Margaret E Kruk|Peter C. Rockers|S. Tornorlah Varpilah|Rose Macauley
Population Preferences for Health Care in Liberia: Insights for Rebuilding a Health System
Columbia University|Harvard Global Health Institute|Ministry of Health and Social Welfare|Ministry of Health and Social Welfare
objective quantify influence health system attributes particularly quality care preferences health clinics liberia country high burden disease rebuilding health system 14 years civil war data sourcesstudy setting informed focus group discussions discrete choice experiment dce designed assess preferences structure process care health clinics dce fielded rural northern liberia part 2008 populationbased survey health care utilization data collection survey response rate 98 percent dce data available 1431 respondents mixed logit models used estimate influence six attributes choice hypothetical clinics future illness principal findings participants choice clinic influenced provision thorough physical exam consistent availability medicines respectful treatment government versus ngo management marginally increased utility whereas waiting time significant conclusions liberians value technical quality care convenience courtesy public management selecting clinics curative care suggests investments improved competence providers availability medicines may increase population utilization essential services well promote better clinical outcomes