Household Responses to Public Health Services: Cost and Quality Tradeoffs

Alderman, Harold; Lavy, Victor

doi:10.1093/wbro/11.1.3

Cited by 55 publications

(45 citation statements)

References 20 publications

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“…It would be surprising if such charges did not deter demand. The evidence confirms that they do 9 . There is some difference in the estimated strength of the relationship.…”

Section: Constraints On the Demand For Health Caresupporting

confidence: 63%

“…There is strong empirical support for the proposition that the poor are more price sensitive than the better off 9,38,41,42 . Increases in user charges will raise the share of health care consumed by the better off, unless effective mechanisms are implemented to shield the poor from these charges.…”

Section: Constraints On the Demand For Health Carementioning

confidence: 99%

“…If the available health care is poor quality, it is not surprising to find there is little demand for it. There is evidence that demand does react to quality 9 . A detailed survey in a rural region of India finds very low use of public health facilities despite these being, in principle, free 10 .…”

Section: Effective Interventions Are Not Fully Exploitedmentioning

confidence: 99%

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Access to health care in developing countries: breaking down demand side barriers

2007

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Access to health care in developing countries: breaking down demand side barriers Acesso aos cuidados de saúde nos países em desenvolvimento: rompendo barreiras contra a demanda IntroductionA large body of evidence confirms that many people in the developing world go without health care from which they could benefit greatly. The poor in developing countries are even less likely than the better off to receive effective health care. Concern for the level and distribution of health in the developing world demands that measures be taken to redress both facts. What are these measures? What policies can increase the utilization of effective health care, particularly by the poor in developing countries?There are two sides to the access problem. On the supply side, good quality, effective health care may not be offered. On the demand side, individuals may not utilize services from which they could benefit. The two are obviously related. Poor quality care will arouse little interest from the public. A high level of demand, made effective by purchasing power, will induce the provision of quality care. Solving the access problem requires tackling both demand and supply side issues. Given the space constraint, this paper will concentrate on the demand side, although a recurring theme will be that the response to demand side measures is dependent on supply side conditions. There is an urgent need to establish mechanisms that can increase the availability and improve the quality of health care in the developing world. For present purposes, let us suppose that effective health care interventions can REVISÃO REVIEW 2820Cad. Saúde Pública, Rio de Janeiro, 23(12):2820

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“…It would be surprising if such charges did not deter demand. The evidence confirms that they do 9 . There is some difference in the estimated strength of the relationship.…”

Section: Constraints On the Demand For Health Caresupporting

confidence: 63%

Section: Constraints On the Demand For Health Carementioning

confidence: 99%

See 1 more Smart Citation

Access to health care in developing countries: breaking down demand side barriers

2007

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“…This determinant is concerned with which type of health facility is more available to prospective users. This would include the level of expertise and treatment that could be assumed from the type of facility, that is a hospital versus a dispensary, or if public facilities are limited and not accessible, so private facilities have filled the gap, as is the case in Vietnam [16], [17], or Uganda [18], [19], or India [20], [21].…”

Section: Source: Moms 2011; District Strategic Plans 2005-2010mentioning

confidence: 99%

Factors Influencing Utilization of Health Services in Kenya: The Case of Homa Bay County

Otieno¹,

Macharia²

2014

IJPHS

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In order to improve efficiency in health service delivery in Kenya, the Ministry of Health has developed structures through inter-sectoral collaboration at various levels. Despite efforts by the government and key stakeholders to improve health sector, utilization of health services still remains a major challenge. The purpose of the study was to investigate factors that influence utilization of health services in Homa Bay County, Kenya. The study employed survey design and focused on health beneficiaries, District Health Management Team and other key health stakeholders, and used both quantitative and qualitative data. Quantitative data was collected through household interviews of 384 respondents and qualitative data was generated through Key Informant Interviews of 16 respondents. The study reveals that health financing, service delivery, quality, accessibility and equity influence utilization of health services in Homa Bay County. It is for these reasons that the study recommends that the government should allocate adequate budget towards health services, avail adequate trained health workers, and improve infrastructure in health facilities as well as drugs and other supplies. There is also need for further research on cultural factors influencing utilization of health services.

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“…In doing so, the article contributes to the thin literature on the effects on household behavior and outcomes in developing economies of quality improvements in health facilities (Alderman and Lavy 1996, Hotchkiss 1998, Lavy and others 1996, education facilities (Glewwe 1999, Hanushek 1995, Kremer 1995, and water and sanitation facilities (Brockerhoff andDerose 1996, Lee andothers 1997). Existing studies are based on cross-sectional variations in quality and do not take account of the endogeneity of the placement of government investments.…”

Section: Menno Pradhan and Laura B Rawlingsmentioning

confidence: 99%

The Impact and Targeting of Social Infrastructure Investments: Lessons from the Nicaraguan Social Fund

Pradhan¹,

Rawlings²

2002

The World Bank Economic Review

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Household Responses to Public Health Services: Cost and Quality Tradeoffs

Cited by 55 publications

References 20 publications

Access to health care in developing countries: breaking down demand side barriers

Access to health care in developing countries: breaking down demand side barriers

Factors Influencing Utilization of Health Services in Kenya: The Case of Homa Bay County

The Impact and Targeting of Social Infrastructure Investments: Lessons from the Nicaraguan Social Fund

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