Health care seeking behaviour in developing countries: an annotated bibliography and literature review.

Abstract

This monograph reviews the recent (1984-94) literature on household health care seeking behavior and its determinants in rural areas of sub-Saharan Africa south Asia and southeast Asia and presents an annotated bibliography of this literature. Emphasis is placed on studies that locate health care seeking behavior in the socio-cultural context in which such decisions are made and in relation to available health care options (e.g. private and public services primary health care hospitals traditional healers commercial drug outlets). The literature suggests that the following determinants are especially salient: educational level maternal occupation marital status economic status age and sex health care costs womens status type and severity of illness distance and physical access and perceived quality of service provision. Also included is a discussion of the importance of quality of care assessments that incorporate both user and provider perspectives.

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