University of Twente Student Theses


Evaluation of Health seeking behaviour in Dar es Salaam, Tanzania

Ibrahim, Jibril Mohammed (2011) Evaluation of Health seeking behaviour in Dar es Salaam, Tanzania.

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Abstract:The health seeking behaviour of people is an important aspect which can help improve planning of health services. In order to improve on health service provision, there is need to assess the behaviour of people toward selection of facility to utilise. Several methods have being used to study health seeking behaviour in different cities. This study tends to operationalise and conceptualise the health seeking behaviour of people in Dar es Salaam, Tanzania using Andersen (1995) health model. One of the main aims of this study is to identify the determinants of health seeking behaviour within different socioeconomic groups. Further more, the study tends to identify if there are differences in health seeking behaviour between the different socioeconomic groups. Using primary data collected through household interview in eleven wards of the three municipalities of Dar es Salaam, the health facilities attended by households from these wards have been identified in combination with the socioeconomic background of the population. The difference in health seeking behaviour is analysed from the different wards. The methods used in the analysis are basically descriptive statistics, chi squire and use of desire line to show the spatial aspect of health seeking behaviour. The analysis shows that the socioeconomic groups in Dar es Salaam are divided into three, the well off socioeconomic class, the moderate and the vulnerable group. The influencing factors in health seeking behaviour of the well of socioeconomic class include daily expenditure, mother’s education and family health condition. The moderate socioeconomic group is found with highest education level in a household and availability of drugs as influencing factors of type of facility to use. The vulnerable socioeconomic group is influenced by income when considering the type of facility to use. The study showed that there is difference in health seeking behaviour between the ages and gender. The age below four and ages between eighteen and forty four use health facilities more than all other age categories. Also the female gender within reproductive age of eighteen to forty four utilise health facility more than any other age group The spatial aspect of health seeking shows that three modes of transport are dominantly used to visit health facility. They include walking, public bus and private vehicle. Visit of health facilities by means of walking are done by all the socioeconomic groups, but the vulnerable socioeconomic group make use of this the most. Public bus is used by all the socioeconomic groups while only the well off socioeconomic groups make use of private vehicle to health facility. The minimum distance covered to visit health facility is three hundred metres and the maximum distance is eleven kilometres. In general, the findings of this study indicates the difference in health seeking behaviour between the socio economic groups and identified the factors which influence the use of health facility by the socioeconomic groups. Keywords: Health seeking behaviour, Socioeconomic class, Health facility
Item Type:Essay (Master)
Faculty:ITC: Faculty of Geo-information Science and Earth Observation
Programme:Geoinformation Science and Earth Observation MSc (75014)
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