What influences where they seek care? Caregivers’ preferences for under-five child healthcare services in urban slums of Malawi: A discrete choice experiment

PLoS ONE

Volumn 13, Issue 1, 2018, Pages

  Lungu, Edgar Arnold ^a   Obse, Amarech Guda ^b   Darker, Catherine ^c   Biesma, Regien ^d  

^a UNICEF   (United States)

^b UNIVERSITY OF CAPE TOWN   (South Africa)

^c TRINITY COLLEGE DUBLIN   (Ireland)

^d ROYAL COLLEGE OF SURGEONS IN IRELAND   (Ireland)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CAREGIVER; CELL PROLIFERATION; CHILD; CHILD HEALTH; CHILDHOOD; CLINICAL ARTICLE; FEMALE; HEALTH CARE DELIVERY; HEALTH CARE FACILITY; HEALTH CARE PERSONNEL; HEALTH CARE UTILIZATION; HUMAN; INVESTMENT; MALAWI; MALE; PHYSICAL EXAMINATION; ADOLESCENT; ADULT; CHILD HEALTH CARE; DECISION MAKING; ECONOMICS; FINANCIAL MANAGEMENT; INFANT; LONGITUDINAL STUDY; POVERTY; PRESCHOOL CHILD; PSYCHOLOGY; QUESTIONNAIRE; URBAN POPULATION; YOUNG ADULT;

ADOLESCENT; ADULT; CAREGIVERS; CHILD HEALTH SERVICES; CHILD, PRESCHOOL; CHOICE BEHAVIOR; FINANCING, PERSONAL; HUMANS; INFANT; LONGITUDINAL STUDIES; MALAWI; POVERTY; SURVEYS AND QUESTIONNAIRES; URBAN POPULATION; YOUNG ADULT;

EID: 85040861472     PISSN: None     EISSN: 19326203     Source Type: Journal    
DOI: 10.1371/journal.pone.0189940     Document Type: Article

References (46)

1. Rutherford ME, Mulholland K, Hill PC. How access to health care relates to under-five mortality in sub-Saharan Africa: systematic review. Tropical Medicine & International Health. 2010; 15: 508–19.
2. Lee S, Godwin OP, Kim K, Lee E. predictive factors of patient satisfaction with pharmacy services in South Korea: A cross-sectional study of national level data. PLoS One. 2015; 10: 11: https://doi.org/10.1371/journal.pone.0142269
3. Knowledge Network on Health Systems. Challenging inequities through health systems. Geneva: World Health Organisation; 2007.
4. Walker N, Yenokyan G, Friberg IK, Bryce J. Patterns in coverage of maternal, newborn, and child health interventions: projections of neonatal and under-5 mortality to 2035. Lancet. 2013; 382: 1029–38. https://doi.org/10.1016/S0140-6736(13)61748-1 PMID: 24054534
5. Pokhrel S. Scaling up health interventions in resource-poor countries: what role does research in stated-preference framework play?. Health Research Policy and Systems. 2006; 4.
6. Government Of Malawi. Malawi Health Sector Strategic Plan (HSSP) 2017–2022. Lilongwe: Ministry of Health; 2017.
7. Government Of Malawi. Child health strategy for survival and health development of Under-five Children in Malawi. Lilongwe: Ministry of Health; 2013
8. Government Of Malawi. Malawi Health Sector Strategic Plan (HSSP) 2011–2016: moving towards equity and quality. In: HEALTH M. O. (ed.). Lilongwe: Ministry of Health; 2011
9. APHRC. Population and health dynamics in Nairobi’s informal settlements. Nairobi: Nairobi African Population and Health Research Centre. 2002.
10. Knowledge Network on Urban Settings. Our cities, our health, our future: acting on social determinants for health equity in urban settings. Tokyo: World Health Organisation; 2008
11. Harpham T. Urban health in developing countries: What do we know and where do we go? Health & Place. 2009; 15: 107–116.
12. UN-HABITAT. The State of the World’s Cities Report 2006/2007. London: United Nations Human Settlements Programme; 2006.
13. Kimani-Murage EW, Fotso JC, Egondi T, Abuya B, Elungata P, Ziraba AK et al. Trends in childhood mortality in Kenya: the urban advantage has seemingly been wiped out. Health Place. 2014; 29:95–103. https://doi.org/10.1016/j.healthplace.2014.06.003 PMID: 25024120
14. Bassiahi A.S, Mberu B, Elungata P, Lankoande B, Millogo R, Beguy D, & Compaore Y. Understanding inequities in child vaccination rates among the urban poor: Evidence from Nairobi and Ouagadougou health and demographic surveillance systems. Journal of Urban Health. 2014; 92:1. https://doi.org/10.1007/s11524-014-9908-1 PMID: 25316191
15. UN-HABITAT. The Malawi urbanisation challenge. 2010. Retrieved from http://www.unmalawi.org/agencies/unhabitat.html [Accessed 7 July 2010].
16. Lungu E.A, Biesma R, Chirwa M, Darker C. (2016) Healthcare seeking practices and barriers to accessing under-five child health services in urban slums in Malawi: a qualitative study. BMC Health Services Research 2016; 16: 410. https://doi.org/10.1186/s12913-016-1678-x PMID: 27542836
17. Hanson K, Mcpake B, Nakamba P, Archard L. Preferences for hospital quality in Zambia: results from a discrete choice experiment. Health Economics. 2005; 14: 687–701 https://doi.org/10.1002/hec.959PMID: 15619273
18. Honda A, Ryan M, Van Niekerk R, Mcintyre D. Improving the public health sector in South Africa: eliciting public preferences using a discrete choice experiment. Health Policy & Planning. 2015; 30: 600–611.
19. Kruk ME, Rockers PC, Tornorlah VS, Macauley R. Population preferences for health care in liberia: insights for rebuilding a health system. Health Service Research. 2011; 46: 2057–78.
20. Larson E, Vail D, Mbaruku GM, Kimweri A, Freedman LP, Kruk ME. Moving toward patient-centered care in Africa: A discrete choice experiment of preferences for delivery care among 3,003 Tanzanian women. PLoS One. 2015; 11: 10 (8):e0135621. https://doi.org/10.1371/journal.pone.0135621 PMID: 26262840
21. Michaels-Igbokwe C, Lagarde M, Cairns J, Integra Initiative, Terris-Prestholt F. Designing a package of sexual and reproductive health and HIV outreach services to meet the heterogeneous preferences of young people in Malawi: results from a discrete choice experiment. Health Economics Reviews. 2015; 9:5–9. https://doi.org/10.1186/s13561-015-0046-6
22. de-Bekker-Grob EW, Ryan M, Gerard K. Discrete choice experiments in health economics: a review of the literature. Health Economics. 2012; 21: 145–72 https://doi.org/10.1002/hec.1697 PMID: 22223558
23. Mandeville KL, Ulaya G, Lagarde M, Muula AS, Dzowela T, Hanson K. The use of specialty training to retain doctors in Malawi: A discrete choice experiment. Social Science & Medicine. 2016; 169:109–118. https://doi.org/10.1016/j.socscimed.2016.09.034 PMID: 27716548
24. Mangham LJ, Hanson K. Employment preferences of public sector nurses in Malawi: results from a discrete choice experiment. Tropical Medicine and International Health. 2008; 13(12):1433–41. https://doi.org/10.1111/j.1365-3156.2008.02167.x PMID: 18983274
25. Michaels-Igbokwe C, Lagarde M, Cairns J, Terris-Prestholt F. Using decision mapping to inform the development of a stated choice survey to elicit youth preferences for sexual and reproductive health and HIV services in rural Malawi. Social Science & Medicine. 2014; 105:93–102. doi: 10.1016/j. socscimed.2014.01.016. Epub 2014 Jan 22.PMID: 24509049
26. Abiiro GA, Torbica A, Kwalamasa K, De Allegri M. Eliciting community preferences for complementary micro health insurance: a discrete choice experiment in rural Malawi. Social Science & Medicine. 2014; 120:160–8. https://doi.org/10.1016/j.socscimed.2014.09.021 PMID: 25243642
27. Government of Malawi. National Strategic Plan for Accelerated Child Survival and Development in Malawi. Lilongwe: Government of Malawi: Ministry of Health; 2008.
28. Mangham LJ, Hanson K, Mcpake B. How to do (or not to do). . . designing a discrete choice experiment for application in a low-income country. Health Policy & Planning. 2009; 24: 151–158.
29. Biesma RG, Pavlova M, Merode GGV, Groota W. Using conjoint analysis to estimate employers preferences for key competencies of master level Dutch graduates entering the public health field. Economics of Education Review. 2007; 26: 375–386.
30. Kuhfeld WF. Marketing research methods in SAS. Experimental design, choice, conjoint and graphical techniques. Cary, NC: SAS Institute Inc. 2010. Available: http://support.sas.com/techsup/technote/?mr2010.pdf. Accessed: Nov, 2012.
31. Ryan M, Gerard K, Amaya-Amaya M. (eds.). Using discrete experiments to value health and health care, Dordrecht: Springer; 2008
32. Train K. Discrete Choice Methods with Simulation. Cambridge University Press; 2002.
33. Louviere JJ, Hensher DA, Swait JD. Stated Choice Methods: Analysis and Applications. Cambridge: Cambridge University Press; 2000
34. Lancaster JK. A new approach to consumer theory. The Journal of Political Economy. 1966; 74 (2):132–157
35. McFadden D. Conditional logit analysis of qualitative choice behaviour. In: Zarembka P (ed). Frontiers in Econometrics. pp. 105–142. New York: Academic Press; 1974.
36. Manski CH. The Structure of Random Utility Models. Theory and Decision. 1977; 8: 229–254.
37. Hole AR. Fitting mixed logit models by using maximum simulated likelihood. The Stata Journal. 2007; 7:388–401
38. Lusk JL. Effects of cheap talk on consumer willingness to pay for golden price. American Journal of Agricultural Economics. 2003; 85:840–56
39. Obse A, Ryan M, Heidenreich S, Normand C, Hailemariam D. Eliciting preferences for social health insurance in Ethiopia: a discrete choice experiment. Health Policy and Planning. 2016; 31(10):1423–32 https://doi.org/10.1093/heapol/czw084 PMID: 27418653
40. WHO. Everybody’s business: Strengthening health systems to improve health outcomes: WHO’s framework for action. Geneva: World Health Organisation; 2007.
41. Kruk ME, Paczkowski MM, Tegegn A et al. Women’s preferences for obstetric care in rural Ethiopia: a population-based discrete choice experiment in a region with low rates of facility delivery. Journal of Epidemiology & Community Health. 2010; 64: 984–88
42. Michaels-Igbokwe C, Terris-Prestholt F, Lagarde M, Chipeta E; Integra Initiative, Cairns. Young people’s preferences for family planning service providers in rural Malawi: A discrete choice experiment. PLoS One. 2015; 2:10–2. https://doi.org/10.1371/journal.pone.0143287
43. Kruk ME, Paczkowski M, Mbaruku G, De Pinho H, Galea S. Women’s preferences for place of delivery in rural Tanzania: a population-based discrete choice experiment. American Journal of Public Health. 2009; 99: 1666–72. https://doi.org/10.2105/AJPH.2008.146209 PMID: 19608959
44. Noor AM, Zurovac D, Hay SI, Ochola SA & Snow RW. Defining equity in physical access to clinical services using geographical information systems as part of malaria planning and monitoring in Kenya. Tropical Medicine & International Health. 2003; 8: 917–26.
45. Knowledge Network on Urban Settings. Our cities, our health, our future: acting on social determinants for health equity in urban settings. Tokyo: World Health Organisation; 2008
46. Ryan M. Application of discrete choice experiments in health: training material. University of Aberdeen; 2012.