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Estimating Catastrophic Health Expenditures from Household Surveys: Evidence from Living Standard Measurement Surveys (LSMS)-Integrated Surveys on Agriculture (ISA) from Sub-Saharan Africa.
| Content Provider | Europe PMC |
|---|---|
| Author | Ssewanyana, Sarah Kasirye, Ibrahim |
| Abstract | BackgroundOut of pocket (OOP) payments for healthcare remain a significant health financing challenge in sub-Saharan Africa (SSA). Understanding the drivers and impacts of this financial health burden is both an economic and a public health priority.ObjectiveThis study examines how the burden of OOP health expenditures varies with different thresholds for financial catastrophe.MethodsThe analysis is based on Livings Standards Measurement Surveys (LSMS)-Integrated Surveys on Agriculture (ISA) for five SSA countries—Ethiopia, Malawi, Nigeria, Tanzania, and Uganda. We estimate the degree by which OOP payments as share of total household non-food expenditures exceed either the 15 or 25% threshold.ResultsFor the countries considered, the severity of OOP payments is substantial—the average positive overshoot (beyond the 25% threshold) is above 10%, except for Nigeria. This reflects a higher percentage of OOP in total household health expenditures—compared to taxes and contributions—especially among the poor in these specific countries. Regarding sensitivity of distribution of catastrophic health expenditures, we find that households with low non-food expenditures are more likely to incur catastrophic payments with the exception for Uganda where catastrophic payments increase with the increase of non-food household expenditures.ConclusionThe burden of catastrophic health expenditures remains large. In order to reduce this burden, public health expenditures need to be expanded as an alternative. This calls for renewed attention to expand public revenues as the most sustainable methods of financing health expenditures in Africa. |
| Related Links | https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC7481041&blobtype=pdf |
| ISSN | 11755652 |
| Journal | Applied Health Economics and Health Policy [Appl Health Econ Health Policy] |
| Volume Number | 18 |
| DOI | 10.1007/s40258-020-00609-1 |
| PubMed Central reference number | PMC7481041 |
| Issue Number | 6 |
| PubMed reference number | 32909224 |
| e-ISSN | 11791896 |
| Language | English |
| Publisher | Springer International Publishing |
| Publisher Date | 2020-12-01 |
| Publisher Place | Gewerbestrasse 11, Cham, Ch 6330, Switzerland |
| Access Restriction | Open |
| Rights License | Open AccessThis article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License, which permits any non-commercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc/4.0/. © The Author(s) 2020 |
| Content Type | Text |
| Resource Type | Article |
| Subject | Economics and Econometrics Health Policy |
