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Transport connectivity and health care access : evidence from Liberia

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  • Iimi,Atsushi
  • Rao,Kulwinder Singh

Abstract

Health care access is an important policy concern, especially in rural areas. It is especially challenging in developing countries, where rural residents are poorer and less likely to be insured than those living in urban areas. Using the case of Liberia, this paper examines the effects of transport connectivity on health care access. The Ebola crisis in 2014 and 2015 clearly revealed the vulnerability of the country's transport and health systems to unexpected external shocks. Paying particular attention to the possible challenge of endogeneity associated with infrastructure investment, the study found that transport connectivity, especially greater road density, can increase access to health care, but there was no significant effect of road quality. This may be because of significantly skewed underlying data. The vast majority of roads in Liberia are in poor condition. The study also found that the statistical effect of road density varies depending on distance from a health facility. The effect is particularly significant within a 30- to 50-kilometer radius. Not only rural accessibility, but also broader transport connectivity needs to be developed to increase health care access.

Suggested Citation

  • Iimi,Atsushi & Rao,Kulwinder Singh, 2018. "Transport connectivity and health care access : evidence from Liberia," Policy Research Working Paper Series 8413, The World Bank.
    • Handle: RePEc:wbk:wbrwps:8413
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    File URL: http://documents.worldbank.org/curated/en/447201524065506724/pdf/WPS8413.pdf
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    Cited by:

    1. Suchi Kapoor Malhotra & Howard White & Nina Ashley O. Dela Cruz & Ashrita Saran & John Eyers & Denny John & Ella Beveridge & Nina Blöndal, 2021. "Studies of the effectiveness of transport sector interventions in low‐ and middle‐income countries: An evidence and gap map," Campbell Systematic Reviews, John Wiley & Sons, vol. 17(4), December.

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