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Transport Connectivity, Medical Supplies, and People's Health Care Access : Evidence from Madagascar / Iimi, Atsushi.
World Bank Open Knowledge Repository (formerly "World Bank E-Library Publications") Available online
View online- Format:
- Book
- Government document
- Author/Creator:
- Iimi, Atsushi.
- Series:
- Policy research working papers.
- World Bank e-Library.
- Language:
- English
- Subjects (All):
- Health Care Access.
- Health Care Services Industry.
- Health Service Management and Delivery.
- Health, Nutrition and Population.
- Industry.
- Inequality.
- Pharmaceuticals and Pharmacoeconomics.
- Pharmaceuticals Industry.
- Poverty Reduction.
- Rural Roads.
- Three-Stage Least Squares Estimation.
- Transport.
- Transport Connectivity.
- Local Subjects:
- Health Care Access.
- Health Care Services Industry.
- Health Service Management and Delivery.
- Health, Nutrition and Population.
- Industry.
- Inequality.
- Pharmaceuticals and Pharmacoeconomics.
- Pharmaceuticals Industry.
- Poverty Reduction.
- Rural Roads.
- Three-Stage Least Squares Estimation.
- Transport.
- Transport Connectivity.
- Physical Description:
- 1 online resource (19 pages)
- Other Title:
- Transport Connectivity, Medical Supplies, and People's Health Care Access
- Place of Publication:
- Washington, D.C. : The World Bank, 2018.
- System Details:
- data file
- Summary:
- Health care access is a challenge in rural areas in Africa. On the demand side, rural people are often poor, and transport connectivity is typically bad in rural and remote areas. Because of limited transport connectivity, the quality of health care services provided is also often compromised. In Madagascar, the poor condition of the road network has long hampered the sustainability of the medical supply chain in rural areas. The paper shows that people's demand for health care services is affected not only by local transport connectivity, but also availability of medical supplies at the health facility level, which is also determined by primary and secondary road network connectivity. This in turn further suppresses people's demand in rural areas. The results also indicate that it is important to ensure financial affordability among the poor, which is found to be one of the most crucial constraints.
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