Multi-Level Analysis of Health Care Demand in Uganda: Empirical Evidence from the National Household Survey – 2016/17

Stella Nakiyingi, Dablin Mpuuga
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Abstract

This study examines determinants of health-care demand in Uganda, by estimating mixed-effects logistic regressions using data from the Uganda National Household Survey (UNHS) - 2016/17. The study firstly compares the 2012/13 and 2016/17 UNHS data and finds that the demand for health care in Uganda has decreased, except for the sub-regions of Busoga, Central I, and Kigezi. Secondly, the results from a mixed-effects regression on the entire sample show that health-care demand at an individual level is associated with individual’s age, smoking habits, and non-communicable disease (NCD) status, whereas household size and poverty status determine health-care demand at the household level. Running separate models for each region to investigate regional peculiarities, the results show disparities in health-care demand among regions in Uganda. Therefore, to improve efficacy and health-care seeking behaviours of Ugandans, policies should recognize and be tailored to address individual, household as well as regional peculiarities. JEL Codes: A10, I11, I19
乌干达医疗保健需求的多层次分析:来自2016/17年全国家庭调查的经验证据
本研究通过使用2016/17年乌干达全国家庭调查(UNHS)的数据估计混合效应logistic回归,考察了乌干达医疗保健需求的决定因素。该研究首先比较了2012/13年和2016/17年的卫生保健数据,发现除了布索加、中部一区和基盖齐等分区域外,乌干达对卫生保健的需求有所下降。其次,对整个样本进行混合效应回归的结果表明,个人层面的医疗保健需求与个人的年龄、吸烟习惯和非传染性疾病状况有关,而家庭规模和贫困状况决定了家庭层面的医疗保健需求。对每个地区运行单独的模型来调查地区特点,结果显示乌干达各地区在医疗保健需求方面存在差异。因此,为了改善乌干达人的疗效和寻求保健的行为,政策应承认并针对个人、家庭和区域的特点进行调整。JEL代码:A10, I11, I19
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