Catastrophic Health Expenditure among Chronic Patients Attending Dessie Referral Hospital, Northeast Ethiopia

Yimer, Yohannes Shumet; Mohammed, Solomon Ahmed; Kahissay, Mesfin Haile; Demeke, Birhanu

doi:10.2147/ceor.s291463

Cited by 12 publications

(17 citation statements)

References 24 publications

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“…Of these, six articles were conducted at the national level [ 13 , 33 – 37 ]. The remaining 21 articles were conducted in different parts of Ethiopia: i.e., six articles were conducted in the south regional state [ 14 , 33 – 37 ], five articles in Amhara regional state [ 38 – 42 ], five articles in Addis Ababa city [ 43 – 47 ], three articles in Oromiya regional state [ 48 – 50 ], one article in Bensangual-Gumuz regional state [ 51 ], and one article in a combination of Afar and Oromiya regional states [ 52 ]. Finally, 17 articles were found to be eligible and included in the meta-analysis (Fig.…”

Section: Resultsmentioning

confidence: 99%

“…et.al. (2020) [ 47 ] Addis Ababa Cross-sectional 404 participants 6 Low risk Tsega G. et al (2021) [ 41 ] Amhara Cross-sectional 422 participants 7 Low risk Yohannes S. et al (2021) [ 42 ] Amhara Cross-sectional 302 chronically ill patients 6 Low risk …”

Section: Resultsmentioning

confidence: 99%

“…The pooled analysis of 14 studies identified that the mean catastrophic healthcare expenditures at 10% of threshold during utilization of healthcare services was 40.1% in Ethiopia (95%CI: 28.7, 52.2%) (SD = 20.4%) [ 13 , 14 , 35 , 36 , 38 – 42 , 44 , 47 , 48 , 50 – 52 , 56 ].…”

Section: Resultsmentioning

confidence: 99%

“…The pooled analysis of four studies identified that age increased the probability of Out-Of-Pocket / catastrophic healthcare expenditure (AOR 1.02, 95% CI: 0.98, 1.05) [ 36 , 42 , 44 , 47 ] (Table 3 ). Age < 30 years (AOR 7.74, 95% CI: 0.94, 63.62; P = 0.01) was associated with catastrophic healthcare expenditure [ 42 ]. In other words, increasing catastrophic healthcare expenditure with age could be attributed to illness complications [ 47 ].…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

The burden of household out-of-pocket healthcare expenditures in Ethiopia: a systematic review and meta-analysis

Borde

Kabthymer

Shaka

et al. 2022

Int J Equity Health

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Background In Ethiopia, household Out-Of-Pocket healthcare expenditure accounts for one-third of total healthcare expenditure, is one of the highest in the world, and still creates barriers and difficulties for households to healthcare access and may delay or forgo needed healthcare use. Despite the presence of a few highly dispersed and inconsistent studies, no comprehensive study was conducted. Therefore, in this systematic review and meta-analysis, we aimed at estimating the pooled estimates of the burden of household Out-Of-Pocket healthcare expenditures among Ethiopian households and identifying its determinants. Methods We systematically searched articles from PubMed / Medline and Google scholar databases and direct Google search engine without restriction on publication period. Cross-sectional and cohort articles and grey literature published in English were included. Data were extracted using Microsoft Excel. Two reviewers screened the titles, reviewed the articles for inclusion, extracted the data, and conducted a quality assessment. The third reviewer commented on the review. Articles with no abstracts or full texts, editorials, and qualitative in design were excluded. To assess quality, Joanna Briggs Critical Appraisal Tools was used. A Forest plot was used to present summary information on each article and pooled common effects. Potential heterogeneity was checked using Cochrane’s Q test and I-squared statistic. We checked publication bias using a Funnel plot. Moreover, subgroup and sensitivity analyses were performed. Meta-analysis was used for the pooled estimates using RevMan statistical software Version 5.4.1. Results In this review, a total of 27 primary articles were included (with a total sample size of 331,537 participants). Because of the presence of heterogeneity, we employed a random-effects model; therefore, the pooled burden household Out-Of-Pocket / catastrophic healthcare expenditure in Ethiopia was strongly positively associated with household economic status. The odds of facing Out-Of-Pocket / catastrophic healthcare expenditures among the poorest quintile was about three times that of the richest (AOR = 3.09, 95% CI: 1.63, 5.86) p-value < 0.001. In addition, on pooled analysis, the mean direct Out-Of-Pocket healthcare expenditures were $32 per month (95%CI: $11, $52) (SD = $45), and the mean indirect Out-of-Pocket healthcare expenditures were $15 per month (95%CI: $3, $28) (SD = $17). The mean catastrophic healthcare expenditure at 10% of threshold was also disproportionately higher: 40% (95%CI: 28, 52%) (SD = 20%). Moreover, the common coping mechanisms were a sale of household assets, support from family, or loan: 40% (95%CI: 28, 52%) (SD = 20%). Conclusion Our study revealed the evidence of inequity in financial hardship that the burden of household Out-Of-Pocket / catastrophic healthcare expenditures gap persists among Ethiopian households that is unfair and unjust. To reduce the detected disparities in seeking healthcare among Ethiopian households, national healthcare priorities should target poor households. This calls for the Ministry of Health to improve the challenges and their impact on equity and design better prepayment policies and strengthen financial protection strategies to protect more vulnerable Ethiopian households. Protocol registration The details of this protocol have been registered on the PROSPERO database with reference number ID: CRD42021255977.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The burden of household out-of-pocket healthcare expenditures in Ethiopia: a systematic review and meta-analysis

Borde

Kabthymer

Shaka

et al. 2022

Int J Equity Health

View full text Add to dashboard Cite

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“…These results are congruent with those of other recent investigations. Shumet et al observed that the most prevalent causes of catastrophic health spending among diabetic patients were high-cost services and medicines [ 31 ]. Other findings have shown that chronic disease-affected families are much more likely to spend on medicines than matched control unaffected families [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Households’ Direct Economic Burden Associated with Chronic Non-Communicable Diseases in Saudi Arabia

Almalki

Alahmari

Alqahtani

et al. 2022

IJERPH

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Households’ economic burden associated with chronic non-communicable diseases (NCDs) is a deterrent to healthcare access, adversely impacting patients’ health. Therefore, we investigated the extent of out-of-pocket (OOP) spending among individuals diagnosed with chronic NCDs among household members in Riyadh, Saudi Arabia. Face-to-face interviews were conducted among households in Riyadh Province from the beginning of January 2021 to the end of June 2021. The respondents were asked to record OOP spending throughout the past three months in their health. A generalized linear regression model was used to determine the effects of several factors on the level of OOP spending. A total of 39.6% of the households studied had at least one member with a chronic NCD. Diabetes patients spent an average of SAR 932 (USD 248), hypertension patients SAR 606 (USD 162), and hypothyroid patients SAR 402 (USD 107). It was shown that households with older and more educated members had greater OOP spending. Households with an employed head of household, more family members, higher SES status, health insurance coverage, and urban residency had significantly higher OOP expenditure. The burden of OOP spending for chronic NCD households remains high, with some disparities. The research offers important information for decision making to lower OOP cost among NCD households.

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Investigating catastrophic health expenditure among people living with HIV and AIDS in South Western Nigeria

Adeniran,

Ojo,

Chieme

et al. 2023

Health Care Science

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BackgroundThis study aimed to determine the catastrophic healthcare expenditure (CHE) among people living with HIV (PLHIV) in Lagos and to identify factors associated with CHE among them.MethodsThe study was a descriptive cross‐sectional survey conducted between January and March 2021 among 578 PLHIVs drawn from various healthcare facilities in Lagos where HIV care and treatment services should be provided free of charge. Data were collected through pretested questionnaires and analyzed using Stata SE 12.ResultsThe mean monthly expenditure on food was N29,282 ($53.2), while expenditure on healthcare averaged N8364 ($15.2). Nearly 60% of respondents experienced CHE, while around 30% had to borrow money to pay for some aspect of their medical treatment. Almost all (96%) had no health insurance plan. Respondents' group, personal income, perception of current health status, and the number of people in their households were significantly associated with catastrophic health expenditure p < 0.05. PLHIV in the racial/ethnic minority/migrants' group and those who earned less than ₦30,000 ($55) were statistically significantly associated with CHE at p < 0.001 with OR of 28.7 and 3.15, respectively.ConclusionsThe study, therefore, highlights the widespread financial hardship faced by PLHIV in accessing healthcare, and the need for policies to increase financial risk protection.

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Catastrophic Health Expenditure among Chronic Patients Attending Dessie Referral Hospital, Northeast Ethiopia

Cited by 12 publications

References 24 publications

The burden of household out-of-pocket healthcare expenditures in Ethiopia: a systematic review and meta-analysis

The burden of household out-of-pocket healthcare expenditures in Ethiopia: a systematic review and meta-analysis

Households’ Direct Economic Burden Associated with Chronic Non-Communicable Diseases in Saudi Arabia

Investigating catastrophic health expenditure among people living with HIV and AIDS in South Western Nigeria

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