The Contribution of Income Levels to Access to Healthcare Services by The Elderly in Bagamoyo District, Pwani Region, Tanzania

Purpose of the Study: This study aimed to evaluate the contribution of income levels to access to healthcare services by the elderly in the Bagamoyo District, Pwani Region.Research Methodology: The study employed a mixed-method research design under a pragmatic research philosophy. A total of 237 elderly people who were the primary respondents participated in the study after being selected using a multistage, random sampling method. Purposive sampling techniques were used for selecting the key informants. Data was collected using structured questionnaires, key informant interviews, and focus group discussions. Descriptive and inferential statistical analyses were performed using SPSS software.Findings of the Study: The findings revealed a significant positive relationship between income levels and access to healthcare services among the elderly in the Bagamoyo district. Elderly individuals with higher income levels reported better access to healthcare services compared to those with lower income levels. The study also highlighted the inadequate coverage of health social security provisions and the challenges faced by elderly individuals in rural areas.Conclusion: The study concludes that income levels play a crucial role in determining access to healthcare services for the elderly in the Bagamoyo district. Addressing the financial barriers and socio-economic challenges faced by the elderly is essential for improving their access to healthcare.Recommendation: The study recommends the development of comprehensive social protection measures, targeted financial assistance programs, and context-specific interventions to address the healthcare needs of the elderly, particularly those in rural areas with limited income.