Determinants of Health Seeking Behaviour in Uganda - Is It Just Income and User Fees That Are Important?
AbstractThis 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.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoPaper 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.
Date of creation: 2004
Date of revision:
Contact details of provider:
Postal: Harold Hankins Building, Precinct Centre, Booth Street West, Manchester, M13 9QH
Web page: http://www.sed.manchester.ac.uk/idpm
More information through EDIRC
Health Economics and Policy;
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- BOLDUC, Denis & LACROIX, Guy & MULLER, Christophe, 1994.
"The Choice of Medical Providers in Rural Bénin: a Comparison of Discrete Choice Model,"
Cahiers de recherche
9411, Université Laval - Département d'économique.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- Ritva Reinikka & Paul Collier, 2001. "Uganda's Recovery : The Role of Farms, Firms, and Government," World Bank Publications, The World Bank, number 13850, March.
- 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.
- Strauss, J. & Thomas, D., 1995.
"Health, Nutrition and Economic development,"
95-23, RAND - Labor and Population Program.
- 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.
- 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.
- Appleton, Simon, 1998. "The Impact of Public Services on Health Care and Illness: A Treatment Effects Model with Sample Selectivity," Journal of African Economies, Centre for the Study of African Economies (CSAE), vol. 7(1), pages 1-33, March.
- Heller, Peter S., 1982. "A model of the demand for medical and health services in Peninsular Malaysia," Social Science & Medicine, Elsevier, vol. 16(3), pages 267-284, January.
- 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.
- Martine Audibert & Yong He & Jacky Mathonnat, 2013.
"Two-Period Comparison of Healthcare Demand with Income Growth and Population Aging in Rural China: Implications for Adjustment of the Healthcare Supply and Development,"
- Jacky MATHONNAT & Yong HE & Martine AUDIBERT, 2013. "Two-Period Comparison of Healthcare Demand with Income Growth and Population Aging in Rural China: Implications for Adjustment of the Healthcare Supply and Development," Working Papers 201315, CERDI.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (AgEcon Search).
If references are entirely missing, you can add them using this form.