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The Effects of Loan Amounts on Health Care Utilization in Ghana

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  • Ekow Asmah, Emmanuel
  • Orkoh, Emmanuel

Abstract

Utilization of health care services - both preventive and curative, is among the myriad of important determinants of health and remains an issue of significant policy concern and focus in developing countries. Despite the importance of health care utilization, there is evidence to confirm that many people in Ghana go without health care from which they could benefit greatly. This disturbing, yet preventable, state of affairs causes’ untold suffering and, given its wide scale, presents a major obstacle to the development process. A range of socioeconomic, demographic, and public health related factors work together to influence household health utilization but the extent to which access to formal and informal credit plays in the Ghanaian context has not been addressed in the empirical literature. Using recently released Ghana Household Living Standard Survey round six (GLSS, 6) in 2012/2013, this study examines the extent to which an individual’s relative control over household resources, gauged by loan amounts influence health care utilization. The results, based on logistic and multinomial regression model estimation, demonstrate that a one percent increase in the amount of credit accessed from a financial institution is associated with 0.611 probability that an individual will consult a health practitioner when ill. Other variables that significantly predict the tendency that a respondent will consult a health practitioner when suffering any infirmity include income of the household, insurance status of the individual, place of residence and household size. We also find that Individuals in different socio-economic strata (region, rural/urban) face different risks with health care utilization. Policies aimed at making credit available to individuals and households can make an important contribution to health care utilization in Ghana. Moving forward, health programs and interventions should be embedded in financial services and they need to be tailored to particular socio-economic groups.

Suggested Citation

  • Ekow Asmah, Emmanuel & Orkoh, Emmanuel, 2015. "The Effects of Loan Amounts on Health Care Utilization in Ghana," MPRA Paper 62514, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:62514
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    References listed on IDEAS

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    1. Hausman, Jerry & McFadden, Daniel, 1984. "Specification Tests for the Multinomial Logit Model," Econometrica, Econometric Society, vol. 52(5), pages 1219-1240, September.
    2. Gertler, Paul & Locay, Luis & Sanderson, Warren, 1987. "Are user fees regressive? : The welfare implications of health care financing proposals in Peru," Journal of Econometrics, Elsevier, vol. 36(1-2), pages 67-88.
    3. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    4. Brigit Obrist & Nelly Iteba & Christian Lengeler & Ahmed Makemba & Christopher Mshana & Rose Nathan & Sandra Alba & Angel Dillip & Manuel W Hetzel & Iddy Mayumana & Alexander Schulze & Hassan Mshinda, 2007. "Access to Health Care in Contexts of Livelihood Insecurity: A Framework for Analysis and Action," PLOS Medicine, Public Library of Science, vol. 4(10), pages 1-5, October.
    5. 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.
    6. A. J. Culyer & J. P. Newhouse (ed.), 2000. "Handbook of Health Economics," Handbook of Health Economics, Elsevier, edition 1, volume 1, number 1.
    7. Nkechi Owoo & Monica Lambon-Quayefio, 2013. "National health insurance, social influence and antenatal care use in Ghana," Health Economics Review, Springer, vol. 3(1), pages 1-12, December.
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    More about this item

    Keywords

    Loan amount; Health care utilization; Multinomial logit;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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