Transport Connectivity and Health Care Access : Evidence from Liberia
Health care access is an important policy concern, especially in rural areas. It is especially challenging in developing countries, where rural residents are poorer and less likely to be insured than those living in urban areas. Using the case of L...
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World Bank, Washington, DC
2018
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| Online Access: | http://documents.worldbank.org/curated/en/447201524065506724/Transport-connectivity-and-health-care-access-evidence-from-Liberia http://hdl.handle.net/10986/29715 |
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okr-10986-297152021-06-08T14:42:45Z Transport Connectivity and Health Care Access : Evidence from Liberia Iimi, Atsushi Rao, Kulwinder RURAL ROADS HEALTH CARE ACCESS HEALTH FACILITY TRANSPORT CONNECTIVITY EXTERNAL SHOCK VULNERABILITY INFRASTRUCTURE INVESTMENT ROAD DENSITY ROAD QUALITY REMOTE AREA Health care access is an important policy concern, especially in rural areas. It is especially challenging in developing countries, where rural residents are poorer and less likely to be insured than those living in urban areas. Using the case of Liberia, this paper examines the effects of transport connectivity on health care access. The Ebola crisis in 2014 and 2015 clearly revealed the vulnerability of the country's transport and health systems to unexpected external shocks. Paying particular attention to the possible challenge of endogeneity associated with infrastructure investment, the study found that transport connectivity, especially greater road density, can increase access to health care, but there was no significant effect of road quality. This may be because of significantly skewed underlying data. The vast majority of roads in Liberia are in poor condition. The study also found that the statistical effect of road density varies depending on distance from a health facility. The effect is particularly significant within a 30- to 50-kilometer radius. Not only rural accessibility, but also broader transport connectivity needs to be developed to increase health care access. 2018-04-20T15:50:15Z 2018-04-20T15:50:15Z 2018-04 Working Paper http://documents.worldbank.org/curated/en/447201524065506724/Transport-connectivity-and-health-care-access-evidence-from-Liberia http://hdl.handle.net/10986/29715 English Policy Research Working Paper;No. 8413 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Policy Research Working Paper Africa Liberia |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English |
| topic |
RURAL ROADS HEALTH CARE ACCESS HEALTH FACILITY TRANSPORT CONNECTIVITY EXTERNAL SHOCK VULNERABILITY INFRASTRUCTURE INVESTMENT ROAD DENSITY ROAD QUALITY REMOTE AREA |
| spellingShingle |
RURAL ROADS HEALTH CARE ACCESS HEALTH FACILITY TRANSPORT CONNECTIVITY EXTERNAL SHOCK VULNERABILITY INFRASTRUCTURE INVESTMENT ROAD DENSITY ROAD QUALITY REMOTE AREA Iimi, Atsushi Rao, Kulwinder Transport Connectivity and Health Care Access : Evidence from Liberia |
| geographic_facet |
Africa Liberia |
| relation |
Policy Research Working Paper;No. 8413 |
| description |
Health care access is an important
policy concern, especially in rural areas. It is especially
challenging in developing countries, where rural residents
are poorer and less likely to be insured than those living
in urban areas. Using the case of Liberia, this paper
examines the effects of transport connectivity on health
care access. The Ebola crisis in 2014 and 2015 clearly
revealed the vulnerability of the country's transport
and health systems to unexpected external shocks. Paying
particular attention to the possible challenge of
endogeneity associated with infrastructure investment, the
study found that transport connectivity, especially greater
road density, can increase access to health care, but there
was no significant effect of road quality. This may be
because of significantly skewed underlying data. The vast
majority of roads in Liberia are in poor condition. The
study also found that the statistical effect of road density
varies depending on distance from a health facility. The
effect is particularly significant within a 30- to
50-kilometer radius. Not only rural accessibility, but also
broader transport connectivity needs to be developed to
increase health care access. |
| format |
Working Paper |
| author |
Iimi, Atsushi Rao, Kulwinder |
| author_facet |
Iimi, Atsushi Rao, Kulwinder |
| author_sort |
Iimi, Atsushi |
| title |
Transport Connectivity and Health Care Access : Evidence from Liberia |
| title_short |
Transport Connectivity and Health Care Access : Evidence from Liberia |
| title_full |
Transport Connectivity and Health Care Access : Evidence from Liberia |
| title_fullStr |
Transport Connectivity and Health Care Access : Evidence from Liberia |
| title_full_unstemmed |
Transport Connectivity and Health Care Access : Evidence from Liberia |
| title_sort |
transport connectivity and health care access : evidence from liberia |
| publisher |
World Bank, Washington, DC |
| publishDate |
2018 |
| url |
http://documents.worldbank.org/curated/en/447201524065506724/Transport-connectivity-and-health-care-access-evidence-from-Liberia http://hdl.handle.net/10986/29715 |
| _version_ |
1764470073436667904 |