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Measuring equity in access to health care : a case study of malaria control interventions in the Kassena-Nankana district of Northen Ghana
Includes bibliographical references (leaves 236-251).
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| Main Author: | |
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
| Published: |
Health Economics Unit
2014
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| _version_ | 1867613338807042048 |
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| access_status_str | Open Access |
| author | Akweongo, Patricia |
| author2 | Thiede, Michael |
| author_browse | Akweongo, Patricia Thiede, Michael |
| author_facet | Thiede, Michael Akweongo, Patricia |
| author_sort | Akweongo, Patricia |
| collection | Thesis |
| description | Includes bibliographical references (leaves 236-251). |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/9346 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:34:33.896Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2014 |
| publishDateRange | 2014 |
| publishDateSort | 2014 |
| publisher | Health Economics Unit |
| publisherStr | Health Economics Unit |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/9346 Measuring equity in access to health care : a case study of malaria control interventions in the Kassena-Nankana district of Northen Ghana Akweongo, Patricia Thiede, Michael Public Health and Family Medicine Includes bibliographical references (leaves 236-251). This thesis develops a methodology for measuring equity in access to health care. The thesis deconstructs the concept of access into dimensions that represent the supply and demand side of health care and tests each of these dimensions by using the example of access to malaria services in the Kassena-Nankana district of northern Ghana. An innovative framework and a disadvantage index are developed herein, and are used to analyse the primary factors of access and to measure inequities in such access. A cross-sectional survey of 1880 household heads, focus group discussions, in-depth and key informant interviews with community members and health providers were used to explore issues in respect of malaria management, health care access and perceptions of poverty. The principal component and factor analysis statistical methods were then applied to estimate access factors and to compile a disadvantaged index of access. The key findings indicate that the dimensions, availability, affordability, information and acceptability primarily determine access to health care. On the availability dimension, physical distance to health care, provision of primary and inpatient are and travel distance are significant factors. The primary factors of affordability are associated more with the socio-economic characteristics of the household than with direct user costs. The information dimension is determined primarily by knowledge to treat levels of severity of malaria and the source of information for treatment. The acceptability of health care is related to methods and services for managing severity of levels of malaria at home as well as using qualified health care providers. The disadvantage index and poverty maps show significant disparities in health care access between geographic areas and socio-economic groups', with areas in the outskirts of the Kassena district being the most disadvantaged in terms of availability, acceptability and information. These areas are however not economically disadvantaged. The poorest households have the lowest accessibility scores across all dimensions. 2014-11-08T08:03:01Z 2014-11-08T08:03:01Z 2005 Doctoral Thesis Doctoral PhD http://hdl.handle.net/11427/9346 eng application/pdf Health Economics Unit Faculty of Health Sciences University of Cape Town |
| spellingShingle | Public Health and Family Medicine Akweongo, Patricia Measuring equity in access to health care : a case study of malaria control interventions in the Kassena-Nankana district of Northen Ghana |
| thesis_degree_str | Doctoral |
| title | Measuring equity in access to health care : a case study of malaria control interventions in the Kassena-Nankana district of Northen Ghana |
| title_full | Measuring equity in access to health care : a case study of malaria control interventions in the Kassena-Nankana district of Northen Ghana |
| title_fullStr | Measuring equity in access to health care : a case study of malaria control interventions in the Kassena-Nankana district of Northen Ghana |
| title_full_unstemmed | Measuring equity in access to health care : a case study of malaria control interventions in the Kassena-Nankana district of Northen Ghana |
| title_short | Measuring equity in access to health care : a case study of malaria control interventions in the Kassena-Nankana district of Northen Ghana |
| title_sort | measuring equity in access to health care a case study of malaria control interventions in the kassena nankana district of northen ghana |
| topic | Public Health and Family Medicine |
| url | http://hdl.handle.net/11427/9346 |
| work_keys_str_mv | AT akweongopatricia measuringequityinaccesstohealthcareacasestudyofmalariacontrolinterventionsinthekassenanankanadistrictofnorthenghana |