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| Title: | Responding to Crisis: Patterns of Health Care Utilization in Central Kenya Amid Economic Decline |
| Authors: | Mbatia, Paul N. Bradshaw, York W.  |
| Year: | 2003 |
| Periodical: | African Studies Review |
| Volume: | 46 |
| Issue: | 1 |
| Period: | April |
| Pages: | 69-92 |
| Language: | English |
| Geographic term: | Kenya |
| Subjects: | health policy public health Economics and Trade Health and Nutrition Peoples of Africa (Ethnic Groups) Development and Technology |
| External link: | https://www.jstor.org/stable/1514981 |
| Abstract: | African States have become increasingly unable to provide adequate health care to their citizens due to debt, structural adjustment, poverty and mismanagement. The health crisis is worsening in many areas and driving up mortality rates after decades of decline. This article investigates how African communities and their citizens respond in light of State inability to deliver health-related services. Drawing on a survey of 504 rural Kenyan women carried out in Murang'a District, central Kenya, in 1995, the analysis shows that people are dissatisfied with government facilities and are turning to mission clinics and hospitals as well as to private clinics. A number of factors determine choice of health care facility, including cost, level of education, socioeconomic background, the time taken to reach a facility, the type of disease requiring treatment, and agroecological zones. These findings have profound theoretical implications for health and development models, which normally are biased in favour of developed Western countries. App., bibliogr., notes, sum. in English and French. [Journal abstract] |
