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Demand for Health Care Services in Uganda: Implications for Poverty Reduction

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  • Ssewanyana, Sarah
  • Nabyonga, Juliet O.
  • Kasirye, Ibrahim
  • Lawson, David

Abstract

Using the 2002/03 Uganda National Household Survey data we empirically examine the nature and determinants of individuals' decision to seek care on condition of illness reporting. The major findings include: cost of care is regressive and sustainability reduces the health care utilization for any formal provider by the poorer individuals afters controlling for other factors. In other words, even among public facilities cost of care remains a barrier to utilization of these services. Second, there is no doubt that putting in place strategies aimed at increasing the income of the poor will increase their utilization of the health facilities, though the impact will be higher for private care. Third, besides income and cost and cost of care, other factors in particular qualify of services, education and physical access proxied by distance to the facilities are important determinants of health care utilization. Four, as much as it is important for the government to improve provision of services in the public facilities, incentives should be put in place to encourage and strengthen the role of the private sector. At the same time there is need, to put in place a regulatory system, set standards and a monitoring framework to ensure quality of services and control prices in the private sector especially in the private for profit sub-sector. Clearly there is an increasing preference for the sector's services even after the abolition of cost sharing.

Suggested Citation

  • Ssewanyana, Sarah & Nabyonga, Juliet O. & Kasirye, Ibrahim & Lawson, David, 2004. "Demand for Health Care Services in Uganda: Implications for Poverty Reduction," Research Series 150529, Economic Policy Research Centre (EPRC).
  • Handle: RePEc:ags:eprcrs:150529
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    References listed on IDEAS

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    Cited by:

    1. World Bank, 2004. "The Republic of Uganda : Country Integrated Fiduciary Assessment 2004, Volume 1. Main Report," World Bank Other Operational Studies 15681, The World Bank.
    2. Seewanyana, Sarah & Kasirye, Ibrahim, 2010. "Gender differences in Uganda: the case for access to education and health services," Research Series 113612, Economic Policy Research Centre (EPRC).
    3. World Bank, 2004. "The Republic of Uganda : Country Integrated Fiduciary Assessment 2004, Volume 2. Public Expenditure Review 2004 - Promoting the Efficient Use of Public Resources for Poverty Eradication," World Bank Other Operational Studies 14511, The World Bank.
    4. Conrad Y. Puozaa, 2016. "The Determinants of Hospital Length of Stay in Nigeria," International Journal of Business and Economic Sciences Applied Research (IJBESAR), Eastern Macedonia and Thrace Institute of Technology (EMATTECH), Kavala, Greece, vol. 9(3), pages 34-42, December.
    5. Riman, Hodo B. & Akpan, Emmanuel S., 2012. "Healthcare Financing and Health outcomes in Nigeria: A State Level Study using Multivariate Analysis," MPRA Paper 55215, University Library of Munich, Germany.
    6. Charles Augustine Abuka & Michael Atingi-Ego & Jacob Opolot & Patrick Okello, 2007. "Determinants of poverty vulnerability in Uganda," The Institute for International Integration Studies Discussion Paper Series iiisdp203, IIIS.
    7. Mawuli Gaddah & Alistair Munro, 2011. "The Progressivity Of Health Care Services In Ghana," GRIPS Discussion Papers 11-14, National Graduate Institute for Policy Studies.

    More about this item

    Keywords

    Health care; hospitals; eprc; cost sharing; healthcare systems; Community/Rural/Urban Development; Food Security and Poverty; Health Economics and Policy; Labor and Human Capital;

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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