Go to AfricaBib home

Go to AfricaBib home AfricaBib Go to database home

bibliographic database
Line
Previous page New search

The free AfricaBib App for Android is available here

Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:Responding to Crisis: Patterns of Health Care Utilization in Central Kenya Amid Economic Decline
Authors:Mbatia, Paul N.
Bradshaw, York W.ISNI
Year:2003
Periodical:African Studies Review
Volume:46
Issue:1
Period:April
Pages:69-92
Language:English
Geographic term:Kenya
Subjects:health policy
public health
Economics and Trade
Health and Nutrition
Peoples of Africa (Ethnic Groups)
Development and Technology
External link:https://www.jstor.org/stable/1514981
Abstract:African States have become increasingly unable to provide adequate health care to their citizens due to debt, structural adjustment, poverty and mismanagement. The health crisis is worsening in many areas and driving up mortality rates after decades of decline. This article investigates how African communities and their citizens respond in light of State inability to deliver health-related services. Drawing on a survey of 504 rural Kenyan women carried out in Murang'a District, central Kenya, in 1995, the analysis shows that people are dissatisfied with government facilities and are turning to mission clinics and hospitals as well as to private clinics. A number of factors determine choice of health care facility, including cost, level of education, socioeconomic background, the time taken to reach a facility, the type of disease requiring treatment, and agroecological zones. These findings have profound theoretical implications for health and development models, which normally are biased in favour of developed Western countries. App., bibliogr., notes, sum. in English and French. [Journal abstract]
Views
Cover