This paper assesses the seasonal variations of the time and financial costs of illness for rural households in Burkina Faso.
It is based on a multiple round survey of 566 households, which included a time allocation study.
The economic parameters of households which influence health seeking behavior changed substantially between the dry and rainy seasons : revenues fell in the rainy season and were exceeded by expenditures.
Household production was at its peak in the rainy season resulting in significantly higher opportunity costs of time.
At the same time illness perception changed : in the rainy season, significantly fewer illness episodes were perceived, and of those, the proportion perceived as severe decreased over-proportionally.
Households shifted their healer choice in the rainy season away from high cost treatment, such as the hospital and dispensary, to low cost home treatment.
For all these reasons, households incurred significantly fewer costs of illness in the rainy season (27% of dry season costs).
Household health care expenditures were reduced to 1/6 of dry season levels, the time costs incurred by healthy household members to tend to the sick was reduced to 1/5 and the time costs of work incapacity due to sickness fell to about 1/2 of dry season levels.
The authors stress the need to carry out research in all relevant seasons when studying health seeking behavior and the household costs of illness in order to avoid serious seasonal bias. (...)
Mots-clés Pascal : Ménage, Dépense, Santé, Maladie, Coût, Analyse économique, Demande thérapeutique, Utilisation, Perception sociale, Variation saisonnière, Homme, Burkina Faso, Afrique
Mots-clés Pascal anglais : Household, Expenditure, Health, Disease, Costs, Economic analysis, Therapeutical request, Use, Social perception, Seasonal variation, Human, Burkina Faso, Africa
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0380981
Code Inist : 002B30A01B. Création : 10/04/1997.