Socio-economic inequalities in the multiple dimensions of access to healthcare: the case of South Africa

BMC Public Health
Tanja GordonJosue Mbonigaba

Abstract

The National Development Plan (NDP) strives that South Africa, by 2030, in pursuit of Universal Health Coverage (UHC) achieve a significant shift in the equity of health services provision. This paper provides a diagnosis of the extent of socio-economic inequalities in health and healthcare using an integrated conceptual framework. The 2012 South African National Health and Nutrition Examination Survey (SANHANES-1), a nationally representative study, collected data on a variety of questions related to health and healthcare. A range of concentration indices were calculated for health and healthcare outcomes that fit the various dimensions on the pathway of access. A decomposition analysis was employed to determine how downstream need and access barriers contribute to upstream inequality in healthcare utilisation. In terms of healthcare need, good and ill health are concentrated among the socio-economically advantaged and disadvantaged, respectively. The relatively wealthy perceived a greater desire for care than the relatively poor. However, postponement of care seeking and unmet need is concentrated among the socio-economically disadvantaged, as are difficulties with the affordability of healthcare. The socio-economic divide in...Continue Reading

References

Jan 1, 1991·Social Science & Medicine·A WagstaffE van Doorslaer
Jan 7, 1997·Journal of Health Economics·E van DoorslaerO Winkelhake
Sep 30, 2003·International Journal for Equity in Health·Eyob Zere, Diane McIntyre
Jul 20, 2004·Health Economics·Eddy van DoorslaerAndrew M Jones
Jun 30, 2005·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Neil G MyburghRatilal Lalloo
Apr 6, 2006·Medical Care Research and Review : MCRR·Aman Bhandari, Todd Wagner
Aug 3, 2006·Journal of General Internal Medicine·Somnath Saha
Dec 25, 2007·Cadernos de saúde pública·Owen O'Donnell
Mar 28, 2008·Journal of Health Economics·Guido Erreygers
Nov 26, 2008·Bulletin of the World Health Organization·Diane McIntyreJane Goudge
Feb 4, 2009·Health Economics, Policy, and Law·Di McIntyreStephen Birch
Jul 16, 2009·BMC Health Services Research·Karl Peltzer
Jan 12, 2010·International Journal of Public Health·Niko SpeybroeckAhmad Reza Hosseinpoor
Apr 6, 2011·International Journal for Equity in Health·Lungiswa L NkonkiBjarne Robberstad
Jul 7, 2011·Journal of Public Health Policy·Bronwyn HarrisMatthew Chersich
Nov 15, 2011·International Journal for Equity in Health·John E AtagubaDi McIntyre
Apr 4, 2012·Health Economics, Policy, and Law·John Ele-Ojo Ataguba, Di McIntyre
Jan 5, 2013·International Journal for Equity in Health·Mandana Vahabi, Cynthia Damba
Mar 19, 2013·International Journal for Equity in Health·Jean-Frederic LevesqueGrant Russell
Mar 26, 2013·Journal of Health Economics·Gustav Kjellsson, Ulf-G Gerdtham
Aug 22, 2013·International Journal for Equity in Health·John Ele-Ojo Ataguba
Oct 12, 2013·Health Policy and Planning·Igna BonfrerEddy Van Doorslaer
Feb 21, 2014·The International Journal of Social Psychiatry·James FouldsRoger Mulder
Mar 26, 2014·International Journal of Environmental Research and Public Health·Olufunke Alaba, Lumbwe Chola
May 21, 2014·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Takahiro Hasumi, Kathryn H Jacobsen
Sep 30, 2014·The New England Journal of Medicine·Bongani M Mayosi, Solomon R Benatar
Nov 5, 2014·BMC Health Services Research·Zoë M McLarenMurray Leibbrandt
Jan 30, 2015·International Journal of Health Services : Planning, Administration, Evaluation·Baltica Cabieses, Philippa Bird
Jul 25, 2015·International Journal for Equity in Health·Javkhlanbayar DorjdagvaJussi Kauhanen
Sep 20, 2015·Global Health Action·John Ele-Ojo AtagubaDi McIntyre
Jun 12, 2016·Journal of Attention Disorders·Emily PondJacqueline Hesson
Sep 2, 2016·BMC Pregnancy and Childbirth·Njeri WabiriNtabozuko Dwane
Jun 21, 2017·International Journal for Equity in Health·Alfred Kechia MukongHana Ross
Apr 18, 2018·BMJ Global Health·Felipe DunschQiao Wang

❮ Previous
Next ❯

Citations

Apr 4, 2021·International Journal of Environmental Research and Public Health·Laura Rossouw, Hana Ross
Aug 8, 2021·International Journal of Environmental Research and Public Health·Edgar ChivunzeKim Buchholtz
Aug 18, 2021·Health Systems and Reform·Caryn BredenkampEddy Van Doorslaer
Oct 8, 2021·Social Psychiatry and Psychiatric Epidemiology·Nigel Walsh HarrimanSasiragha Priscilla Reddy

❮ Previous
Next ❯

Software Mentioned

STATA

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

International Journal for Equity in Health
Shiow-Ing Wang, Chih-Liang Yaung
The Medical Journal of Australia
G Turrell, C D Mathers
Healthcare Policy = Politiques De Santé
Jennifer Zelmer
© 2021 Meta ULC. All rights reserved