Effect of corruption on perceived difficulties in healthcare access in sub-Saharan Africa.

ABSTRACT:

Background

Achieving Universal Health Coverage (UHC) by improving financial protection and effective service coverage is target 3.8 of the Sustainable Development Goals. Little is known, however, about the extent to which paying bribes within healthcare acts as a financial barrier to access and, thus, UHC.

Methods

Using survey data in adults from 32 sub-Saharan African countries in 2014-2015, we constructed a multilevel model to evaluate the relationship between paying bribes and reported difficulties of obtaining medical care. We controlled for individual-, region-, and country-level variables.

Results

Having paid bribes for medical care significantly increased the odds of reporting difficulties in obtaining care by 4.11 (CI: 3.70-4.57) compared to those who never pa

SUBMITTER: Hsiao A 

PROVIDER: S-EPMC6703670 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature