Socioeconomic and spatial determinants of child health services utilization in Nepal

High child mortality and morbidity in developing countries are closely associated with limited access to and poor quality of health care. In Nepal, previous studies reveal disparities in child health outcomes by gender, geographic location, and across socioeconomic levels. Still, determinants of utilization of child health services have not been rigorously examined while incorporating the spatial dimension. Using four Nepal DHS surveys, we analyze the association of socioeconomic and geographic determinants on child health services utilization over time and across geographic regions. Formal health service coverage is assessed through the use of GIS and measures of spatial association show the likelihood of these pediatric patients seeking diarrhea and/or respiratory illness care. Preliminary results will demonstrate the role of child, mother and household-level socioeconomic determinants in determining health services utilization for children in Nepal, and how the relationships change over time. This study demonstrates the usefulness of the DHS survey and associated spatial data as tools to conduct health services research. In order to improve child mortality and morbidity, it is important to understand the determinants of healthcare use so that appropriate policies and programs can be designed to maximize health services use.