Self-reported health care seeking behavior in rural Ethiopia: Evidence from clinical vignettes
AbstractBetween 2000 and 2011, Ethiopia rapidly expanded its health-care infrastructure recording an 18-fold increase in the number of health posts and a 7-fold increase in the number of health centers. However, annual per capita outpatient utilization has increased only marginally. The extent to which individuals forego necessary health care, especially why and who foregoes care are issues that have received little attention in the context of low-income countries. This paper uses five clinical vignettes covering a range of context-specific child and adult-related diseases to explore the health-seeking behavior of rural Ethiopian households. We find almost universal preference for modern care. There is a systematic relationship between socioeconomic status and choice of providers mainly for adult-related conditions with households in higher consumption quintiles more likely to seek care in health centers, private/NGO clinics as opposed to health posts. Similarly, delays in care-seeking behavior are apparent mainly for adult-related conditions. The differences in care seeking behavior between adult and child related conditions may be attributed to the recent spread of health posts which have focused on raising awareness of maternal and child health. Overall, the analysis suggests that the lack of health-care utilization is not driven by the inability to recognize health problems or due to a low perceived need for modern care but due to other factors.
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Bibliographic InfoPaper provided by International Institute of Social Studies of Erasmus University (ISS), The Hague in its series ISS Working Papers - General Series with number 551.
Date of creation: 04 Feb 2013
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Web page: http://www.iss.nl/
Ethiopia; clinical vignettes; foregone care; health care seeking behavior;
This paper has been announced in the following NEP Reports:
- NEP-AFR-2013-03-02 (Africa)
- NEP-ALL-2013-03-02 (All new papers)
- NEP-DEM-2013-03-02 (Demographic Economics)
- NEP-HEA-2013-03-02 (Health Economics)
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.:
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- Teresa Bago d’Uva & Eddy Van Doorslaer & Maarten Lindeboom & Owen O’Donnell & Somnath Chatterji, 2006.
"Does reporting heterogeneity bias the measurement of health disparities?,"
Health, Econometrics and Data Group (HEDG) Working Papers
06/03, HEDG, c/o Department of Economics, University of York.
- Teresa Bago d'Uva & Eddy Van Doorslaer & Maarten Lindeboom & Owen O'Donnell, 2008. "Does reporting heterogeneity bias the measurement of health disparities?," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 351-375.
- Teresa Bago d'Uva & Eddy van Doorslaer & Maarten Lindeboom & Owen O'Donnell & Somnath Chatterji, 2006. "Does Reporting Heterogeneity bias the Measurement of Health Disparities?," Tinbergen Institute Discussion Papers 06-033/3, Tinbergen Institute.
- Assefa Admassie & Degnet Abebaw & Andinet Woldemichael, 2009. "Impact evaluation of the Ethiopian Health Services Extension Programme," The Journal of Development Effectiveness, Taylor and Francis Journals, vol. 1(4), pages 430-449.
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