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Ethnic heterogeneity and healthcare utilization: The mediating role of poverty in Ghana

Author

Listed:
  • Opoku Adabor

    (RMIT University)

  • Enock Kojo Ayesu

    (Kwame Nkrumah University of Science and Technology)

Abstract

s The healthcare that a woman receives during pregnancy, at the time of delivery, and soon after delivery is imperative for the well-being and survival of both the mother and her child. Hence, understanding the factors that influence the utilization of healthcare around the period of birth is important for improving the health of the mother and her child as well as reducing maternal mortality. Although numerous studies have examined the factors that influence the utilization of healthcare around the period of birth, no study has considered the role of ethnic heterogeneity. This paper bridges a significant gap in the literature by reporting findings from the first study that examines the effect of ethnic heterogeneity on healthcare utilization in Ghana. The study utilized data from both the Demographic Health Survey and Ghana Population and Housing Census. Our estimates show that a unit increase in a heterogenous ethnic group lowers the likelihood of utilizing healthcare at the time of birth and after delivery via increasing household poverty.

Suggested Citation

  • Opoku Adabor & Enock Kojo Ayesu, 2024. "Ethnic heterogeneity and healthcare utilization: The mediating role of poverty in Ghana," Review of Economics of the Household, Springer, vol. 22(4), pages 1655-1682, December.
    • Handle: RePEc:kap:reveho:v:22:y:2024:i:4:d:10.1007_s11150-024-09695-9
    DOI: 10.1007/s11150-024-09695-9
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    1. José G. Montalvo & Marta Reynal-Querol, 2005. "Ethnic Polarization, Potential Conflict, and Civil Wars," American Economic Review, American Economic Association, vol. 95(3), pages 796-816, June.
    2. Arthur Lewbel, 2012. "Using Heteroscedasticity to Identify and Estimate Mismeasured and Endogenous Regressor Models," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 30(1), pages 67-80.
    3. Sabina Alkire, Maria Emma Santos, 2010. "Acute Multidimensional Poverty: A New Index for Developing Countries," OPHI Working Papers 38, Queen Elizabeth House, University of Oxford.
    4. Isaac Koomson & Sefa Awaworyi Churchill, 2021. "Ethnic Diversity and Food Insecurity: Evidence from Ghana," Journal of Development Studies, Taylor & Francis Journals, vol. 57(11), pages 1912-1926, November.
    5. Sefa Awaworyi Churchill & Lisa Farrell & Russell Smyth, 2019. "Neighbourhood ethnic diversity and mental health in Australia," Health Economics, John Wiley & Sons, Ltd., vol. 28(9), pages 1075-1087, September.
    6. Eric Arthur, 2012. "Wealth and antenatal care use: implications for maternal health care utilisation in Ghana," Health Economics Review, Springer, vol. 2(1), pages 1-8, December.
    7. Robinson, Amanda Lea, 2020. "Ethnic Diversity, Segregation and Ethnocentric Trust in Africa," British Journal of Political Science, Cambridge University Press, vol. 50(1), pages 217-239, January.
    8. Isaac Addai & Jelena Pokimica, 2010. "Ethnicity and Economic Well-Being: The Case of Ghana," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 99(3), pages 487-510, December.
    9. Kanbur, Ravi & Rajaram, Prem Kumar & Varshney, Ashutosh, 2011. "Ethnic Diversity and Ethnic Strife. An Interdisciplinary Perspective," World Development, Elsevier, vol. 39(2), pages 147-158, February.
    10. Koomson, Isaac & Afoakwah, Clifford & Ampofo, Akwasi, 2022. "How does ethnic diversity affect energy poverty? Insights from South Africa," Energy Economics, Elsevier, vol. 111(C).
    11. Alberto Alesina & Ekaterina Zhuravskaya, 2011. "Segregation and the Quality of Government in a Cross Section of Countries," American Economic Review, American Economic Association, vol. 101(5), pages 1872-1911, August.
    12. Alpaslan Akay & Amelie Constant & Corrado Giulietti & Martin Guzi, 2017. "Ethnic diversity and well-being," Journal of Population Economics, Springer;European Society for Population Economics, vol. 30(1), pages 265-306, January.
    13. Sefa Awaworyi Churchill & Vinod Mishra, 2017. "Trust, Social Networks and Subjective Wellbeing in China," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 132(1), pages 313-339, May.
    14. Magadi, Monica Akinyi & Madise, Nyovani Janet & Rodrigues, Roberto Nascimento, 2000. "Frequency and timing of antenatal care in Kenya: explaining the variations between women of different communities," Social Science & Medicine, Elsevier, vol. 51(4), pages 551-561, August.
    15. Awaworyi Churchill, Sefa & Smyth, Russell, 2017. "Ethnic Diversity and Poverty," World Development, Elsevier, vol. 95(C), pages 285-302.
    16. Sefa Awaworyi Churchill & Michael Danquah, 2022. "Ethnic Diversity and Informal Work in Ghana," Journal of Development Studies, Taylor & Francis Journals, vol. 58(7), pages 1312-1331, July.
    17. Miguel, Edward & Gugerty, Mary Kay, 2005. "Ethnic diversity, social sanctions, and public goods in Kenya," Journal of Public Economics, Elsevier, vol. 89(11-12), pages 2325-2368, December.
    18. Oguzhan C. Dincer, 2011. "Ethnic Diversity And Trust," Contemporary Economic Policy, Western Economic Association International, vol. 29(2), pages 284-293, April.
    19. Bleaney, Michael & Dimico, Arcangelo, 2017. "Ethnic diversity and conflict," Journal of Institutional Economics, Cambridge University Press, vol. 13(2), pages 357-378, June.
    20. Ravensbergen, W.M. & Drewes, Y.M. & Hilderink, H.B.M. & Verschuuren, M. & Gussekloo, J. & Vonk, R.A.A., 2019. "Combined impact of future trends on healthcare utilisation of older people: A Delphi study," Health Policy, Elsevier, vol. 123(10), pages 947-954.
    21. Carlos Gradin & Coral del Rio & Olga Canto, 2010. "Gender Wage Discrimination and Poverty in the EU," Feminist Economics, Taylor & Francis Journals, vol. 16(2), pages 73-109.
    22. Alberto Alesina & Reza Baqir & William Easterly, 1999. "Public Goods and Ethnic Divisions," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 114(4), pages 1243-1284.
    23. Isaac Koomson & Renato A. Villano & David Hadley, 2020. "Effect of Financial Inclusion on Poverty and Vulnerability to Poverty: Evidence Using a Multidimensional Measure of Financial Inclusion," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 149(2), pages 613-639, June.
    24. Johanna Gereke & Max Schaub & Delia Baldassarri, 2018. "Ethnic diversity, poverty and social trust in Germany: Evidence from a behavioral measure of trust," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-15, July.
    25. Munyanyi, Musharavati Ephraim & Awaworyi Churchill, Sefa, 2022. "Foreign aid and energy poverty: Sub-national evidence from Senegal," Energy Economics, Elsevier, vol. 108(C).
    26. Fearon, James D, 2003. "Ethnic and Cultural Diversity by Country," Journal of Economic Growth, Springer, vol. 8(2), pages 195-222, June.
    27. José Garcia Montalvo & Marta Reynal-Querol, 2004. "Ethnic polarization, potential conflict and civil wars," Economics Working Papers 770, Department of Economics and Business, Universitat Pompeu Fabra, revised Mar 2005.
    28. Gereke, Johanna & Schaub, Max & Baldassarri, Delia, 2018. "Ethnic diversity, poverty and social trust in Germany: Evidence from a behavioral measure of trust," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 13(7), pages 1-15.
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