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Health Facility Choice In Hiv- And Aids-Affected Households In Two South African Communities


  • Frikkie Booysen
  • Martine Visser


This paper analysed differences in the choice of health-care facility by ill individuals in human immunodeficiency virus (HIV)- and acquired immune deficiency syndrome (AIDS)-affected households in the Free State province of South Africa. Secondary education, access to medical aid and household income were significant determinants of choice as were severity and type of illness, and type of health care required. Ill persons with HIV- and AIDS-related illnesses are significantly more likely to opt for public health care, although the strength of this preference declines as household income increases. Those with severe and particularly severe HIV- and AIDS-related illness, in turn, are significantly more likely to opt for private health care, especially at higher levels of income. The public health care sector therefore is likely to remain the backbone of health-care provision to those infected with and affected by HIV and AIDS, highlighting the need for equitable access to efficient, quality public health services. Copyright (c) 2010 The Authors. Journal compilation (c) 2010 Economic Society of South Africa.

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  • Frikkie Booysen & Martine Visser, 2010. "Health Facility Choice In Hiv- And Aids-Affected Households In Two South African Communities," South African Journal of Economics, Economic Society of South Africa, vol. 78(1), pages 89-106, March.
  • Handle: RePEc:bla:sajeco:v:78:y:2010:i:1:p:89-106

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    1. Burkhauser, Richard V & Frick, Joachim R & Schwarze, Johannes, 1997. "A Comparison of Alternative Measures of Economic Well-Being for Germany and the United States," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 43(2), pages 153-171, June.
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    3. 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.
    4. Heckman, James, 2013. "Sample selection bias as a specification error," Applied Econometrics, Publishing House "SINERGIA PRESS", vol. 31(3), pages 129-137.
    5. Trivedi, Pravin K., 2002. "Patterns of health care utilization in Vietnam : analysis of 1997-98 Vietnam Living Standards Survey Data," Policy Research Working Paper Series 2775, The World Bank.
    6. Butler, J S & Moffitt, Robert, 1982. "A Computationally Efficient Quadrature Procedure for the One-Factor Multinomial Probit Model," Econometrica, Econometric Society, vol. 50(3), pages 761-764, May.
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