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Utilization Patterns and Demand Determinants - Ilo - Cornell University

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The document analyzes the utilization patterns and demand determinants for education and health services in Madagascar, highlighting significant disparities based on income and location. It reveals that poorer households, particularly in rural areas, face substantial barriers to accessing education and health care. The study emphasizes the regressive nature of public service benefits, with wealthier individuals more likely to utilize these services. It also discusses the impact of household income and parental education on children's schooling and health care access. Policy simulations suggest that while modest fee increases for public services may not drastically reduce overall utilization, they disproportionately affect poorer households. Improvements in service quality are shown to have positive effects on enrollment rates, particularly for low-income families. The findings underscore the need for targeted investments in infrastructure and quality improvements to enhance access to education and health services for disadvantaged populations.

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