Farm households in Niger face health expenses each year. This study on Analysis of the health expenditure's weight in the household economy was conducted in the rural commune of Kourtheye, in the department of Tillaberi located in the Tillaberi region (NIGER). The adopted methodology is based on a documentary research and a collection of primary data at the level of the households in 6 villages. The extensive Household economic approach (HEA) methodological approach, combined with the amplitude class discretization method was used. A total of 125 farm households were surveyed. the study shown that the share of health spending by farm households increases from very poor households to wealthy households. In relative value among the very poor (VP), the share of health expenditure is 13.4% against 15.4% among the poor (P), 19.2% among the middle (M) and 21% among the wealthy (W). Thus, according to the World Health Organization, these households incur catastrophic expenses. The main pathologies in the area are chronic diseases, malaria, bilharzia and work accidents. Spending by households on self-medication is higher among VP (63%) and P (57%), and low among the middle (15%) and wealthy (19%). This is explained by the fact that the poor do not have enough financial resources to care for their sick in health centers, unlike the middle and wealthy farm households.
Dans les pays en développement, la faible performance de l'agriculture est en grande partie responsable du phénomène récurrent d'insécurité alimentaire. Les cultures enregistrent une faible productivité en raison de nombreuses contraintes non seulement socioéconomiques mais également biotiques et abiotiques. Des recherches ont montré que la productivité est influencée par la santé et la présente étude analyse spécifiquement l'impact du paludisme sur la production agricole des ménages de la vallée du fleuve. Cet article présente les résultats d'une étude prospective de cohorte. Au total, 180 ménages ont été suivis pendant une période d'un an. Il ressort de l'étude que le paludisme affecte le rendement des ménages agricoles. En effet, l'impact négatif du paludisme sur la production irriguée est statiquement significatif (P=0.000). Par ailleurs, le risque relatif (3,17) calculé dans l'intervalle de confiance (IC) de 95% montre la présence d'association positive entre les dépenses catastrophiques et le rendement agricole avec une valeur de P (12.10 -7 ). La moyenne des incidences cumulées du paludisme dans les ménages et la période à laquelle est intervenu l'arrêt de travail influent également le rendement.
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