Health service availability and health seeking behaviour in resource poor settings: evidence from Mozambique

Health Economics Review
Laura AnselmiKara Hanson

Abstract

Low-income countries are plagued by a high burden of preventable and curable disease as well as unmet need for healthcare, but detailed microeconomic evidence on the relationship between supply-side factors and service use is limited. Causality has rarely been assessed due to the challenges posed by the endogeneity of health service supply.In this study, using data from Mozambique, we investigate the effect of healthcare service availability, measured as the type of health facilities and their level of staffing and equipment, on the individual decision to seek care. We apply an instrumental variable approach to test for causality in the effect of staff and equipment availability on the decision to seek care and we explore heterogeneous effects based on the distance of households to the closest health facility.We find that living in the proximity of a health facility increases the probability of seeking care. A greater availability of referral health services in the locality has no significant effect on decision to seek care, while greater availability of staff and equipment increases the probability of seeking care when ill. Demand side barriers to health care use exist, but have a smaller impact when health care services are a...Continue Reading

References

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Citations

Aug 18, 2018·Tropical Medicine & International Health : TM & IH·Jean-Louis KoulidiatiStephan Brenner
Nov 6, 2018·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Alba Llop-GironésJoan Benach
Jan 10, 2017·Epidemiology and Psychiatric Sciences·C BarbuiS Saxena
Jan 20, 2017·Epidemiology and Psychiatric Sciences·C Barbui
Apr 18, 2019·The American Journal of Tropical Medicine and Hygiene·Owen NkokaYi-Hua Chen
Sep 29, 2020·International Health·Adetola O OladimejiFolashayo Adeniji
Mar 21, 2019·Journal of Pharmaceutical Policy and Practice·Karin WiedenmayerNtuli Kapologwe
Aug 14, 2020·African Journal of Primary Health Care & Family Medicine·Mercy N A Opare-AddoEllis Owusu-Dabo
Oct 7, 2020·Health Systems and Reform·Andy E CarmoneAddress Malata
Aug 11, 2021·PloS One·Somaya El-SaadaniSarah A Ibrahim

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