Horizontal Inequity in Healthcare Delivery: A Qualitative Analysis of Perceptions of Locality and Costs of Access in the Jirapa Municipality, North‐western Ghana. (18th July 2020)

• Record Type: Journal Article
• Authors: Domapielle, Maximillian Kolbe; Akurugu, Constance Awinpoka; Mdee, Anna
• Is Part Of: Journal of international development. Volume 32:Number 8(2020:Nov.)
• Page Start: 1308
• Page End: 1323
• Publication Date: 2020-07-18
• Subjects: Financial access -- costs -- healthcare -- horizontal equity -- locality -- Ghana; Economic development projects -- Developing countries -- Periodicals; Developing countries -- Economic policy -- Periodicals; Developing countries -- Foreign economic relations -- Periodicals; Economic development -- Periodicals; 330.91724
• DOI: 10.1002/jid.3504
• Languages: English
• ISSNs: 0954-1748

Abstract

Abstract: This article provides evidence of horizontal inequity in the distribution of the burden and benefits of healthcare in north‐western Ghana. A qualitative approach was used to collect and analyse the data on variation in perceptions of affordability of health services to rural and urban populations in the Jirapa Municipality of Ghana. The article argues that costs of transportation, food and lodging associated with seeking healthcare at the municipal referral hospital are disproportionately higher for rural residents. This leads to delayed medical treatment, self‐medication or reliance on traditional medicines, all of which can come with harmful consequences. © 2020 John Wiley & Sons, Ltd.