Behavioral Risk Factor and Primary Healthcare Utilization in South Africa

(1) Background: An effective and efficient primary healthcare service is one of the reforms designed to achieve universal healthcare coverage. The success of the reform however depends on the ability to identify factors that could undermine through avoidable use, the effectiveness of various deploye...

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Main Authors: Ebenezer Toyin Megbowon, Oladipo Olalekan David, Jabulile Lindiwe Makhalima
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/10/11/2186
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author Ebenezer Toyin Megbowon
Oladipo Olalekan David
Jabulile Lindiwe Makhalima
author_facet Ebenezer Toyin Megbowon
Oladipo Olalekan David
Jabulile Lindiwe Makhalima
author_sort Ebenezer Toyin Megbowon
collection DOAJ
description (1) Background: An effective and efficient primary healthcare service is one of the reforms designed to achieve universal healthcare coverage. The success of the reform however depends on the ability to identify factors that could undermine through avoidable use, the effectiveness of various deployed scarce resources. The prevalence of unhealthy lifestyle risk factors that have been identified as a critical public health issue, which stimulate vulnerability and mortality through the development of non-communicable diseases, also have implications for government health spending through healthcare utilization. (2) Objective: This study aims to investigate the effect of behavioral risk factors on primary healthcare utilization in South Africa. (3) Methods: Using the NIDS wave 4 data set and a binary logistic estimation technique, the study is premised on a modified Anderson model of health service utilization. (4) Results: The binary logistic regression estimation results clearly show the intercepting effect of smoking in public primary healthcare utilization. Equally, the effect of these lifestyle behavior risk factors on public PHC is evident in urban communities. (5) Conclusion: This study suggests that there is a need to intensify awareness on the health effect of smoking; strengthen and broaden law that bans smoking; and introduce the screening of smoking patients for recurring counselling sessions and intervention at primary healthcare facilities in the country’s urban communities.
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spelling doaj.art-1ba512a86ee74945988fbf9daa73b7ac2023-11-24T04:51:10ZengMDPI AGHealthcare2227-90322022-10-011011218610.3390/healthcare10112186Behavioral Risk Factor and Primary Healthcare Utilization in South AfricaEbenezer Toyin Megbowon0Oladipo Olalekan David1Jabulile Lindiwe Makhalima2School of Economic Science, North West University, Vanderbijlpark 1900, South AfricaSchool of Economic Science, North West University, Vanderbijlpark 1900, South AfricaSchool of Economic Science, North West University, Vanderbijlpark 1900, South Africa(1) Background: An effective and efficient primary healthcare service is one of the reforms designed to achieve universal healthcare coverage. The success of the reform however depends on the ability to identify factors that could undermine through avoidable use, the effectiveness of various deployed scarce resources. The prevalence of unhealthy lifestyle risk factors that have been identified as a critical public health issue, which stimulate vulnerability and mortality through the development of non-communicable diseases, also have implications for government health spending through healthcare utilization. (2) Objective: This study aims to investigate the effect of behavioral risk factors on primary healthcare utilization in South Africa. (3) Methods: Using the NIDS wave 4 data set and a binary logistic estimation technique, the study is premised on a modified Anderson model of health service utilization. (4) Results: The binary logistic regression estimation results clearly show the intercepting effect of smoking in public primary healthcare utilization. Equally, the effect of these lifestyle behavior risk factors on public PHC is evident in urban communities. (5) Conclusion: This study suggests that there is a need to intensify awareness on the health effect of smoking; strengthen and broaden law that bans smoking; and introduce the screening of smoking patients for recurring counselling sessions and intervention at primary healthcare facilities in the country’s urban communities.https://www.mdpi.com/2227-9032/10/11/2186healthcare utilizationpublic sectorbehavioral risk factorSouth Africa
spellingShingle Ebenezer Toyin Megbowon
Oladipo Olalekan David
Jabulile Lindiwe Makhalima
Behavioral Risk Factor and Primary Healthcare Utilization in South Africa
Healthcare
healthcare utilization
public sector
behavioral risk factor
South Africa
title Behavioral Risk Factor and Primary Healthcare Utilization in South Africa
title_full Behavioral Risk Factor and Primary Healthcare Utilization in South Africa
title_fullStr Behavioral Risk Factor and Primary Healthcare Utilization in South Africa
title_full_unstemmed Behavioral Risk Factor and Primary Healthcare Utilization in South Africa
title_short Behavioral Risk Factor and Primary Healthcare Utilization in South Africa
title_sort behavioral risk factor and primary healthcare utilization in south africa
topic healthcare utilization
public sector
behavioral risk factor
South Africa
url https://www.mdpi.com/2227-9032/10/11/2186
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