Social and psychological costs of preventive child health services in Haiti

Jeannine Coreil, Antoine Augustin, Neal A Halsey, Elizabeth Holt

Research output: Contribution to journalArticle

Abstract

Much of the research on determinants of health service utilization has focused on economic and cognitive variables which influence preventative health behavior. Our ethnographic study of maternal perceptions of the barriers and incentives to immunization use in Haiti underscores the importance of 'hidden' social and psychological costs of utilization, such as embarrassment, fear, child care difficulties, and competing demands on maternal time. Findings from focus group interviews with mothers, individual interviews with health care providers, and observation at health posts identified five categories of maternal factors (competing priorities, low motivation, socioeconomic constraints, fears about health or social consequences, knowledge and folk beliefs) and five categories of system factors (accessibility, acceptability, availability, accomodation, affordability) which can deter immunization completion. The discussion focuses on how these factors influence maternal decision-making regarding use of preventive child health services. More attention is needed on the psychosocial costs of health behavior in developing country settings.

Original languageEnglish (US)
Pages (from-to)231-238
Number of pages8
JournalSocial Science and Medicine
Volume38
Issue number2
DOIs
StatePublished - 1994

Fingerprint

Preventive Health Services
Child Health Services
Haiti
child health
health services
health behavior
health service
utilization
Mothers
Psychology
anxiety
Costs and Cost Analysis
immunization
health consequences
costs
interview
child care
cost
social effects
Health Behavior

Keywords

  • child health
  • Haiti
  • psychosocial costs
  • utilization of services

ASJC Scopus subject areas

  • Economics and Econometrics
  • Public Health, Environmental and Occupational Health
  • Social Psychology
  • Development
  • Health(social science)
  • Earth and Planetary Sciences(all)
  • Environmental Science(all)

Cite this

Social and psychological costs of preventive child health services in Haiti. / Coreil, Jeannine; Augustin, Antoine; Halsey, Neal A; Holt, Elizabeth.

In: Social Science and Medicine, Vol. 38, No. 2, 1994, p. 231-238.

Research output: Contribution to journalArticle

Coreil, Jeannine ; Augustin, Antoine ; Halsey, Neal A ; Holt, Elizabeth. / Social and psychological costs of preventive child health services in Haiti. In: Social Science and Medicine. 1994 ; Vol. 38, No. 2. pp. 231-238.
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