IDEAS home Printed from https://ideas.repec.org/p/hal/wpaper/halshs-00878946.html
   My bibliography  Save this paper

Use of health care among the urban poor in Africa: Does the neighbourhood have an impact?

Author

Listed:
  • Georges Kone

    (IRD - Institut de Recherche pour le Développement)

  • Richard Lalou

    (IRD - Institut de Recherche pour le Développement)

  • Martine Audibert

    (CERDI - Centre d'Études et de Recherches sur le Développement International - UdA - Université d'Auvergne - Clermont-Ferrand I - CNRS - Centre National de la Recherche Scientifique)

  • Hervé Lafarge

    (Université Paris Dauphine-PSL - PSL - Université Paris Sciences et Lettres)

  • Stéphanie dos Santos

    (IRD - Institut de Recherche pour le Développement)

  • Jean-Yves Le Hesran

    (IRD - Institut de Recherche pour le Développement)

Abstract

The aim of this paper is to evaluate the relative influence of neighbourhood and individual practices of care utilization in Dakar (Senegal). The data from a research program on urban malaria, made in Dakar, Senegal between 2008 and 2009. The sample was based on a two-stage sampling. A questionnaire survey covered 2952 households, of which we have selected those that have at least one case of fever (n = 1272) with one of their children under ten years two weeks before the passage of investigators. The analytical model of the use of health services developed by R. Andersen has been adapted for our conceptual framework. Our results showed's like many West African cities, self-medication is a common practice among all households in Dakar, especially the poorest. The non-use of health services is positively associated with individual characteristics such as education level, the level of social network and the level of health literacy of the mother / guardian of the sick child (p

Suggested Citation

  • Georges Kone & Richard Lalou & Martine Audibert & Hervé Lafarge & Stéphanie dos Santos & Jean-Yves Le Hesran, 2013. "Use of health care among the urban poor in Africa: Does the neighbourhood have an impact?," Working Papers halshs-00878946, HAL.
    • Handle: RePEc:hal:wpaper:halshs-00878946
    Note: View the original document on HAL open archive server: https://shs.hal.science/halshs-00878946
    as

    Download full text from publisher

    File URL: https://shs.hal.science/halshs-00878946/document
    Download Restriction: no
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. 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.
    2. Haddad, Slim & Fournier, Pierre, 1995. "Quality, cost and utilization of health services in developing countries. A longitudinal study in Zaïre," Social Science & Medicine, Elsevier, vol. 40(6), pages 743-753, March.
    3. Sahn, David E. & Stifel, David C., 2000. "Poverty Comparisons Over Time and Across Countries in Africa," World Development, Elsevier, vol. 28(12), pages 2123-2155, December.
    4. Martine AUDIBERT & Marie-Claire HENRY & Jacky MATHONNAT & NZEYIMANA, 1998. "The Determinants of health care demand amongst the Senoufo of the Côte d'Ivoire," Working Papers 199817, CERDI.
    5. Aurélien Franckel & Frédéric Arcens & Richard Lalou, 2008. "Contexte villageois et recours aux soins dans la région de Fatick au Sénégal," Population (french edition), Institut National d'Études Démographiques (INED), vol. 63(3), pages 531-553.
    6. Choi, Jin Young, 2009. "Contextual effects on health care access among immigrants: Lessons from three ethnic communities in Hawaii," Social Science & Medicine, Elsevier, vol. 69(8), pages 1261-1271, October.
    7. Akin, John S. & Guilkey, David K. & Hazel?Denton, E., 1995. "Quality of services and demand for health care in Nigeria: A multinomial probit estimation," Social Science & Medicine, Elsevier, vol. 40(11), pages 1527-1537, June.
    8. Harvey Goldstein, 1995. "Hierarchical Data Modeling in the Social Sciences," Journal of Educational and Behavioral Statistics, , vol. 20(2), pages 201-204, June.
    9. repec:cai:popine:popu_p1999_54n2_0330 is not listed on IDEAS
    10. Béland, Francois & Birch, Stephen & Stoddart, Greg, 2002. "Unemployment and health: contextual-level influences on the production of health in populations," Social Science & Medicine, Elsevier, vol. 55(11), pages 2033-2052, December.
    11. Harvey Goldstein & Gérard Bonnet & Thierry Rocher, 2007. "Multilevel Structural Equation Models for the Analysis of Comparative Data on Educational Performance," Journal of Educational and Behavioral Statistics, , vol. 32(3), pages 252-286, September.
    12. Geoffrey Woodhouse & Min Yang & Harvey Goldstein & Jon Rasbash, 1996. "Adjusting for Measurement Error in Multilevel Analysis," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 159(2), pages 201-212, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Anta TA DIAL & Moussa DIENG & Martine AUDIBERT & Jean-Yves LE HESRAN, 2014. "Déterminants de la demande de soins en milieu péri-urbain dans un contexte de subvention à Pikine, Sénégal," Working Papers 201415, CERDI.
    2. Moussa Dieng & Martine Audibert & Jean-Yves Le Hesran & Anta Ta Dial, 2015. "Déterminants de la demande de soins en milieu péri-urbain dans un contexte de subvention à Pikine, Sénégal," CERDI Working papers halshs-01027504, HAL.

    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. Georges Kone & Richard Lalou & Martine Audibert & Hervé Lafarge & Stéphanie dos Santos & Jean-Yves Le Hesran, 2013. "Use of health care among the urban poor in Africa: Does the neighbourhood have an impact?," CERDI Working papers halshs-00878946, HAL.
    2. Anta TA DIAL & Moussa DIENG & Martine AUDIBERT & Jean-Yves LE HESRAN, 2014. "Déterminants de la demande de soins en milieu péri-urbain dans un contexte de subvention à Pikine, Sénégal," Working Papers 201415, CERDI.
    3. Georges Karna Kone & Martine Audibert & Richard Lalou & Hervé Lafarge & Jean-Yves Le Hesran, 2017. "Subsidized antimalarial drugs in Dakar (Senegal): Do the poor benefit?," CERDI Working papers halshs-01535112, HAL.
    4. Georges Karna KONE & Martine AUDIBERT & Richard LALOU & Hervé LAFARGE & Jean-Yves LE HESRAN, 2017. "Subsidized antimalarial drugs in Dakar (Senegal): Do the poor benefit?," Working Papers 201711, CERDI.
    5. Georges Karna Kone & Martine Audibert & Richard Lalou & Hervé Lafarge & Jean-Yves Le Hesran, 2017. "Subsidized antimalarial drugs in Dakar (Senegal): Do the poor benefit?," Working Papers halshs-01535112, HAL.
    6. Magnus Lindelow, 2003. "Understanding spatial variation in the utilization of health services: does quality matter?," Economics Series Working Papers WPS/2004-12, University of Oxford, Department of Economics.
    7. Martine Audibert & Yong He & Jacky Mathonnat, 2013. "Two-Period Comparison of Healthcare Demand with Income Growth and Population Aging in Rural China: Implications for Adjustment of the Healthcare Supply and Development," Working Papers halshs-00846088, HAL.
    8. Trani, Jean-Francois & Bakhshi, Parul & Noor, Ayan A. & Lopez, Dominique & Mashkoor, Ashraf, 2010. "Poverty, vulnerability, and provision of healthcare in Afghanistan," Social Science & Medicine, Elsevier, vol. 70(11), pages 1745-1755, June.
    9. Magnus Lindelow, 2004. "The Utilization of Curative Health Care in Mozambique: Does Income Matter?," Development and Comp Systems 0409057, University Library of Munich, Germany.
    10. Christopher J. Cronin & David K. Guilkey & Ilene S. Speizer, 2019. "Measurement error in discrete health facility choice models: An example from urban Senegal," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 34(7), pages 1102-1120, November.
    11. Magnus Lindelow, 2004. "Understanding spatial variation in the utilization of health," Development and Comp Systems 0409058, University Library of Munich, Germany.
    12. Friend-du Preez, Natalie & Cameron, Noël & Griffiths, Paula, 2013. "“So they believe that if the baby is sick you must give drugs…” The importance of medicines in health-seeking behaviour for childhood illnesses in urban South Africa," Social Science & Medicine, Elsevier, vol. 92(C), pages 43-52.
    13. Moussa Dieng & Martine Audibert & Jean-Yves Le Hesran & Anta Ta Dial, 2015. "Déterminants de la demande de soins en milieu péri-urbain dans un contexte de subvention à Pikine, Sénégal," CERDI Working papers halshs-01027504, HAL.
    14. Magnus Lindelow, 2003. "The Utilization of Curative Health Care in Mozambique: Does Income Matter?," Economics Series Working Papers WPS/2004-11, University of Oxford, Department of Economics.
    15. Frikkie Booysens & Martine Visser, 2005. "Demand for health care in HIV/AIDS – affected households in two communities in the Free State province of South Africa," Working Papers 008, Economic Research Southern Africa.
    16. Kai Shen Lim & Wei Aun Yap & Winnie Yip, 2022. "Consumer choice and public‐private providers: The role of perceived prices," Health Economics, John Wiley & Sons, Ltd., vol. 31(9), pages 1898-1925, September.
    17. Ndola Prata & Suzanne Bell & Karen Weidert & Amanuel Gessessew, 2013. "Potential for Cost Recovery: Women’s Willingness to Pay for Injectable Contraceptives in Tigray, Ethiopia," PLOS ONE, Public Library of Science, vol. 8(5), pages 1-11, May.
    18. Marlous Milliano & Ilze Plavgo, 2018. "Analysing Multidimensional Child Poverty in Sub-Saharan Africa: Findings Using an International Comparative Approach," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 11(3), pages 805-833, June.
    19. Duclos, Jean-Yves & Sahn, David & Younger, Stephen D., 2003. "Polarization: Robust Multidimensional Poverty Comparisons," Cahiers de recherche 0304, CIRPEE.
    20. Janina Isabel Steinert & Lucie Dale Cluver & G. J. Melendez-Torres & Sebastian Vollmer, 2018. "One Size Fits All? The Validity of a Composite Poverty Index Across Urban and Rural Households in South Africa," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 136(1), pages 51-72, February.

    More about this item

    Keywords

    Poverty; dakar; neighborhoods; malaria; equity; access to health care;
    All these keywords.

    NEP fields

    This paper has been announced in the following NEP Reports:

    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:hal:wpaper:halshs-00878946. 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: CCSD (email available below). General contact details of provider: https://hal.archives-ouvertes.fr/ .

    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.