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Horizontal Inequity in Healthcare Delivery: A Qualitative Analysis of Perceptions of Locality and Costs of Access in the Jirapa Municipality, North‐western Ghana

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  • Maximillian Kolbe Domapielle
  • Constance Awinpoka Akurugu
  • Anna Mdee

Abstract

This article provides evidence of horizontal inequity in the distribution of the burden and benefits of healthcare in north‐western Ghana. A qualitative approach was used to collect and analyse the data on variation in perceptions of affordability of health services to rural and urban populations in the Jirapa Municipality of Ghana. The article argues that costs of transportation, food and lodging associated with seeking healthcare at the municipal referral hospital are disproportionately higher for rural residents. This leads to delayed medical treatment, self‐medication or reliance on traditional medicines, all of which can come with harmful consequences. © 2020 John Wiley & Sons, Ltd.

Suggested Citation

  • Maximillian Kolbe Domapielle & Constance Awinpoka Akurugu & Anna Mdee, 2020. "Horizontal Inequity in Healthcare Delivery: A Qualitative Analysis of Perceptions of Locality and Costs of Access in the Jirapa Municipality, North‐western Ghana," Journal of International Development, John Wiley & Sons, Ltd., vol. 32(8), pages 1308-1323, November.
    • Handle: RePEc:wly:jintdv:v:32:y:2020:i:8:p:1308-1323
    DOI: 10.1002/jid.3504
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    References listed on IDEAS

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    1. Wagstaff, Adam & van Doorslaer, Eddy & Paci, Pierella, 1989. "Equity in the Finance and Delivery of Health Care: Some Tentative Cross-country Comparisons," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 5(1), pages 89-112, Spring.
    2. Brockington, Dan & Coast, Ernestina & Mdee, A & Howland, O & Randall, Sara, 2019. "Assets and domestic units: methodological challenges for longitudinal studies of poverty dynamics," LSE Research Online Documents on Economics 100877, London School of Economics and Political Science, LSE Library.
    3. Wagstaff, Adam & van Doorslaer, Eddy, 2000. "Chapter 34 Equity in health care finance and delivery," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 34, pages 1803-1862, Elsevier.
    4. Masters, Samuel H. & Burstein, Roy & Amofah, George & Abaogye, Patrick & Kumar, Santosh & Hanlon, Michael, 2013. "Travel time to maternity care and its effect on utilization in rural Ghana: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 93(C), pages 147-154.
    5. George Schieber & Cheryl Cashin & Karima Saleh & Rouselle Lavado, 2012. "Health Financing in Ghana," World Bank Publications - Books, The World Bank Group, number 11977.
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