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Conflict exposure and healthcare perceptions: Micro-level evidence from Africa

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  • Daniel Tuki

Abstract

Although considerable research has examined the impact of violent conflict on health outcomes in Africa—such as undernutrition, child mortality, and maternal mortality—a significant gap remains in understanding how it affects individuals’ perceptions of healthcare services and the quality of their interactions with healthcare staff during hospital visits. This study seeks to address that gap by analyzing data from Round 9 of the Afrobarometer survey, conducted across 39 African countries between 2021 and 2023 (n = 53,444). Regression analysis indicates that greater exposure to violent conflict is associated with a lower probability of individuals visiting a healthcare facility in the past year—likely due to fear of victimization, which suppresses health-seeking behavior. Among the subset of respondents who did visit a healthcare facility, further analysis shows that conflict exposure is linked to more negative evaluations of the care they received. Specifically, it increases the likelihood of individuals reporting poor service quality, experiencing disrespect from healthcare staff, and paying bribes to access needed care.

Suggested Citation

  • Daniel Tuki, 2025. "Conflict exposure and healthcare perceptions: Micro-level evidence from Africa," HiCN Working Papers 434, Households in Conflict Network.
    • Handle: RePEc:hic:wpaper:434
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    Keywords

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    JEL classification:

    • D74 - Microeconomics - - Analysis of Collective Decision-Making - - - Conflict; Conflict Resolution; Alliances; Revolutions
    • F52 - International Economics - - International Relations, National Security, and International Political Economy - - - National Security; Economic Nationalism
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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