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The Determinants of Health Care Utilisation in Rural Senegal

Lepine, A; Le Nestour, A; (2013) The Determinants of Health Care Utilisation in Rural Senegal. Journal of African Economies , 22 (1) pp. 163-186. 10.1093/jae/ejs020. Green open access

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Abstract

In the context of the national debate on the extension of health insurance to farming households in Senegal, information on 504 households and 18 public primary health care (PHC) facilities was collected to analyse health care utilisation in an area where people live on 1.17 USD per day and where only 6% have health insurance coverage. Despite the high level of poverty, 84% of the individuals sought treatment from a qualified health provider during their last illness. The high rate of utilisation in the area is found to be attributable to the characteristics of the PHC facilities. Indeed, PHC facilities are highly accessible and offer good medical services at a low price. The low price of medical services in the sample explains why the demand for curative care is found to be price-inelastic. This latter result suggests that policies that will reduce the price of medical services to increase the health care use are not likely to be effective.

Type: Article
Title: The Determinants of Health Care Utilisation in Rural Senegal
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/jae/ejs020
Publisher version: https://doi.org/10.1093/jae/ejs020
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Social Sciences, Economics, Business & Economics
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery.ucl.ac.uk/id/eprint/10090996
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