Allocation of family resources for health care in rural Haiti

Coreil, Jeannine

doi:10.1016/0277-9536(83)90259-9

Cited by 52 publications

(22 citation statements)

References 10 publications

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“…(More on this point in the following section.) Judging affordability of health charges solely on the basis of the existing health expenditure patterns and utilization responses to changes in the price level, masks, according to some commentators, the great dif®culties faced by some segments of the population, especially the poor and chronically ill, to pay user charges (Coreil, 1983;Abu-Zeid and Dann, 1985;Corbett, 1988;Gilson, 1988;Baum and Strenky, 1989;Stanton and Clemens, 1989;Waddington and Enyimayew, 1990;Abel-Smith and Rawall, 1992;Fabricant, 1992;McPake et al, 1993;Russell, 1996). Willingness to pay and demand studies normally do not examine how households obtain resources to pay for care, and how the health status and the overall welfare of the household and its members are affected when payments for care are made with greater dif®culty.…”

Section: Equity-enhancing Potential Of User Chargesmentioning

confidence: 98%

Are user charges efficiency‐ and equity‐enhancing? A critical review of economic literature with particular reference to experience from developing countries

Sepehri

Chernomas

2001

J of Intl Development

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User charges have come to play a significant role in the financing and delivery of publicly provided health services in many developing countries. As a response to health care financing crises, user charges are often promoted as a way of rationalizing the use of care, raising revenue, and improving the coverage and quality of services. The primary purpose of this paper is to provide a critical review of the main arguments for the efficiency- and equity-enhancing potential of user charges. The extent and scope of welfare gains from user charges are found to be very limited in practice. Using a less restrictive theoretical choice model and estimation technique, the most recent demand studies' findings indicate that household's utilization of health services are more responsive to changes in price and income than was initially reported by the early demand studies. Response to price changes are also found to be greater among the poor than the rich. These findings, combined with modest retained fee revenues and the failure of exemption mechanisms to protect the poor tend to cast doubt on the net benefits of user charges policy, particularly in the area of equity. Copyright © 2001 John Wiley & Sons, Ltd.

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Section: Equity-enhancing Potential Of User Chargesmentioning

confidence: 98%

Are user charges efficiency‐ and equity‐enhancing? A critical review of economic literature with particular reference to experience from developing countries

Sepehri

Chernomas

2001

J of Intl Development

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“…This reflects the felt need of the individual and may influence the decision on whether to seek health care, which type of health care to choose [5], and how much money to spend. This is the entry point into demand for health care [9].…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Determinants of household health expenditure on western institutional health care

Pokhrel

Gbangou

et al. 2006

Eur J Health Econ

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We try to identify determinants of illness reporting, provider choice and resulting expenditure with different econometric models using data from a representative household panel survey of 800 households in Nouna health district, Burkina Faso, during 2000-2001. The factors "being an adult", "married", "illness occurred in rainy season" and "severe illness" significantly increased the magnitude of health expenditure. Compared to malaria, individuals spent more on other infectious diseases, injury and the other disease category. In contrast, people were less likely to spend on chronic illness. An individual who belonged to a household headed by a female, a literate household head and with a higher household expenditure had a significantly positive association with the magnitude of expenditure. Findings from this study can be used for policy implication to improve health system performance in Burkina Faso through enhancing health care utilization.

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“…The perception of illness rather than disease was used to analyse out‐of‐pocket expenditure in Burkina Faso for two reasons: first, it is the perception that determines whether an individual seeks self‐treatment or any other type of health care provider (Coreil 1983). Secondly, the resulting expenditure depends to some extent on the perceived type and severity of illness.…”

Section: Data and Samplementioning

confidence: 99%

Examining out‐of‐pocket expenditure on health care in Nouna, Burkina Faso: implications for health policy

Mugisha

Kouyaté

Gbangou

et al. 2002

Tropical Med Int Health

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SummaryOBJECTIVE OBJ ECTIVE To examine household out-of-pocket expenditure on health care, particularly malaria treatment, in rural Burkina Faso.METHOD METHO D Comprehensive analysis of out-of-pocket expenditure on health care through a descriptive analysis and a second, multivariate analysis using the Tobit model with emphasis on malaria, based on 800 urban and rural households in Nouna health district. RESULTSRES ULTS Households will spend less on malaria, either in or outside the health facility, if given the choice to do so, because they feel con®dent to self-treat malaria. Seeking health care from a quali®ed health worker incurs more out-of-pocket expenditure than self-treatment and traditional healers, and if necessary, households sell off assets to offset the expenditure. More than 80% of household out-ofpocket expenditure is allocated to drugs.CONCLUSION CONCLUSION This has policy implications for malaria control and the Roll Back Malaria Initiative. Communities need to be educated on the risks of malaria complications and the potential risk of inappropriate diagnosis and treatment. Drug or health services pricing policy needs to create an incentive to use the health services. In the ®ght against malaria, building alliances between households, traditional healers and health workers is essential.keywords out-of-pocket expenditure, malaria, Burkina Faso, household, age bias, gender bias correspondence Frederick Mugisha,

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Allocation of family resources for health care in rural Haiti

Cited by 52 publications

References 10 publications

Are user charges efficiency‐ and equity‐enhancing? A critical review of economic literature with particular reference to experience from developing countries

Are user charges efficiency‐ and equity‐enhancing? A critical review of economic literature with particular reference to experience from developing countries

Determinants of household health expenditure on western institutional health care

Examining out‐of‐pocket expenditure on health care in Nouna, Burkina Faso: implications for health policy

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