We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

The Demand for Primary Health Services in the Third World

David Hemenway, PhD
JAMA. 1985;254(21):3111. doi:10.1001/jama.1985.03360210127053.
Text Size: A A A
Published online


Making services available does not ensure that they will be used; "supply" is a necessary but not sufficient condition for utilization. For example, the establishment of up-to-date government-run health clinics in less-developed countries does not guarantee that the poor will receive modern medical care.

As economists, Akin et al focus on the "demand" for primary health care. Their book attempts to identify the crucial factors affecting actual consumption of available health services in the Third World.

After reviewing the diverse and often noneconomic theoretical and empirical literature, the authors analyze data from the Bicol region of the Philippines. Surprisingly, there is no dearth of medical resources available in this poor rural area. The sick have a variety of options; the book tries to explain statistically their choice among self-help, traditional providers, modern private practitioners, and government clinics.

The government clinics are nominally free, but there are drug prices, transportation expenses,


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.