Transport Connectivity, Medical Supplies, and People's Health Care Access : Evidence from Madagascar
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 car...
| Main Authors: | , |
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| Format: | Working Paper |
| Language: | English |
| Published: |
World Bank, Washington, DC
2018
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| Subjects: | |
| Online Access: | http://documents.worldbank.org/curated/en/848581529587694374/Transport-connectivity-Medical-supplies-and-peoples-health-care-access-evidence-from-Madagascar http://hdl.handle.net/10986/29940 |
| 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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