Healthcare Seeking Behavior of People Below Poverty Line: Pattern and Determinants

Abstract

ABSTRACT The severity and type of morbidity largely define the health-seeking behavior of an individual, although the socioeconomic determinants also play an important role. In this paper, the health-seeking behavior of individuals from the “Below Poverty Line” is analyzed by using the individual-level data of the Indian Human Development Survey (IHDS)-II (2011–12). The trend and pattern of both major and short-term morbidity among the individuals from the “Below Poverty Line” are analyzed along with the comparison with individuals from the “Above Poverty Line.” Further, The logit regression model is used to determine the prominent socioeconomic factors of health-seeking behavior among individuals from “Below Poverty Line” and the decomposition analysis is conducted to determine the factor contributing to widening or narrowing the gap in getting treatment by individuals from both income groups. The result shows that individuals from the “Below Poverty Line” have a comparatively lower burden of major morbidity but also get lower treatments. The condition of women is more concerning. Socioeconomic factors such as “place of residence,” “education,” marital status, “age,” and “caste” are significant to the health-seeking behaviors of individuals from the “Below Poverty Line.” Further, “education” and “primary activity” are two major factors for both major and short-term morbidity that widen the gap in the health-seeking behavior of individuals from both income groups. However, factors such as “place of residence” and caste increase the gap in case of only short-term morbidity.