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Periodical article Periodical article Leiden University catalogue Leiden University catalogue WorldCat catalogue WorldCat
Title:The demand for public health care and the progressivity of health care services in Ghana
Authors:Gaddah, Mawuli
Munro, AlistairISNI
Quartey, PeterISNI
Periodical:African Development Review (ISSN 1467-8268)
Geographic term:Ghana
Subjects:public health
health care
child health
economic models
External link:https://doi.org/10.1111/1467-8268.12125
Abstract:This paper examines the choice of health care and progressivity of health care services in Ghana. Using a combination of benefit incidence analysis and a discrete choice model and data from the Ghana Living Standards Survey, the results give clear evidence of progressivity with consistent ordering: postnatal and prenatal services are the most progressive, followed by clinic visits, and then hospital visits. Child health care services are more progressive than adult. Own price and income elasticities are higher for public health care than private health care and for adults than children. Poorer households are substantially more price responsive than wealthy ones, implying that fee increases for public health care will impact negatively on equity in health care. Simulations show the importance of opportunity costs in health care decisions and suggest that reforms that focus only on out-of-pocket expenses will have a limited ability to extend public health care to all potential users. Bibliogr., notes, ref., sum. [Journal abstract]