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

Martine Audibert (), Jean-Yves Le Hesran, Stéphanie Dos Santos, Hervé Lafarge, Richard Lalou and Georges Karna Kone

No 201319, Working Papers from CERDI

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

Keywords: Dakar; Malaria; Access to health care; Poverty; Neighborhoods; Equity (search for similar items in EconPapers)
Pages: 26
Date: 2013
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Citations: View citations in EconPapers (3)

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Working Paper: Use of health care among the urban poor in Africa: Does the neighbourhood have an impact? (2013)
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