Economic prosperity and non-communicable disease: understanding the linkages

Mahal, Ajay; Sutton, Lainie

doi:10.4337/9781781004296.00018

Cited by 6 publications

(6 citation statements)

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“…Rural households are the most impoverished by health expenditures at 6.24% compared to 4.18% in urban households. The findings are similar to those obtained in the literature [23,29,30].The distribution of NCDs showed marginal variation by sex, with 48% of the patients being male and 52% female. These descriptive statistics are reported as Appendix Table A1.…”

Section: Descriptive Statistics For the Catastrophic Expenditure Modelsupporting

confidence: 91%

“…This study adopted the methodology by Mahal et al and Xu et al to estimate the contribution of NCDs to catastrophic expenditure [23,16]. Catastrophic spending occurs when health expenditure exceeds a household's ability to pay.…”

Section: Data Sourcementioning

confidence: 99%

“…However, there is no scientific consensus on what proportion constitutes catastrophic. Three studies have estimated anything above 40%, 10% and 30%, respectively, of a household's ability to pay as catastrophic [22,9,23].…”

Section: Introductionmentioning

confidence: 99%

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Catastrophic Health Expenditure and Household Impoverishment: a case of NCDs prevalence in Kenya

Mwai

Muriithi

2022

ebph

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ntroduction and problem: Non-Communicable Diseases (NCDs) have become one of the leading causes of morbidity and mortality in Kenya. Their claim on financial and time resources adversely affects household welfare. Health care cost for NCDs in Kenya is predominantly paid by households as OOP. Health expenditure on NCD stands at 6.2% of Total Health Expenditure which is 0.4 % of the total gross domestic product of the country. This expenditure scenario could have implications on household welfare through catastrophic expenditure in Kenya. Most studies done on catastrophic expenditure in Kenya have not looked at the effect of NCD on poverty. Methodology: The paper has investigated the determinants of catastrophic health spending in a household with special focus on the NCDs. It has also investigated the effect of catastrophic expenditure on household welfare.A National household level survey data on expenditure and utilization is used. Controlling for endogeneity, the results revealed that NCDs and communicable diseases contribute significantly to the likelihood of a household incurring catastrophic expenditure. Results: Although all types of sicknesses have negative effects on household welfare, NCDs have more severe impacts on impoverishment. Policy wise, government and development partners should put in place a health financing plan entailing health insurance and resource pooling as a mean towards social protection. Key words: ,

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Section: Descriptive Statistics For the Catastrophic Expenditure Modelsupporting

confidence: 91%

Section: Data Sourcementioning

confidence: 99%

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Catastrophic Health Expenditure and Household Impoverishment: a case of NCDs prevalence in Kenya

Mwai

Muriithi

2022

ebph

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“…Third, out-of-pocket payment for medical care is the most common payment method for medical services in India, where insurance coverage is low . Because medical care is one of the most common causes of debt for the rural poor, a key strategy was to make this program inclusive by linking it to government-sponsored social insurance. Indeed, we found that most spoke health care centers were not accredited for insurance reimbursement in the preimplementation period, and hence patients paid out of pocket for treatment.…”

Section: Discussionmentioning

confidence: 99%

A System of Care for Patients With ST-Segment Elevation Myocardial Infarction in India

et al. 2017

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“…From the previous literature on health and cancer care‐related catastrophic expenditure in low and middle income countries (LMICs), the anticipated proportion of cancer patients suffering catastrophic expenditure is around 45% [13,14]. For a prespecified absolute precision of 10% and 5% (error margins recommended by the United Nations for household surveys), a respective sample size of 95–380 patients would be required at a confidence interval of 95% [15].…”

Section: Quantitative Worktreammentioning

confidence: 99%

Catastrophic expenditure rates and barriers for treatment adherence in patients with colorectal cancer in India: The CROCODILE study protocol

Kingsley¹,

Simões²,

Bodhisattva³

et al. 2021

Colorectal Disease

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Aim:Little is known about the delivery of colorectal cancer treatment in India and its associated costs. The aim of this study is to identify financial and nonfinancial barriers to adherence to colorectal cancer treatment in India.Method: CROCODILE is a mixed-methods study with a quantitative and a qualitative workstream. The quantitative workstream will be a prospective cohort study to assess treatment adherence and catastrophic expenditure rates among patients with colorectal cancer in India. Consecutive newly diagnosed patients with histopathologically proven colorectal cancer from five tertiary hospitals in India will be included. Catastrophic expenditure will be defined as a treatment cost higher than 40% of nonsubsistence annual household income. Treatment costs will include medical, nonmedical and indirect expenses. Income assessment will be compared between three methods: patientreported income, the International Wealth Index and the Gapminder tool. The qualitative workstream will explore the views and experiences of colorectal cancer patients and professionals about barriers to and facilitators for treatment adherence. Individual semistructured interviews with three to five patients and cancer care professionals in each centre will be performed. An analytical framework will be developed to perform the analysis, through a combined approach (deductive and inductive). The results will be triangulated with the quantitative workstream for mutual knowledge enrichment. Conclusion:The CROCODILE study will identify barriers to and facilitators for colorectal cancer delivery in India, influencing research and policy decisions. It will explore the feasibility of collecting data on patient-level costs and income to inform future economic evaluations in cancer and surgical care.

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Economic prosperity and non-communicable disease: understanding the linkages

Cited by 6 publications

References 0 publications

Catastrophic Health Expenditure and Household Impoverishment: a case of NCDs prevalence in Kenya

Catastrophic Health Expenditure and Household Impoverishment: a case of NCDs prevalence in Kenya

A System of Care for Patients With ST-Segment Elevation Myocardial Infarction in India

Catastrophic expenditure rates and barriers for treatment adherence in patients with colorectal cancer in India: The CROCODILE study protocol

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