Non-price Determinants for Health Care Services in Senegal

Faye, Sophie

doi:10.1111/1467-8268.12062

Cited by 4 publications

(5 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Discrete models are often used for healthcare decisions (Anyanwu, 2007; Faye, 2014; Gaddah, Munro, & Quartey, 2015). This study employs a multivariate probit model to estimate NHIS enrolment decision and tested if enrolment and the use of facility delivery services increased significantly after the FMH policy was introduced.…”

Section: Methodsmentioning

confidence: 99%

Ghana's national health insurance, free maternal healthcare and facility‐based delivery services

Agbanyo

2020

African Development Review

View full text Add to dashboard Cite

Ghana implemented the National Health Insurance Scheme (NHIS) in 2005 and introduced free maternal healthcare (FMH) into the scheme in 2008. These reforms aimed at improving the utilization of healthcare, especially for expectant mothers. Using data from the 2008 and 2014 Ghana Demographic and Health Surveys (GDHS) with a sample of 8,081, this study employed multivariate probit and conditional mixed process (CMP) estimators to analyze the NHIS enrolment and the use of facility‐based delivery services among expectant mothers within the context of Sustainable Development Goal 3 in Ghana. The influence of birth order on these policies has also been explored. Before and after analysis was used for the effect of the FMH on NHIS enrolment and the use of delivery services while CMP was used for the effect of NHIS on delivery services. It is concluded that higher birth order reduces the likelihood of NHIS enrolment and health facility delivery. Moreover, the FMH policy has improved both NHIS enrolment and facility‐based delivery. Finally, the NHIS policy proves to be a reliable factor to induce utilization of facility‐based delivery services. It is recommended that maternal health education at antenatal care visits should be enriched with potential consequences and complications associated with multiple births. The National Health Insurance Authority (NHIA) should provide registration desks for expectant mothers at health facilities.

show abstract

Section: Methodsmentioning

confidence: 99%

Ghana's national health insurance, free maternal healthcare and facility‐based delivery services

Agbanyo

2020

African Development Review

View full text Add to dashboard Cite

show abstract

“…There has been some empirical analysis of household choices between health care providers in developing countries (Gertler et al, 1987;Mwabu et al, 1993Mwabu et al, , 2003Akin et al, 1995;Glick and Razakamanantsoa, 2005;Sahn et al, 2003;Kasirye et al, 2004;Kamgnia, 2008;Amaghionyeodiwe, 2008;Faye, 2014). Akin et al (1995) estimated demand for health care in Nigeria and find that the price of health care is a significant determinant of the choice of health care provider, even after controlling for quality.…”

Section: Household Health Choices Between Health Care Providersmentioning

confidence: 99%

“…In some of the literature cited above, it was found that the magnitude of the price effect is very small. Specifically, they found that the low price elasticity is more pronounced among the public health care providers than the private providers (see Faye, 2014). Anyanwu (2007) using descriptive and conditional logit analysis to ascertain the choice of health care institutions by patients suffering from malaria in Nigeria finds that more women and children report ill, malaria fever dominates report patterns and money prices dominate health care demand while income negatively influences public care.…”

Section: Household Health Choices Between Health Care Providersmentioning

confidence: 99%

The Demand for Public Health Care and the Progressivity of Health Care Services in Ghana

Gaddah¹,

Munro²,

Quartey³

2015

African Development Review

View full text Add to dashboard Cite

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, our 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.

show abstract

“…In Senegal, 6.3% of population suffer from diarrhea (Faye, 2014), but in the S-SRV it is the first reason for medical consultation in local health centers (Sid'Ahmed, 2013, p. 42). In this region, the risk of diarrheal diseases increased due to the lack of adequate sewage system and insufficient drinking water supply (Diop and Jobin, 1994), along with an inadequate general hygiene and the excessive use of fertilizers and pesticides that contaminate the water sources used for domestic purposes (OMVS, 2003).…”

Section: Diarrheamentioning

confidence: 99%

Sustainability Assessment of Large Irrigation Dams in Senegal: A Cost-Benefit Analysis for the Senegal River Valley

Manikowski

Strapasson

2016

Front. Environ. Sci.

View full text Add to dashboard Cite

Starting in the 1970s, the Senegalese Government invested in the development of irrigated schemes in the Senegalese part of the Senegal River Valley (S-SRV). From that time to 2012, the irrigated schemes increased from 10,000 to more than 110,000 ha. In the meantime, the economic viability of these schemes started to be questioned. It also appeared that the environmental health and social costs might outweigh the benefits of irrigation. Using a life cycle assessment (LCA) approach and project cost-benefits modeling, this study (i) quantified the costs and benefits of the S-SRV irrigated rice production, (ii) evaluated the costs and benefits of its externalities, and (iii) discussed the irrigated rice support policy. The net financial revenues from the irrigated schemes were positive, but not their economic equivalences. The economic return rate (EER) was below the expected 12% and the net present value (NPV) over 20 years of the project represented a loss of about US$-19.6 million. However, if we also include the project's negative externalities, such as the reduced productivity of the valley ecosystems, protection cost of human health, environmental degradation, and social impacts, then the NPV would be much worse, approximately US$-572.1 million. Therefore, the results show that to stop the economic loss and alleviate the human suffering, the S-SRV development policy should be revised using an integrated approach and the exploitation technology should aim at environmental sustainability. This paper may offer useful insights for reviewing the current Senegalese policies for the valley, as well as for assessing other similar cases or future projects worldwide, particularly in critical zones of developing countries.

show abstract

Non-price Determinants for Health Care Services in Senegal

Cited by 4 publications

References 12 publications

Ghana's national health insurance, free maternal healthcare and facility‐based delivery services

Ghana's national health insurance, free maternal healthcare and facility‐based delivery services

The Demand for Public Health Care and the Progressivity of Health Care Services in Ghana

Sustainability Assessment of Large Irrigation Dams in Senegal: A Cost-Benefit Analysis for the Senegal River Valley

Contact Info

Product

Resources

About