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Childhood morbidity and health services utilization: Cross-national comparisons of user-related factors from DHS data

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  • Fosu, Gabriel B.

Abstract

The purpose of this study was to examine user-related factors that influence the utilization of medical care facilities for treating childhood morbidity in sub-Saharan Africa. Data from six African countries which participated in the Demographic and Health Surveys (DHS) program were examined using a modified version of the Andersen Behavioral model as a conceptual framework. The results indicate that while the prevalence of childhood morbidity is high in all the countries, between 23-68% of sick children were not taken for a medical visit. This is a major concern since the diseases examined here account for a high proportion of deaths among children. Logistic regression analyses show that factors which account for differentials in health service use include the age of the mother, the mother's education, family resources, rural-urban residence and the number of reported diseases. The implications for improved health care delivery in sub-Saharan African countries are discussed.

Suggested Citation

  • Fosu, Gabriel B., 1994. "Childhood morbidity and health services utilization: Cross-national comparisons of user-related factors from DHS data," Social Science & Medicine, Elsevier, vol. 38(9), pages 1209-1220, May.
    • Handle: RePEc:eee:socmed:v:38:y:1994:i:9:p:1209-1220
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    Citations

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    Cited by:

    1. Habtom, GebreMichael Kibreab & Ruys, Pieter, 2007. "The choice of a health care provider in Eritrea," Health Policy, Elsevier, vol. 80(1), pages 202-217, January.
    2. Chandrashekhar T Sreeramareddy & T N Sathyanarayana & H N Harsha Kumar, 2012. "Utilization of Health Care Services for Childhood Morbidity and Associated Factors in India: A National Cross-Sectional Household Survey," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-12, December.
    3. Patience Aseweh Abor & Gordon Abekah‐Nkrumah & Kojo Sakyi & Charles K.D. Adjasi & Joshua Abor, 2011. "The socio‐economic determinants of maternal health care utilization in Ghana," International Journal of Social Economics, Emerald Group Publishing Limited, vol. 38(7), pages 628-648, June.
    4. Qian, Dongfu & Lucas, Henry & Chen, Jiaying & Xu, Ling & Zhang, Yaoguang, 2010. "Determinants of the use of different types of health care provider in urban China: A tracer illness study of URTI," Health Policy, Elsevier, vol. 98(2-3), pages 227-235, December.
    5. Saturnin Bertrand Nguenda Anya & Atanase Yene, 2016. "The determinants of the choice of treatment of pregnant women in Cameroon," Health Economics Review, Springer, vol. 6(1), pages 1-9, December.
    6. Luginaah, Isaac N. & Kangmennaang, Joseph & Fallah, Mosoka & Dahn, Bernice & Kateh, Francis & Nyenswah, Tolbert, 2016. "Timing and utilization of antenatal care services in Liberia: Understanding the pre-Ebola epidemic context," Social Science & Medicine, Elsevier, vol. 160(C), pages 75-86.
    7. Nkechi Owoo & Monica Lambon-Quayefio, 2013. "National health insurance, social influence and antenatal care use in Ghana," Health Economics Review, Springer, vol. 3(1), pages 1-12, December.
    8. Syed M. Ahsan & Syed Abdul Hamid & Shubhasish Barua, 2012. "Utilisation of Formal Health Care and Out-of-Pocket Payments in Rural Bangladesh," Working Papers 13, Institute of Microfinance (InM).

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