Industry Sector 9 5 C I E v e r S e e k T re at m e n t 9 5 C I E v e r S e e k T re at m e n t 1.2 1.0 0.8 0.6 0.4 1.0 0.9 0.8 0.7 225 Health Seeking Behaviour towards Communicable Diseases among Foreign Workers in Industrial Agriculture Sectors of Selected Districts in Perak, Malaysia Figure 7. Comparison of health seeking behaviour for reported mild illness by legal status and sector Figure 8. Comparison of health seeking behaviour for reported mild illness by legal status and nationality Plantation Industry Sector 9 5 C I E v e r S e e k T re at m e n t 226 Health Seeking Behaviour towards Communicable Diseases among Foreign Workers in Industrial Agriculture Sectors of Selected Districts in Perak, Malaysia Figure 9. Comparison of health seeking behaviour for reported mild illness by nationality and sector Figure 10. Choice of government health care provider by nationality and sector 227 Health Seeking Behaviour towards Communicable Diseases among Foreign Workers in Industrial Agriculture Sectors of Selected Districts in Perak, Malaysia Figure 11. Choice of private health care provider by nationality and sector Figure 12. Perception of good health care service by nationality and sector 228 Health Seeking Behaviour towards Communicable Diseases among Foreign Workers in Industrial Agriculture Sectors of Selected Districts in Perak, Malaysia Figure 13. Source of payment for treatment fees Figure 14. Reasons for not seeking treatment 229 Health Seeking Behaviour towards Communicable Diseases among Foreign Workers in Industrial Agriculture Sectors of Selected Districts in Perak, Malaysia

4.2.2 Health seeking practice: rating of health care provider

The 172 respondents were asked to rate the provision of health care service in Malaysia. Majority 70.3 considered the health care service good. There was a significant difference in the perception of good health care among nationality and sector Figure 12. Indonesian and Bangladeshi workers gave higher ratings than Nepalese and Vietnamese workers.

4.2.3 Health seeking practice: mode of transportation

Among the 172 foreign workers, 55.2 used employers’ transport, 22.6 used their own transport, and the remaining used either public transport or walked to the health care provider to seek treatment for mild illness. There was no significant difference in the mode of transportation among sector and nationality.

4.2.4 Payment of treatment fees

Of the respondents who reported seeking treatment for mild illness, they were interviewed on the payment source of their treatment fees. Majority of the respondents who sought treatment for their illness had their treatment fees paid by their employers Figure 13. These comprised 75 and 72 workers in the agricultural and industrial sectors respectively. A large number of respondents 45 agriculture and 29 industrial workers had to fork out their own money to pay their treatment fees. The treatment fees of some respondents were covered by their panel clinicdoctor and health insurance. Similarly, a larger number of workers in the industrial sector had this privilege.

4.2.5 Reasons for not seeking treatment

We interviewed the 39 respondents who experienced mild or severe illness to determine their reasons for not seeking treatment for their illness Figure 14. The main reason given by these respondents was mild illness not requiring treatment 30, 76.9. This next reason given was the distance of the health care provider from their residence 9, 23.1. Other reasons reported were preference of self-care 5, 12.8, fear of treatment and poor employer support 3, 7.7, and not confident with treatment 2, 5.1. Only 1 respondent reported the treatment being too expensive as the reason of not seeking treatment. Non-satisfaction with the health care service was not one of the reasons for not seeking treatment for illness. 230 Health Seeking Behaviour towards Communicable Diseases among Foreign Workers in Industrial Agriculture Sectors of Selected Districts in Perak, Malaysia Figure 15. Health seeking behaviour for pulmonary tuberculosis by nationality and sector Figure 16. Health seeking behaviour for pulmonary tuberculosis by legality and sector