IDEAS home Printed from https://ideas.repec.org/a/bla/afrdev/v33y2021i2p221-233.html
   My bibliography  Save this article

Décomposition des sources d'inégalité d'accès à la santé de l'enfant: Une analyse comparative de quelques pays d'Afrique Subsaharienne

Author

Listed:
  • M. Boubacar Bathily
  • Omar Sene

Abstract

Les inégalités d'accès à la santé constituent une préoccupation majeure des pouvoirs publics dans les pays en voie de développement. Dans ce document, nous cherchons à comprendre les sources de ces inégalités en utilisant une base de données d'enquête du DHS de 12 pays d'Afrique Sub‐Saharienne (Bénin, Ethiopie, Ghana, Kenya, Libéria, Mali, Guinée, Nigéria, Sierra‐Léone, Sénégal, Togo et Zambie). Après avoir mesuré leur degré d'inégalité à travers l'indice de concentration, nous avons employé une méthode récemment proposée par Wagstaff et al. (2003) pour décomposer cette inégalité en part "expliquée" par la contribution de ses facteurs déterminants et en composante résiduelle (ou effet "richesse" pur ou part "inexpliquée"). Les résultats ont montré que les facteurs déterminants contribuent à l'inégalité à des parts qui varient de 11 à 89%, selon les pays. Les variables qui contribuent le plus à l'inégalité "expliquée" sont l'éducation et les différences de milieux (urbain/rural) avec des parts respectives de 38,5 et 56%. Autrement dit, si la richesse avait été distribuée de manière égale, les inégalités en matière de santé resteraient en grande partie à cause des inégalités liées d'éducation et de milieux urbains et ruraux.

Suggested Citation

  • M. Boubacar Bathily & Omar Sene, 2021. "Décomposition des sources d'inégalité d'accès à la santé de l'enfant: Une analyse comparative de quelques pays d'Afrique Subsaharienne," African Development Review, African Development Bank, vol. 33(2), pages 221-233, June.
    • Handle: RePEc:bla:afrdev:v:33:y:2021:i:2:p:221-233
    DOI: 10.1111/1467-8268.12541
    as

    Download full text from publisher

    File URL: https://doi.org/10.1111/1467-8268.12541
    Download Restriction: no
    File URL: https://libkey.io/10.1111/1467-8268.12541?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Aurélia Lépine & Alexis Le Nestour, 2013. "The Determinants of Health Care Utilisation in Rural Senegal," Journal of African Economies, Centre for the Study of African Economies, vol. 22(1), pages 163-186, January.
    2. Ljungvall, Åsa & Gerdtham, Ulf-G., 2010. "More equal but heavier: A longitudinal analysis of income-related obesity inequalities in an adult Swedish cohort," Social Science & Medicine, Elsevier, vol. 70(2), pages 221-231, January.
    3. Kolawole Ogundari & Awudu Abdulai, 2014. "Determinants of Household's Education and Healthcare Spending in Nigeria: Evidence from Survey Data," African Development Review, African Development Bank, vol. 26(1), pages 1-14, March.
    4. Wagstaff, Adam & van Doorslaer, Eddy & Watanabe, Naoko, 2003. "On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam," Journal of Econometrics, Elsevier, vol. 112(1), pages 207-223, January.
    5. Lerman, Robert I. & Yitzhaki, Shlomo, 1989. "Improving the accuracy of estimates of Gini coefficients," Journal of Econometrics, Elsevier, vol. 42(1), pages 43-47, September.
    6. Gloria Essilfie & Joshua Sebu & Samuel Kobina Annim, 2020. "Women's empowerment and child health outcomes in Ghana," African Development Review, African Development Bank, vol. 32(2), pages 200-215, June.
    7. Adam Wagstaff & Naoko Watanabe, 2003. "What difference does the choice of SES make in health inequality measurement?," Health Economics, John Wiley & Sons, Ltd., vol. 12(10), pages 885-890, October.
    8. Eric Arthur, 2019. "The Effect of Household Socioeconomic Status on the Demand for Child Health Care Services," African Development Review, African Development Bank, vol. 31(1), pages 87-98, March.
    9. Rifkatu Nghargbu & Olanrewaju Olaniyan, 2017. "Inequity in Maternal and Child Health Care Utilization in Nigeria," African Development Review, African Development Bank, vol. 29(4), pages 630-647, December.
    10. Mariko, Mamadou, 2003. "Quality of care and the demand for health services in Bamako, Mali: the specific roles of structural, process, and outcome components," Social Science & Medicine, Elsevier, vol. 56(6), pages 1183-1196, March.
    11. Kodjo Abalo & Akoété Ega Agbodji & Yélé Maweki Batana, 2014. "Nutritional Health Inequalities among Children in Togo," African Development Review, African Development Bank, vol. 26(4), pages 584-596, December.
    12. Jaison Chireshe & Matthew K. Ocran, 2020. "Health care expenditure and health outcomes in sub‐Saharan African countries," African Development Review, African Development Bank, vol. 32(3), pages 349-361, September.
    13. Adam Wagstaff, 2011. "The concentration index of a binary outcome revisited," Health Economics, John Wiley & Sons, Ltd., vol. 20(10), pages 1155-1160, October.
    14. Xander Koolman & Eddy van Doorslaer, 2004. "On the interpretation of a concentration index of inequality," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 649-656, July.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kinyondo, Abel Alfred & Ntegwa, Magashi Joseph & Masawe, Cresencia Apolinary, 2022. "Socioeconomic Inequality in Maternal Healthcare Services: The Case of Tanzania," African Journal of Economic Review, African Journal of Economic Review, vol. 10(01), January.
    2. Sözmen, Kaan & Ünal, Belgin, 2016. "Explaining inequalities in Health Care Utilization among Turkish adults: Findings from Health Survey 2008," Health Policy, Elsevier, vol. 120(1), pages 100-110.
    3. Martin Siegel & Karl Mosler, 2014. "Semiparametric Modeling Of Age‐Specific Variations In Income Related Health Inequalities," Health Economics, John Wiley & Sons, Ltd., vol. 23(7), pages 870-878, July.
    4. Costa-Font, Joan & Hernández-Quevedo, Cristina, 2012. "Measuring inequalities in health: What do we know? What do we need to know?," Health Policy, Elsevier, vol. 106(2), pages 195-206.
    5. Martin Siegel & Andreas Mielck & Werner Maier, 2015. "Individual Income, Area Deprivation, and Health: Do Income‐Related Health Inequalities Vary by Small Area Deprivation?," Health Economics, John Wiley & Sons, Ltd., vol. 24(11), pages 1523-1530, November.
    6. Athina Raftopoulou & Joan Gil Trasfi, 2024. "Income-related inequality in obesity and its determinants in Spain: What happens beyond the obesity threshold?," International Journal of Health Economics and Management, Springer, vol. 24(1), pages 135-153, March.
    7. Baeten, Steef & Van Ourti, Tom & van Doorslaer, Eddy, 2013. "Rising inequalities in income and health in China: Who is left behind?," Journal of Health Economics, Elsevier, vol. 32(6), pages 1214-1229.
    8. Jongnam Hwang & Eun-Young Lee & Chung Gun Lee, 2019. "Measuring Socioeconomic Inequalities in Obesity among Korean Adults, 1998–2015," IJERPH, MDPI, vol. 16(9), pages 1-14, May.
    9. Mohammad Habibullah Pulok & Kees Gool & Mohammad Hajizadeh & Sara Allin & Jane Hall, 2020. "Measuring horizontal inequity in healthcare utilisation: a review of methodological developments and debates," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(2), pages 171-180, March.
    10. Fleurbaey, Marc & Schokkaert, Erik, 2009. "Unfair inequalities in health and health care," Journal of Health Economics, Elsevier, vol. 28(1), pages 73-90, January.
    11. Slawa Rokicki & Mark E. McGovern, 2020. "Heterogeneity in Early Life Investments: A Longitudinal Analysis of Children's Time Use," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 66(3), pages 647-676, September.
    12. Conrad Murendo & Gamuchirai Murenje & Pepukai Prince Chivenge & Rumbidzai Mtetwa, 2021. "Financial Inclusion, Nutrition and Socio‐Economic Status Among Rural Households in Guruve and Mount Darwin Districts, Zimbabwe," Journal of International Development, John Wiley & Sons, Ltd., vol. 33(1), pages 86-108, January.
    13. Erreygers, Guido & Van Ourti, Tom, 2011. "Measuring socioeconomic inequality in health, health care and health financing by means of rank-dependent indices: A recipe for good practice," Journal of Health Economics, Elsevier, vol. 30(4), pages 685-694, July.
    14. Granlund , David & Chuc , NT & Phuc , HD & Lindholm, Lars, 2008. "Inequality in mortality in Vietnam: unravel the causes," Umeå Economic Studies 751, Umeå University, Department of Economics.
    15. Olufunke Alaba & Lumbwe Chola, 2014. "Socioeconomic Inequalities in Adult Obesity Prevalence in South Africa: A Decomposition Analysis," IJERPH, MDPI, vol. 11(3), pages 1-20, March.
    16. Sato, Azusa, 2012. "Do Inequalities in Health Care Utilization in Developing Countries Change When We Take into Account Traditional Medicines?," World Development, Elsevier, vol. 40(11), pages 2275-2289.
    17. Balia, Silvia & Jones, Andrew M., 2008. "Mortality, lifestyle and socio-economic status," Journal of Health Economics, Elsevier, vol. 27(1), pages 1-26, January.
    18. Kjell Arne Brekke & Snorre Kverndokk, 2024. "Health, Income, and Measures of Inequality – Why Inequality May Decline When All Inequality Measures Indicate the Opposite," CESifo Working Paper Series 11318, CESifo.
    19. Lahiri, Kajal & Pulungan, Zulkarnain, 2007. "Income-related health disparity and its determinants in New York state: racial/ethnic and geographical comparisons," MPRA Paper 21694, University Library of Munich, Germany.
    20. repec:pra:mprapa:59643 is not listed on IDEAS
    21. Eddy van Doorslaer & Owen O'Donnell, 2008. "Measurement and Explanation of Inequality in Health and Health Care in Low-Income Settings," WIDER Working Paper Series DP2008-04, World Institute for Development Economic Research (UNU-WIDER).

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:afrdev:v:33:y:2021:i:2:p:221-233. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://edirc.repec.org/data/afdbgci.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.