Understanding the impact of eliminating user fees: Utilization and catastrophic health expenditures in Uganda

Xu, Kun; Evans, David B.; Kadama, Patrick; Nabyonga, Juliet; Ogwal, Peter Ogwang; Nabukhonzo, Pamela; Aguilar, Ana

doi:10.1016/j.socscimed.2005.07.004

Cited by 277 publications

(275 citation statements)

References 37 publications

Supporting

Mentioning

251

Contrasting

Unclassified

Order By: Relevance

“…Some studies assess payments in relation to the budget share [18,19], while others argue that catastrophic spending should be measured in relation to capacity to pay (i.e. household expenditure net of food spending) [20]. Nonetheless, all measures suggest that when households spend a large proportion of their budget on health care, they often forego other goods and services, which can have negative implications for living standards [21].…”

Section: Catastrophic Spendingmentioning

confidence: 99%

Household Catastrophic Health Expenditure Due To Tuberculosis: Analysis From Particularly Vulnerable Tribal Group, Central India

Muniyandi¹,

Rao²

2016

Mycology

View full text Add to dashboard Cite

Tuberculosis (TB) is disproportionately affects the most economically disadvantaged strata of society. Many studies have assessed the association between poverty and TB, but only a few have assessed the direct financial burden TB treatment and care can place on households. Patient costs can be catastrophic health expenditure for TB affected households in particularly vulnerable tribal groups (PVTGs). A survey of pulmonary tuberculosis (PTB) was carried out in Saharia dominated Pohri block of Shivpuri district of Madhya Pradesh state in central India during the period 2013 to 2014. Of 9964 surveyed, 280 PTB cases identified formed the study population for the present study. Among 280 TB patients identified, 220 (79%) cases interviewed at their residence by trained field investigators after obtaining written informed consent. This study demonstrates the economic burden in terms of direct, indirect and total costs for both diagnosis and treatment. In our sample, majority getting treatment free of costs and those who incurred costs, they faced catastrophic TB care expenditure amounted to 10%, which is the proportion of various costs in relation to annual family income. TB is a major cause of impoverishment, as it puts a heavy burden on the family budget, which can force families to absolute poverty. Our results suggest that policies to decrease direct and indirect TB patient costs are urgently needed to prevent chances of catastrophic payments to PVTGs. Also a high priority should be given to research that focuses on economic effects in different kind, in different time, in particular, among low-income groups.

show abstract

Section: Catastrophic Spendingmentioning

confidence: 99%

Household Catastrophic Health Expenditure Due To Tuberculosis: Analysis From Particularly Vulnerable Tribal Group, Central India

Muniyandi¹,

Rao²

2016

Mycology

View full text Add to dashboard Cite

show abstract

“…[43][44][45][46] (vii) Older persons may have systematically less access to healthcare than younger age groups. 47,48 Despite their importance, the insights generated thus far are unable to adequately fill the information gaps that have hindered progress in policy action on ageing and health in SSA countries.…”

Section: Policy Challengesmentioning

confidence: 99%

Understanding and Advancing the Health of Older Populations in sub-Saharan Africa: Policy Perspectives and Evidence Needs

Aboderin

2010

Public Health Rev

View full text Add to dashboard Cite

Background: Debate on policy challenges associated with the health of older populations in sub-Saharan Africa (SSA) has intensified in recent years, centering on a concern about older persons' vulnerability to ill-health and their exclusion from health services. Despite international policy calls and formal expressions of commitment on the part of SSA governments, comprehensive policy action has remained scant. The impasse reflects a lack of political will and an uncertainty about required policy approaches, engendered by wide gaps in understanding of old age-related health in the region. Purpose: The purpose of the paper is to pinpoint major approaches and areas of evidence needed as a priority to overcome the impasse in policy on ageing and health in SSA. Methodology: A critical review of relevant SSA and international scientific, policy and development literature conducted as part of a research project on Dimensions and determinants of health in old age in Kenya and Nigeria: implications for policy. Results: Six major areas of evidence and a spectrum of approaches are required to (i) strengthen the case on why action on old age-related health should be pursued in the SSA setting and (ii) clarify what concrete forms such action should take. Conclusion: A systematic research endeavour on the six areas is needed to advance policy and practice on the health of older populations in SSA. If accompanied by an explicit international comparative perspective such research also has the potential to significantly advance scientific debate on ageing and health globally.

show abstract

“…However, there is no consensus for what threshold delineates the true burden experienced by these households because a wide range of threshold criteria has been used in other studies. Catastrophic health expenditures have been defined as when direct health expenses exceed 5% to more than 20% of household income (Wyszewianski, 1986), as medical costs in excess of 10%-40% of the ability of a household to pay (Wagstaff and van Doorslaer, 2003), or when direct health care spending exceeds 40% of a household's other expenses, excluding subsistence needs (Xu et al, 2006). For the purpose of this study, we defined catastrophic health expenditure as medical expenses in excess of 10% of disposal income.…”

Section: Introductionmentioning

confidence: 99%

Changes in Economic Status of Households Associated with Catastrophic Health Expenditures for Cancer in South Korea

Choi¹,

Cho²,

Choi³

et al. 2014

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

Understanding the impact of eliminating user fees: Utilization and catastrophic health expenditures in Uganda

Cited by 277 publications

References 37 publications

Household Catastrophic Health Expenditure Due To Tuberculosis: Analysis From Particularly Vulnerable Tribal Group, Central India

Household Catastrophic Health Expenditure Due To Tuberculosis: Analysis From Particularly Vulnerable Tribal Group, Central India

Understanding and Advancing the Health of Older Populations in sub-Saharan Africa: Policy Perspectives and Evidence Needs

Changes in Economic Status of Households Associated with Catastrophic Health Expenditures for Cancer in South Korea

Contact Info

Product

Resources

About