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Determinants of Health Seeking Behaviour in Uganda - Is It Just Income and User Fees That Are Important?

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Author Info
Lawson, David
Abstract

This paper uses Uganda National Household Survey (UNHS) data to investigate, via a discrete choice model, the main determinants associated with seeking private, government and pharmacy based health care, for both adults and children. More specifically, and particularly important given that almost 40% of the Ugandan population are below the poverty line and that policies on user fees have recently changed, we investigate if income and user fees are the main factors which influence health care demand in Uganda. After controlling for endogenously issues we find that income is strongly associated with increased health care usage, across all age ranges but especially for women, and that user fees are less significant that one might first expect, especially when compared to having a health unit within close proximity. Furthermore, we find significant differences in health seeking behavior to be related to age and gender, and that increased levels of education are consistently associated with a transfer away from government provided health care, possibly indicating that people regard its quality as inferior.

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Paper provided by University of Manchester, Institute for Development Policy and Management (IDPM) in its series Development Economics and Public Policy Working Papers with number 30553.

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Date of creation: 2004
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Handle: RePEc:ags:idpmde:30553

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Keywords: Health Economics and Policy;

References listed on IDEAS
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  1. John Strauss & Duncan Thomas, 1998. "Health, Nutrition, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 36(2), pages 766-817, June. [Downloadable!] (restricted)
    Other versions:
  2. Lavy, V. & Quigley, J.M., 1993. "Willingness to Pay for the Quality and Intensity of Midical Care; Low- Income Households in Ghana," Papers 94, World Bank - Living Standards Measurement.
  3. Akin, John S, et al, 1986. "The Demand for Primary Health Care Services in the Bicol Region of the Philippines," Economic Development and Cultural Change, University of Chicago Press, vol. 34(4), pages 755-82, July.
  4. Bolduc, Denis & Lacroix, Guy & Muller, Christophe, 1996. "The choice of medical providers in rural Benin: A comparison of discrete choice models," Journal of Health Economics, Elsevier, vol. 15(4), pages 477-498, August. [Downloadable!] (restricted)
    Other versions:
  5. 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.
  6. Alderman, H. & Gertler, P., 1989. "The Substitutability Of Public And Private Health Care For The Treatment Of Children In Pakistan," Papers 57, World Bank - Living Standards Measurement.
  7. Wolfe, Barbara L. & Behrman, Jere R., 1982. "Determinants of child mortality, health, and nutrition in a developing country," Journal of Development Economics, Elsevier, vol. 11(2), pages 163-193, October. [Downloadable!] (restricted)
  8. Appleton, Simon, 1998. "The Impact of Public Services on Health Care and Illness: A Treatment Effects Model with Sample Selectivity," Journal of African Economies, Oxford University Press, vol. 7(1), pages 1-33, March.
  9. Wolfe, Barbara L. & Behrman, Jere R., 1987. "Women's schooling and children's health : Are the effects robust with adult sibling control for the women's childhood background?," Journal of Health Economics, Elsevier, vol. 6(3), pages 239-254, September. [Downloadable!] (restricted)
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