Abstract
services with poor people’s needs, expectations, and resources. This article presents a framework for analysis and action to explore and improve access to health care in resource-poor countries, especially in Africa. The framework links social science and public health research with broader development approaches to poverty alleviation. It was developed in the frame of the ACCESS Programme, which focuses on understanding and improving access to prompt and effective malaria treatment and care in rural Tanzania as an empirical case study [5,6]. The article first provides a brief outline of three approaches to investigating health care access, focusing either on health seeking, health services, or livelihoods. It then presents a framework that combines the three approaches, exemplified with research findings and interventions of the ACCESS Programme.
Highlights
Access to health care is a major health and development issue
The framework links social science and public health research with broader development approaches to poverty alleviation. It was developed in the frame of the ACCESS Programme, which focuses on understanding and improving access to prompt and effective malaria treatment and care in rural Tanzania as an empirical case study [5,6]
Health service studies concentrate on factors influencing access to health care, which they commonly define as utilization rates [15,16,17]
Summary
Access to Health Care in Contexts of Livelihood Insecurity: A Framework for Analysis and Action. More of the same is not enough [3]: To improve equitable access, innovative and community-based approaches are needed to better align health care. This article presents a framework for analysis and action to explore and improve access to health care in resource-poor countries, especially in Africa. The framework links social science and public health research with broader development approaches to poverty alleviation. It was developed in the frame of the ACCESS Programme, which focuses on understanding and improving access to prompt and effective malaria treatment and care in rural Tanzania as an empirical case study [5,6]. It presents a framework that combines the three approaches, exemplified with research findings and interventions of the ACCESS Programme
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