Access to health care in post-apartheid South Africa: availability, affordability, acceptability

dc.contributor.authorBurger, Ronelle
dc.contributor.authorChristian, Carmen
dc.date.accessioned2018-08-02T10:07:32Z
dc.date.available2018-08-02T10:07:32Z
dc.date.issued2018
dc.description.abstractWe use a reliable, intuitive and simple set of indicators to capture three dimensions of access – availability, affordability and acceptability. Data are from South Africa’s 2009 and 2010 General Household Surveys (n=190,164). Affordability constraints were faced by 23% and are more concentrated amongst the poorest. However, 73% of affordability constraints are due to travel costs which are aligned with findings of the availability constraints dimension. Availability constraints, involving distances and transport costs, particularly in underdeveloped rural areas, and inconvenient opening times, were faced by 27%. Acceptability constraints were noted by only 10%. We approximate acceptability with an indicator measuring the share of community members bypassing the closest health care facility, as we argue that reported health care provider choice is more reliable than stated preferences. However, the indicator assumes a choice of available and affordable providers, which may often not be an accurate assumption in rural areas. We recommend further work on the measurement of acceptability in household surveys, especially considering this dimension’s importance for health reform.en_US
dc.identifier.citationBurger, R. & Christian, C. (2018). Access to health care in post-apartheid South Africa: availability, affordability, acceptability. Health Economics, Policy and Law X: 1–13.en_US
dc.identifier.issn1744-1331
dc.identifier.urihttp://dx.doi.org/10.1017/S1744133118000300
dc.identifier.urihttp://hdl.handle.net/10566/3918
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherCambridge University Pressen_US
dc.rightsThis is the author-version of the article published online at: http://dx.doi.org/10.1017/S1744133118000300
dc.status.ispeerreviewedTRUE
dc.subjectUniversal health coverageen_US
dc.subjectPerception biasen_US
dc.titleAccess to health care in post-apartheid South Africa: availability, affordability, acceptabilityen_US
dc.typeArticleen_US

Files

Original bundle
Now showing 1 - 1 of 1
Loading...
Thumbnail Image
Name:
Burger_Access-to-health_2018.pdf
Size:
2.1 MB
Format:
Adobe Portable Document Format
Description:
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description: