IDEAS home Printed from https://ideas.repec.org/a/eaa/aeinde/v18y2018i1_7.html
   My bibliography  Save this article

Households’ Therapeutic Behavior: An Empirical Study For Cote D´Ivoire

Author

Listed:
  • NDA, Koffi C.
  • AKA, BEDIA F.

Abstract

This article seeks to understand the Ivorian health policy and identify factors justifying the choice of the therapeutic route for Ivorian households. The health supply is ensured both by the public and private sectors. The health system is hierarchical with an order of precedence for the public health system. Resources are unevenly distributed in the country by focusing on the District of Abidjan. Health coverage ratios are well below international standards. The demand analysis using the discrete choice model reveals that the choice of health care provider is determined by individual and family factors, but also by elements related to their living environment, care quality indicators and the health care supply. The financing mechanism of health costs is also decisive in the choice of households.

Suggested Citation

  • NDA, Koffi C. & AKA, BEDIA F., 2018. "Households’ Therapeutic Behavior: An Empirical Study For Cote D´Ivoire," Applied Econometrics and International Development, Euro-American Association of Economic Development, vol. 18(1), pages 105-120.
    • Handle: RePEc:eaa:aeinde:v:18:y:2018:i:1_7
    as

    Download full text from publisher

    File URL: http://www.usc.es/~economet/reviews/aeid1817.pdf
    Download Restriction: No.
    ---><---

    References listed on IDEAS

    as
    1. McFadden, Daniel L., 1984. "Econometric analysis of qualitative response models," Handbook of Econometrics, in: Z. Griliches† & M. D. Intriligator (ed.), Handbook of Econometrics, edition 1, volume 2, chapter 24, pages 1395-1457, Elsevier.
    2. Wagstaff, Adam & Pradhan, Menno, 2005. "Health insurance impacts on health and nonmedical consumption in a developing country," Policy Research Working Paper Series 3563, The World Bank.
    3. Akin, John S. & Griffin, Charles C. & Guilkey, David K. & Popkin, Barry M., 1986. "The demand for adult outpatient services in the Bicol region of the Philippines," Social Science & Medicine, Elsevier, vol. 22(3), pages 321-328, January.
    4. Guisan, M.C. & Exposito, P., 2005. "Human Capital and Economic Development in Africa: An Econometric Analysis for 1950-2002," Applied Econometrics and International Development, Euro-American Association of Economic Development, vol. 5(1), pages 129-142.
    5. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    6. John S. Akin & David K. Guilkey & Paul L. Hutchinson & Michael T. McIntosh, 1998. "Price elasticities of demand for curative health care with control for sample selectivity on endogenous illness: an analysis for Sri Lanka," Health Economics, John Wiley & Sons, Ltd., vol. 7(6), pages 509-531, September.
    7. Boubou Cissé & Stéphane Luchini & Jean-Paul Moatti, 2004. "Recouvrement des coûts et demande de soins dans les PED," Revue Française d'Économie, Programme National Persée, vol. 18(4), pages 111-149.
    8. Germano Mwabu & Martha Ainsworth & Andrew Nyamete, 1993. "Quality of Medical Care and Choice of Medical Treatment in Kenya: An Empirical Analysis," Journal of Human Resources, University of Wisconsin Press, vol. 28(4), pages 838-862.
    9. GUISAN, Maria-Carmen, 2017. "Manufacturing And Development In Countries And Areas Of Africa, 2000-2010," Regional and Sectoral Economic Studies, Euro-American Association of Economic Development, vol. 17(2), pages 137-148.
    10. David E. Sahn & Stephen D. Younger & Garance Genicot, 2003. "The Demand for Health Care Services in Rural Tanzania," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 65(2), pages 241-260, May.
    11. William H. Dow, 1999. "Flexible Discrete Choice Demand Models Consistent With Utility Maximization: An Application to Health Care Demand," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 81(3), pages 680-685.
    12. Michael Grossman, 1972. "The Demand for Health: A Theoretical and Empirical Investigation," NBER Books, National Bureau of Economic Research, Inc, number gros72-1, March.
    13. Akin, John S. & Guilkey, David K. & Hazel?Denton, E., 1995. "Quality of services and demand for health care in Nigeria: A multinomial probit estimation," Social Science & Medicine, Elsevier, vol. 40(11), pages 1527-1537, June.
    14. Litvack, Jennie I. & Bodart, Claude, 1993. "User fees plus quality equals improved access to health care: Results of a field experiment in Cameroon," Social Science & Medicine, Elsevier, vol. 37(3), pages 369-383, August.
    15. Mwabu, Germano M., 1986. "Health care decisions at the household level: Results of a rural health survey in Kenya," Social Science & Medicine, Elsevier, vol. 22(3), pages 315-319, January.
    16. Darlison Kaija & Paul Okiira Okwi, 2011. "Quality and Demand for Health Care in Rural Uganda: Evidence from 2002/03 Household Survey," Working Papers 214, African Economic Research Consortium, Research Department.
    17. Gertler, P. & Van Der Gaag, J., 1988. "Measuring The Willingness To Pay For Social Services In Developing Countries," Papers 45, World Bank - Living Standards Measurement.
    18. Alderman, Harold & Lavy, Victor, 1996. "Household Responses to Public Health Services: Cost and Quality Tradeoffs," The World Bank Research Observer, World Bank, vol. 11(1), pages 3-22, February.
    19. Guisan, M.C. & Exposito, P., 2016. "Life Expectancy, Education And Development In African Countries 1980-2014: Improvements And International Comparisons," Applied Econometrics and International Development, Euro-American Association of Economic Development, vol. 16(2), pages 87-98.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Magnus Lindelow, 2004. "The Utilization of Curative Health Care in Mozambique: Does Income Matter?," Development and Comp Systems 0409057, University Library of Munich, Germany.
    2. Lindelow, Magnus, 2002. "Health care demand in rural Mozambique," FCND discussion papers 126, International Food Policy Research Institute (IFPRI).
    3. Magnus Lindelow, 2003. "The Utilization of Curative Health Care in Mozambique: Does Income Matter?," Economics Series Working Papers WPS/2004-11, University of Oxford, Department of Economics.
    4. Magnus Lindelow, 2003. "Understanding spatial variation in the utilization of health services: does quality matter?," Economics Series Working Papers WPS/2004-12, University of Oxford, Department of Economics.
    5. Trani, Jean-Francois & Bakhshi, Parul & Noor, Ayan A. & Lopez, Dominique & Mashkoor, Ashraf, 2010. "Poverty, vulnerability, and provision of healthcare in Afghanistan," Social Science & Medicine, Elsevier, vol. 70(11), pages 1745-1755, June.
    6. Magnus Lindelow, 2004. "Understanding spatial variation in the utilization of health," Development and Comp Systems 0409058, University Library of Munich, Germany.
    7. Christelle Grobler & Ian C. Stuart, 2007. "Health Care Provider Choice," South African Journal of Economics, Economic Society of South Africa, vol. 75(2), pages 327-350, June.
    8. Anta TA DIAL & Moussa DIENG & Martine AUDIBERT & Jean-Yves LE HESRAN, 2014. "Déterminants de la demande de soins en milieu péri-urbain dans un contexte de subvention à Pikine, Sénégal," Working Papers 201415, CERDI.
    9. Charles Mulindabigwi Ruhara & Josue Mbonigaba, 2016. "The Role of Economic Factors in the Choice of Medical Providers in Rwanda," Journal of Economics and Behavioral Studies, AMH International, vol. 8(2), pages 65-78.
    10. Moussa Dieng & Martine Audibert & Jean-Yves Le Hesran & Anta Ta Dial, 2015. "Déterminants de la demande de soins en milieu péri-urbain dans un contexte de subvention à Pikine, Sénégal," CERDI Working papers halshs-01027504, HAL.
    11. Kasirye, Ibrahim & Ssewanyana, Sarah & Nabyonga, Juliet & Lawson, David, 2004. "Demand for health care services in Uganda: Implications for poverty reduction," MPRA Paper 8558, University Library of Munich, Germany.
    12. Ardeshir Sepehri & Robert Chernomas, 2001. "Are user charges efficiency- and equity-enhancing? A critical review of economic literature with particular reference to experience from developing countries," Journal of International Development, John Wiley & Sons, Ltd., vol. 13(2), pages 183-209.
    13. Lawson, David, 2004. "Determinants of Health Seeking Behaviour in Uganda - Is It Just Income and User Fees That Are Important?," Development Economics and Public Policy Working Papers 30553, University of Manchester, Institute for Development Policy and Management (IDPM).
    14. Ana Revenga & Mead Over & Emiko Masaki & Wiwat Peerapatanapokin & Julian Gold & Viroj Tangcharoensathien & Sombat Thanprasertsuk, 2006. "The Economics of Effective AIDS Treatment : Evaluating Policy Options for Thailand," World Bank Publications - Books, The World Bank Group, number 7196, December.
    15. Mwabu, Germano, 2007. "Health Economics for Low-Income Countries," Center Discussion Papers 10118, Yale University, Economic Growth Center.
    16. Jonathan J.A.O. Odwee & Francis Nathan Okurut & Asaf Adebua, 2006. "The determinants of health care demand in Uganda: The case study of Lira District, Northern Uganda," Working Papers 155, African Economic Research Consortium, Research Department.
    17. Sisira Sarma, 2009. "Demand for outpatient healthcare," Applied Health Economics and Health Policy, Springer, vol. 7(4), pages 265-277, December.
    18. Pokhrel, Subhash & De Allegri, Manuela & Gbangou, Adijma & Sauerborn, Rainer, 2010. "Illness reporting and demand for medical care in rural Burkina Faso," Social Science & Medicine, Elsevier, vol. 70(11), pages 1693-1700, June.
    19. Hentschel, Jesko, 1998. "Distinguishing between types of data and methods of collecting them," Policy Research Working Paper Series 1914, The World Bank.
    20. Appleton, S., 2000. "Education and Health at the Household Level in Sub-Saharan Africa," Papers 33, Chicago - Graduate School of Business.

    More about this item

    Keywords

    Human capital; health; multinomial logit; discrete choice model.;
    All these keywords.

    JEL classification:

    • C4 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods: Special Topics
    • E24 - Macroeconomics and Monetary Economics - - Consumption, Saving, Production, Employment, and Investment - - - Employment; Unemployment; Wages; Intergenerational Income Distribution; Aggregate Human Capital; Aggregate Labor Productivity
    • J24 - Labor and Demographic Economics - - Demand and Supply of Labor - - - Human Capital; Skills; Occupational Choice; Labor Productivity
    • I1 - Health, Education, and Welfare - - Health

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eaa:aeinde:v:18:y:2018:i:1_7. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: M. Carmen Guisan (email available below). General contact details of provider: http://www.usc.es/economet/eaa.htm .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.