IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2023i21p7016-d1273602.html
   My bibliography  Save this article

Utilization of Proximate Healthcare Facilities and Children’s Wait Times in Senegal: An IV-Tobit Analysis

Author

Listed:
  • Abayomi Samuel Oyekale

    (Department of Agricultural Economics and Extension, North-West University Mafikeng Campus, Mmabatho 2735, South Africa)

Abstract

Universal health coverage (UHC) defines individuals’ timely access to healthcare services without suffering any health-related financial constraints. The Senegalese government has shown commitments towards achievement of UHC as a way of improving access by the population to quality healthcare services. This is very pertinent for promoting some indicators of under-five health in Senegal. Therefore, this study analyzed the factors influencing sick children’s utilization of the nearest healthcare facilities and their wait times in Senegal. The data were from the Service Provision Assessment (SPA) survey, which was conducted in 2018. The instrumental Tobit regression model was used for data analysis. The results showed that 63.50% and 86.01% of the children utilized health posts and publicly owned facilities, respectively. Also, 98.46% of the children utilized urban facilities. The nearest facilities were utilized by 74.55%, and 78.19% spent less than an hour in the facilities. The likelihood of using the nearest healthcare facilities significantly reduced ( p < 0.05) with caregivers’ primary education, higher education, residence in some regions (Fatick, Kaokack, Saint Louis, Sediou, and Tambacounda), and use of private/NGO not-for-profit facilities, but increased with not having visited any other providers, residence in the Kaffrie region, vomiting symptoms, use of health centers, and use of health posts. Moreover, treatment wait times significantly increased ( p < 0.05) with the use of nearest facilities, residence in some regions (Diourbel, Kaokack, Matam and Saint Louis), use of private for-profit facilities, use of private not-for-profit facilities, and urban residence, but decreased with secondary education, use of health centers, use of health posts, vomiting symptoms, and showing other symptoms. It was concluded that reduction in wait times and utilization of the nearest healthcare facilities are fundamental to achieving UHC in Senegal. Therefore, more efforts should be integrated at promoting regional and sectoral equities through facilitated public and private healthcare investment.

Suggested Citation

  • Abayomi Samuel Oyekale, 2023. "Utilization of Proximate Healthcare Facilities and Children’s Wait Times in Senegal: An IV-Tobit Analysis," IJERPH, MDPI, vol. 20(21), pages 1-18, November.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:21:p:7016-:d:1273602
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/21/7016/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/21/7016/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Gilson, Lucy & Alilio, Martin & Heggenhougen, Kris, 1994. "Community satisfaction with primary health care services: An evaluation undertaken in the Morogoro region of Tanzania," Social Science & Medicine, Elsevier, vol. 39(6), pages 767-780, September.
    2. McPake, Barbara, 1993. "User charges for health services in developing countries: A review of the economic literature," Social Science & Medicine, Elsevier, vol. 36(11), pages 1397-1405, June.
    3. Karin Monstad & Lars Birger Engesæter & Birgitte Espehaug, 2014. "Waiting Time And Socioeconomic Status—An Individual‐Level Analysis," Health Economics, John Wiley & Sons, Ltd., vol. 23(4), pages 446-461, April.
    4. Elisabeth Paul & Youssoupha Ndiaye & Farba Lamine Sall & Fabienne Fecher & Denis Porignon, 2020. "An assessment of the core capacities of the Senegalese health system to deliver Universal Health Coverage," ULB Institutional Repository 2013/312244, ULB -- Universite Libre de Bruxelles.
    5. Abayomi Samuel Oyekale, 2015. "Assessment of Malawian Mothers’ Malaria Knowledge, Healthcare Preferences and Timeliness of Seeking Fever Treatments for Children Under Five," IJERPH, MDPI, vol. 12(1), pages 1-20, January.
    6. W. Asenso-Okyere & Janet Dzator & Isaac Osel-akoto, 1996. "The behaviour towards malaria care—a multinomial logit approach," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 39(2), pages 167-186, January.
    7. Timothy Gage & Fu Fang & Erin O’Neill & Greg DiRienzo, 2013. "Maternal Education, Birth Weight, and Infant Mortality in the United States," Demography, Springer;Population Association of America (PAA), vol. 50(2), pages 615-635, April.
    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. Hentschel, Jesko, 1998. "Distinguishing between types of data and methods of collecting them," Policy Research Working Paper Series 1914, The World Bank.
    2. Gilson, Lucy & Mills, Anne, 1995. "Health sector reforms in sub-Saharan Africa: lessons of the last 10 years," Health Policy, Elsevier, vol. 32(1-3), pages 215-243.
    3. Srivastava, Divya & McGuire, Alistair, 2015. "Patient access to health care and medicines across low-income countries," Social Science & Medicine, Elsevier, vol. 133(C), pages 21-27.
    4. Dow, W.H., 1995. "Welfare Impacts of Health Case User Fees : A Health- Valuation Approach to Analysis with Imperfect Markets," Papers 95-21, RAND - Labor and Population Program.
    5. Nicolai Fink Simonsen & Anne Sophie Oxholm & Søren Rud Kristensen & Luigi Siciliani, 2020. "What explains differences in waiting times for health care across socioeconomic status?," Health Economics, John Wiley & Sons, Ltd., vol. 29(12), pages 1764-1785, December.
    6. Rinshu Dwivedi & Jalandhar Pradhan & Ramesh Athe, 2021. "Measuring catastrophe in paying for healthcare: A comparative methodological approach by using National Sample Survey, India," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(5), pages 1887-1915, September.
    7. Patrick Sakdapolrak & Thomas Seyler & Christina Ergler, 2013. "Burden of direct and indirect costs of illness: Empirical findings from slum settlements in Chennai, South India," Progress in Development Studies, , vol. 13(2), pages 135-151, April.
    8. Asenso-Okyere, W. Kwadwo & Osei-Akoto, Isaac & Anum, Adote & Appiah, Ernest N., 1997. "Willingness to pay for health insurance in a developing economy. A pilot study of the informal sector of Ghana using contingent valuation," Health Policy, Elsevier, vol. 42(3), pages 223-237, December.
    9. Valéry Ridde & Ibrahima Gaye & Bruno Ventelou & Elisabeth Paul & Adama Faye, 2023. "Mandatory membership of community-based mutual health insurance in Senegal: A national survey," ULB Institutional Repository 2013/363350, ULB -- Universite Libre de Bruxelles.
    10. Schochet, Owen N. & Johnson, Anna D. & Ryan, Rebecca M., 2020. "The relationship between increases in low-income mothers’ education and children’s early outcomes: Variation by developmental stage and domain," Children and Youth Services Review, Elsevier, vol. 109(C).
    11. Gutacker, Nils & Siciliani, Luigi & Cookson, Richard, 2016. "Waiting time prioritisation: Evidence from England," Social Science & Medicine, Elsevier, vol. 159(C), pages 140-151.
    12. Böckerman, Petri & Conlin, Andrew & Svento, Rauli, 2021. "Early health, risk aversion and stock market participation," Journal of Behavioral and Experimental Finance, Elsevier, vol. 32(C).
    13. Siciliani, L., 2016. "Waiting Time Policies in the Health Sector," Seminar Briefing 001724, Office of Health Economics.
    14. Dyna Arhin-Tenkorang, 2001. "Mobilizing Resources for Health: The Case for User Fees Revisited," CID Working Papers 81, Center for International Development at Harvard University.
    15. Deepak Balasubramanian & Shankar Prinja & Arun Kumar Aggarwal, 2015. "Effect of User Charges on Secondary Level Surgical Care Utilization and Out-of-Pocket Expenditures in Haryana State, India," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-15, May.
    16. Deininger, Klaus & Mpuga, Paul, 2004. "Economic and Welfare Effects of the Abolition of Health User Fees : Evidence from Uganda," Policy Research Working Paper Series 3276, The World Bank.
    17. Abdelmoumene Benabid & Lara Deslauriers & Isabelle Sinclair & Myriane St-Pierre & Cathy Vaillancourt & Sonia Gagnon & Kelsey N. Dancause, 2021. "Relationships between Objectively Measured Sedentary Behavior during Pregnancy and Infant Birthweight," IJERPH, MDPI, vol. 18(19), pages 1-13, September.
    18. Gertler, Paul J. & Hammer, Jeffrey S., 1997. "Strategies for pricing publicly provided health services," Policy Research Working Paper Series 1762, The World Bank.
    19. Callum Brindley & James Lomas & Luigi Siciliani, 2023. "The effect of hospital spending on waiting times," Health Economics, John Wiley & Sons, Ltd., vol. 32(11), pages 2427-2445, November.
    20. Noghanibehambari, Hamid, 2022. "Intergenerational health effects of Medicaid," Economics & Human Biology, Elsevier, vol. 45(C).

    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:gam:jijerp:v:20:y:2023:i:21:p:7016-:d:1273602. 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: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    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.