Health seeking behaviour in four Indian States

Project Details

We propose to provide an understanding of health seeking behaviour in two States with low levels of health system development: Odisha and Uttar Pradesh; and two with higher levels of health system development: Maharashtra and Tamil Nadu.

The rationale for this is to better understand the differences between health seeking behaviour in more and less developed health systems at the State level in India, and to sharpen hypotheses about the evolution of health seeking behaviour as health systems develop effectively. The analysis of Odisha and Uttar Pradesh will provide a baseline for health system interventions yet to be introduced, that seek to strengthen elements such as public primary care. Evidence from future repeat analyses may suggest that change in health seeking behaviour patterns is consistent with effective health system development.

We will explore:

What factors are associated with (a) the decision to use medical care and (b) the choice among available medical providers?
What are the health expenditure consequences of both decisions, and with respect to CHE and IHE?
What are the earnings (wages and other sources of income of households) consequences of both decisions?
What are the patterns of resort (what are the common pathways between providers and provider type including primary and higher levels; public and private; qualified and unqualified) in relation to a chronic condition common among adults, an acute condition common among children, and gynaecological problems among women?