Distributional analysis of rural-urban household healthcare expenditure differentials in developing countries: evidence from Ghana
Equity in access to and use of healthcare resources is a global development agenda. Policy makers’ knowledge of the sources of differences in household healthcare spending is crucial for effective policy. This paper investigates the differences in the determinants of household healthcare expenditure...
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Emerald
2020
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| Online Access: | https://eprints.nottingham.ac.uk/61307/ |
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| author | Ampaw, Samuel Nketiah-Amponsah, Edward Agyire-Tettey, Frank Senadza, Bernardin |
| author_facet | Ampaw, Samuel Nketiah-Amponsah, Edward Agyire-Tettey, Frank Senadza, Bernardin |
| author_sort | Ampaw, Samuel |
| building | Nottingham Research Data Repository |
| collection | Online Access |
| description | Equity in access to and use of healthcare resources is a global development agenda. Policy makers’ knowledge of the sources of differences in household healthcare spending is crucial for effective policy. This paper investigates the differences in the determinants of household healthcare expenditure across space and along selected quantiles of healthcare expenditure in Ghana. The determinants of rural-urban healthcare expenditure gap are also explored. Data was obtained from the sixth round of the Ghana Living Standards Survey (GLSS 6) conducted in 2013. An unconditional quantile regression (UQR) and a decomposition technique based on UQR, adjusted for sample selection bias, were applied. Findings indicate that differences in the determinants of household healthcare expenditure across space and along quantiles are driven by individual-level variables. Besides, the rural-urban health expenditure gap is greatest among households in the lower quantiles and this gap is largely driven by differences in household income per capita and percentage of household members enrolled on health insurance policies. To reduce rural-urban healthcare expenditure inequality, targeted policies should be prioritised in addition to efforts to narrow rural-urban differences in household per capita income and enrolment in health insurance policies. |
| first_indexed | 2025-11-14T20:42:22Z |
| format | Article |
| id | nottingham-61307 |
| institution | University of Nottingham Malaysia Campus |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-14T20:42:22Z |
| publishDate | 2020 |
| publisher | Emerald |
| recordtype | eprints |
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| spelling | nottingham-613072020-08-07T07:50:29Z https://eprints.nottingham.ac.uk/61307/ Distributional analysis of rural-urban household healthcare expenditure differentials in developing countries: evidence from Ghana Ampaw, Samuel Nketiah-Amponsah, Edward Agyire-Tettey, Frank Senadza, Bernardin Equity in access to and use of healthcare resources is a global development agenda. Policy makers’ knowledge of the sources of differences in household healthcare spending is crucial for effective policy. This paper investigates the differences in the determinants of household healthcare expenditure across space and along selected quantiles of healthcare expenditure in Ghana. The determinants of rural-urban healthcare expenditure gap are also explored. Data was obtained from the sixth round of the Ghana Living Standards Survey (GLSS 6) conducted in 2013. An unconditional quantile regression (UQR) and a decomposition technique based on UQR, adjusted for sample selection bias, were applied. Findings indicate that differences in the determinants of household healthcare expenditure across space and along quantiles are driven by individual-level variables. Besides, the rural-urban health expenditure gap is greatest among households in the lower quantiles and this gap is largely driven by differences in household income per capita and percentage of household members enrolled on health insurance policies. To reduce rural-urban healthcare expenditure inequality, targeted policies should be prioritised in addition to efforts to narrow rural-urban differences in household per capita income and enrolment in health insurance policies. Emerald 2020-06-18 Article PeerReviewed application/pdf en cc_by_nc https://eprints.nottingham.ac.uk/61307/1/New.Distributional%20analysis%20of%20rural-urban%20household%20healthcare%20expenditure%20differentials%20in%20developing%20countries%20evidence%20from%20Ghana.pdf Ampaw, Samuel, Nketiah-Amponsah, Edward, Agyire-Tettey, Frank and Senadza, Bernardin (2020) Distributional analysis of rural-urban household healthcare expenditure differentials in developing countries: evidence from Ghana. International Journal of Development Issues, ahead-o (ahead-). ISSN 1446-8956 Household healthcare expenditure Rural-urban inequality Unconditional quantile regression Healthcare financing policy Developing countries Ghana http://dx.doi.org/10.1108/IJDI-07-2019-0126 doi:10.1108/IJDI-07-2019-0126 doi:10.1108/IJDI-07-2019-0126 |
| spellingShingle | Household healthcare expenditure Rural-urban inequality Unconditional quantile regression Healthcare financing policy Developing countries Ghana Ampaw, Samuel Nketiah-Amponsah, Edward Agyire-Tettey, Frank Senadza, Bernardin Distributional analysis of rural-urban household healthcare expenditure differentials in developing countries: evidence from Ghana |
| title | Distributional analysis of rural-urban household healthcare expenditure differentials in developing countries: evidence from Ghana |
| title_full | Distributional analysis of rural-urban household healthcare expenditure differentials in developing countries: evidence from Ghana |
| title_fullStr | Distributional analysis of rural-urban household healthcare expenditure differentials in developing countries: evidence from Ghana |
| title_full_unstemmed | Distributional analysis of rural-urban household healthcare expenditure differentials in developing countries: evidence from Ghana |
| title_short | Distributional analysis of rural-urban household healthcare expenditure differentials in developing countries: evidence from Ghana |
| title_sort | distributional analysis of rural-urban household healthcare expenditure differentials in developing countries: evidence from ghana |
| topic | Household healthcare expenditure Rural-urban inequality Unconditional quantile regression Healthcare financing policy Developing countries Ghana |
| url | https://eprints.nottingham.ac.uk/61307/ https://eprints.nottingham.ac.uk/61307/ https://eprints.nottingham.ac.uk/61307/ |