Medical-purposed travel behaviors in rural areas in developing countries: a case study in rural Cambodia

This study aimed at identifying influencing factors in an individual’s choice of health service facility and transportation mode to the facility, using two datasets: one collected through face-to-face interviews held between February and March 2016, containing responses from 258 local residents, and the other collected from 45 residents in the follow-up survey in December 2016. The study area was located in rural Cambodia, where road conditions were recently improved and a health sector policy was implemented to assist poor people in accessing to health services. An empirical analysis was carried out using nested logit models, consisting of two choices of three travel modes (private, shared, or walking) and two types of public health service facilities (health center or referral hospital). The results revealed the following: (1) individuals in households with motorcycles tend to visit health service facilities using private travel modes, whereas individuals in households without their own transportation tend to visit health service facilities using shared travel modes or on foot, and (2) travel distance between individuals’ houses and the selected facilities likely discourages people from visiting referral hospitals, where a variety of health services are available, but does not affect the choice of health centers, offering limited health services while being located closer to residential areas. These findings suggested the need to equip health centers with more functions as health service providers and to operationalize public transportation services for those who cannot afford to visit referral hospitals, which would enable people to receive necessary health services more conveniently.