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    What determines health care utilization in Zambia?

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    MTembo_What_Determines_Health_Care_Utilization_in_Zambia (1.364Mb)
    Date
    2015
    Author
    Tembo, Mike Alex
    Type
    Thesis
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    Abstract
    This study aims to ascertain factors that affect health care service utilisation in Zambia. The study is driven by the fact that despite Zambia recording impressive and improved health indicators for the period 2004 to 2012, the distributional use of health care services has been low against the expectation of high utilisation rate. Studies that have attempted to analyse factors that affect health care service use have used one-part models. This created a methodological deficiency in that unobserved factors, such as, agency relationship between patients and doctors are not captured by these one-part models. The Zero-Truncated-Poisson model is used in this study to capture the unobserved heterogeneities in determining health care service utilisation. The study used both average marginal effects and hurdle results to interpret the findings. It was found that age, distance, waiting time, insurance and health status have an effect on health care service utilisation. However, place of residence, sex, religion, marital status, education, household size, quality of health care, income and cost of health care services do not have a significant influence on health care service utilisation. A surprising finding was that distance and waiting time had a counter-intuitive positive effect on health care use as against an expected negative sign, but were statistically different from zero. This could have been as a result of the fact that most of the facility visits were at referral facilities
    URI
    https://hdl.handle.net/10646/4263
    Additional Citation Information
    Tembo, M. (2015). What determines health care utilization in Zambia? [Unpublished masters thesis]. University of Zimbabwe.
    Publisher
    University of Zimbabwe
    Subject
    Health care service utilisation
    Central Board of Health
    Health Belief Model
    Ministry of Health
    Sexually Transmitted Disease
    World Health Organisation
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    • Faculty of Social and Behavioral Sciences e-Theses Collection [342]

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