Determinants of household health expenditure on western institutional health care

Abstract

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.

Expanding access to primary care without additional budgets? A case study from Burkina Faso

“…They showed that on average the actual demand was only 44% of the medically correct need for medical treatment. This under-utilisation of health care in the Nouna health district was also demonstrated by recent publications of Su et al [30] and Mugisha et al [31,32]. Consequently, the number of consultations (including minor nursing care) of the CSPS would increase by 127% (=100/44 -1) to cover the medical needs.…”

“…transport to the health care institution, loss of labour). Some findings were published [24][25][26], but for the answer of the study question of this paper only the provider cost information system is needed.…”

Determinants of utilisation of maternal care services after the reduction of user fees: A case study from rural Burkina Faso

“…In line with earlier studies [10,13,14,36,38,63,64,66], the odds ratio estimates showed that women living close to a facility were much more likely to use maternal care services than women living far from a facility. Distance remained the single most important barrier in limiting access to care, both for women wishing to use ANC and women wishing to deliver in a health facility, probably largely because of the poor conditions of the roads, the absence of systematic transport, and the high direct and indirect costs associated with it [10,[67][68][69]. In particular, the remarkable magnitude of the relevant OR in model 2 as compared to model 1 suggests that while it may be possible to organise transport to the facility for a planned event, i.e.…”

Health service use, out-of-pocket payments and catastrophic health expenditure among older people in India: The WHO Study on global AGEing and adult health (SAGE)

“…Ordinary least square regression models are invalid to control for this potential sample selection 32. The Heckman model includes a two-stage procedure, with a selection equation including the probability of attending a health service in the first stage.…”