Does income inequality matters for accessing health facility? Evidence from Bangladesh

Kabir, Enamul and Biswas, Raaj Kishore (2018) Does income inequality matters for accessing health facility? Evidence from Bangladesh. In: Melbourne International Business and Social Science Research Conference 2018, 27-28 Oct 2018, Melbourne, Australia.

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Accessibility to health facilities is the key for improving the worldwide public health scenario. This paper investigates whether micro-level health status improves gradually for every income class despite the existence of growing income inequality as the macro-level economy flourishes. In this paper, Bangladesh is chosen as a sample for assessing the hypothesis. Bangladesh Demographic and Health Surveys (BDHS) of 2007, 2011 and 2014 were applied in this paper.

Three different models were applied for robustness. The proportional odds model showed the highest Pseudo−R2 and it was fitted to determine the relationship between wealth index and various health components.

The direction of the relationship between wealth index and various health components over the years was explored by the trend of the odds ratios. The fitted models showed that most of the health components (e.g. family health consciousness, women’s empowerment and reproductive health) significantly influenced wealth index at 5% level for all three data sets. However, the odds showed a shift towards one (Odds = 1), which reflects a reduction of influence on household economic status from 2007 to 2014. From 2007 to 2014, Bangladesh has doubled its per-capita GDP and showed remarkable achievements in Millennium Development Goals (MDGs) despite increasing inequality. Most health parameters showed less influence on wealth as the economy progressed.

The pattern suggests that health accessibility increases as the country advances economically even though high inequality exists. Therefore, overall development of a country is beneficial even for the most vulnerable part of the economic quantile because it enables access to health service despite their insolvency.

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Item Type: Conference or Workshop Item (Commonwealth Reporting Category E) (Speech)
Refereed: Yes
Item Status: Live Archive
Additional Information: Oral presentation - Abstract only published in Proceedings. No evidence of copyright restrictions preventing deposit of Accepted Abstract.
Faculty / Department / School: Current - Faculty of Health, Engineering and Sciences - School of Agricultural, Computational and Environmental Sciences
Date Deposited: 01 Nov 2018 04:42
Last Modified: 16 Nov 2018 04:35
Uncontrolled Keywords: public health, reproductive health, economic growth, measure DHS, ordinal outcome scale, Bangladesh
Fields of Research : 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified

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