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For-profit sector immunization service provision

Does low provision create a barrier to take-up

Bibliographic Data

ID11490504
AuthorsNikhil Sood (0000-0001-9805-213X, University of Southern California), Zachary Wagner (0000-0003-2922-3315, University of Southern California, corresponding author)
Year2013
Volume28
Issue7
Pages730-738
Publication date2013-10-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Policy and Planning (JOURNAL)
Journal identifiersISSN: 0268-1080 • E-ISSN: 1460-2237
PublisherOxford University Press (PUBLISHER • GB)
DOI10.1093/heapol/czs113
PMID23144204
OpenAlexW2166345596
LanguageEN
Citations received1
References cited20

Achievement of the health-related Millennium Development Goals is dependent on increasing take-up of preventive public health services (PHSs) in developing countries. Poor country governments often lack the resources to provide optimal access to preventive services and a great deal of attention is being directed towards the private sector to fill this void. In many developing countries, the private sector already plays a large role in health care. However, the for-profit private sector has little incentive to provide PHSs. The lack of provision of services by the for-profit sector may create a barrier to take-up of these services. In this study, we use data from a census of health facilities combined with data from community and provider surveys from Kenya to analyse whether the private for-profit sector has lower provision rates of child immunization services, and subsequently whether this creates a barrier that results in lower immunization take-up. We show that only 34% of for-profit facilities provide immunizations and that in areas with a larger share of for-profit providers, children are more likely to have no immunization coverage. Our model predicts that the odds of a child receiving no immunization coverage are 4.8 times higher in areas where all health facilities are for-profit compared to areas with no for-profit facilities. This indicates that a policy of engagement with the private for-profit sector aimed at increasing provision of immunization services may be an effective strategy for increasing take-up.

Business · Developing country · Economic growth · Economics · Health care · Incentive · Private sector · Public economics · Public sector · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Vaccine Coverage and Hesitancy

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Unique citing works1
Citations per year0.33
Citation span2023 - 2023 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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