Abstract
Using
the panel component of the General Household Survey we examined health care
facility choice among Nigerians. Our analysis focused on access to, and choice
of facility under different scenarios. When individuals in all socio-economic
groups are presented with one facility at a time, we find that private health
facilities are the most popular. However, when all the health care facilities
are simultaneously made available to all socio-economic groups, the predicted
probabilities from multinomial probit model show that individuals in the
richest socio-economic group are twice as likely to go to a private health
facility as the individuals in the poorest group. Surprisingly, all income
groups choose spiritual/religious institutions ahead of public health
facilities when presented with all categories of facilities. When a poor person
chooses to bypass a less costly public facility and pay for care further away,
such action is especially bothersome. This phenomenon of bypassing cheaper
medical care for more expensive care is indicative of the tremendous task ahead
of policymakers in providing accessible and quality care.
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