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Use of health care among the urban poor in Africa: Does the neighbourhood have an impact?

Author

Listed:
  • Georges Kone

    (IRD - Institut de Recherche pour le Développement)

  • Richard Lalou

    (IRD - Institut de Recherche pour le Développement)

  • Martine Audibert

    (CERDI - Centre d'Études et de Recherches sur le Développement International - UdA - Université d'Auvergne - Clermont-Ferrand I - CNRS - Centre National de la Recherche Scientifique)

  • Hervé Lafarge

    (Université Paris Dauphine-PSL - PSL - Université Paris sciences et lettres)

  • Stéphanie dos Santos

    (IRD - Institut de Recherche pour le Développement)

  • Jean-Yves Le Hesran

    (IRD - Institut de Recherche pour le Développement)

Abstract

The aim of this paper is to evaluate the relative influence of neighbourhood and individual practices of care utilization in Dakar (Senegal). The data from a research program on urban malaria, made in Dakar, Senegal between 2008 and 2009. The sample was based on a two-stage sampling. A questionnaire survey covered 2952 households, of which we have selected those that have at least one case of fever (n = 1272) with one of their children under ten years two weeks before the passage of investigators. The analytical model of the use of health services developed by R. Andersen has been adapted for our conceptual framework. Our results showed's like many West African cities, self-medication is a common practice among all households in Dakar, especially the poorest. The non-use of health services is positively associated with individual characteristics such as education level, the level of social network and the level of health literacy of the mother / guardian of the sick child (p

Suggested Citation

  • Georges Kone & Richard Lalou & Martine Audibert & Hervé Lafarge & Stéphanie dos Santos & Jean-Yves Le Hesran, 2013. "Use of health care among the urban poor in Africa: Does the neighbourhood have an impact?," Working Papers halshs-00878946, HAL.
    • Handle: RePEc:hal:wpaper:halshs-00878946
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    References listed on IDEAS

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    1. Anta TA DIAL & Moussa DIENG & Martine AUDIBERT & Jean-Yves LE HESRAN, 2014. "Déterminants de la demande de soins en milieu péri-urbain dans un contexte de subvention à Pikine, Sénégal," Working Papers 201415, CERDI.
    2. Moussa Dieng & Martine Audibert & Jean-Yves Le Hesran & Anta Ta Dial, 2015. "Déterminants de la demande de soins en milieu péri-urbain dans un contexte de subvention à Pikine, Sénégal," CERDI Working papers halshs-01027504, HAL.

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    More about this item

    Keywords

    Poverty; dakar; neighborhoods; malaria; equity; access to health care;
    All these keywords.

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