Catastrophic household expenditure for health care in low-income society: a study from Nouna District, Burkina Faso

To quantify the extent of catastrophic household health care expenditure and determine the factors responsible for it in Nouna District, Burkina Faso. We used the Nouna Health District Household Survey to collect data on 800 households during 2000-01 for our analysis. The determinants of household c...

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Vydané v:	Bulletin of the World Health Organization Ročník 84; číslo 1; s. 21 - 27
Hlavný autor:	Su, Tin Tin
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	Genève Organisation mondiale de la santé 01.01.2006 World Health Organization The World Health Organization
Predmet:	Biological and medical sciences Burkina Faso Catastrophic illness/economics Chronic disease/economics Chronic illnesses Cost Data collection Disease Economic impact Economic status Economics Episode of care Family Characteristics Family income Female Food Health care Health care expenditures Health conditions Health Expenditures Health services Health services utilization Health status Household expenditure Households Humans Low income groups Male Medical sciences Miscellaneous Morbidity Population Poverty Public health. Hygiene Public health. Hygiene-occupational medicine Research Article Socioeconomic factors Variables Burkina Faso Africa Human Costs Poverty Socioeconomic status Chronic disease Household Personal income Income Care Chronic Economy Health economy Expenditure Tropical medicine Economic aspect Public health
ISSN:	0042-9686, 1564-0604
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Abstract	To quantify the extent of catastrophic household health care expenditure and determine the factors responsible for it in Nouna District, Burkina Faso. We used the Nouna Health District Household Survey to collect data on 800 households during 2000-01 for our analysis. The determinants of household catastrophic expenditure were identified by multivariate logistic regression method. Even at very low levels of health care utilization and modest amount of health expenditure, 6-15% of total households in Nouna District incurred catastrophic health expenditure. The key determinants of catastrophic health expenditure were economic status, household health care utilization especially for modern medical care, illness episodes in an adult household member and presence of a member with chronic illness. We conclude that the poorest members of the community incurred catastrophic health expenses. Setting only one threshold/cut-off value to determine catastrophic health expenses may result in inaccurate estimation leading to misinterpretation of important factors. Our findings have important policy implications and can be used to ensure better access to health services and a higher degree of financial protection for low-income groups against the economic impact of illness.
AbstractList	OBJECTIVE: To quantify the extent of catastrophic household health care expenditure and determine the factors responsible for it in Nouna District, Burkina Faso. METHODS: We used the Nouna Health District Household Survey to collect data on 800 households during 2000-01 for our analysis. The determinants of household catastrophic expenditure were identified by multivariate logistic regression method. FINDINGS: Even at very low levels of health care utilization and modest amount of health expenditure, 6-15% of total households in Nouna District incurred catastrophic health expenditure. The key determinants of catastrophic health expenditure were economic status, household health care utilization especially for modern medical care, illness episodes in an adult household member and presence of a member with chronic illness. CONCLUSION: We conclude that the poorest members of the community incurred catastrophic health expenses. Setting only one threshold/cut-off value to determine catastrophic health expenses may result in inaccurate estimation leading to misinterpretation of important factors. Our findings have important policy implications and can be used to ensure better access to health services and a higher degree of financial protection for low-income groups against the economic impact of illness. To quantify the extent of catastrophic household health care expenditure and determine the factors responsible for it in Nouna District, Burkina Faso. We used the Nouna Health District Household Survey to collect data on 800 households during 2000-01 for our analysis. The determinants of household catastrophic expenditure were identified by multivariate logistic regression method. Even at very low levels of health care utilization and modest amount of health expenditure, 6-15% of total households in Nouna District incurred catastrophic health expenditure. The key determinants of catastrophic health expenditure were economic status, household health care utilization especially for modern medical care, illness episodes in an adult household member and presence of a member with chronic illness. We conclude that the poorest members of the community incurred catastrophic health expenses. Setting only one threshold/cut-off value to determine catastrophic health expenses may result in inaccurate estimation leading to misinterpretation of important factors. Our findings have important policy implications and can be used to ensure better access to health services and a higher degree of financial protection for low-income groups against the economic impact of illness. To quantify the extent of catastrophic household health care expenditure and determine the factors responsible for it in Nouna District, Burkina Faso. We used the Nouna Health District Household Survey to collect data on 800 households during 2000-01 for our analysis. The determinants of household catastrophic expenditure were identified by multivariate logistic regression method. Even at very low levels of health care utilization and modest amount of health expenditure, 6-15% of total households in Nouna District incurred catastrophic health expenditure. The key determinants of catastrophic health expenditure were economic status, household health care utilization especially for modern medical care, illness episodes in an adult household member and presence of a member with chronic illness. We conclude that the poorest members of the community incurred catastrophic health expenses. Setting only one threshold/cut-off value to determine catastrophic health expenses may result in inaccurate estimation leading to misinterpretation of important factors. Our findings have important policy implications and can be used to ensure better access to health services and a higher degree of financial protection for low-income groups against the economic impact of illness. To quantify the extent of catastrophic household health care expenditure and determine the factors responsible for it in Nouna District, Burkina Faso.OBJECTIVETo quantify the extent of catastrophic household health care expenditure and determine the factors responsible for it in Nouna District, Burkina Faso.We used the Nouna Health District Household Survey to collect data on 800 households during 2000-01 for our analysis. The determinants of household catastrophic expenditure were identified by multivariate logistic regression method.METHODSWe used the Nouna Health District Household Survey to collect data on 800 households during 2000-01 for our analysis. The determinants of household catastrophic expenditure were identified by multivariate logistic regression method.Even at very low levels of health care utilization and modest amount of health expenditure, 6-15% of total households in Nouna District incurred catastrophic health expenditure. The key determinants of catastrophic health expenditure were economic status, household health care utilization especially for modern medical care, illness episodes in an adult household member and presence of a member with chronic illness.FINDINGSEven at very low levels of health care utilization and modest amount of health expenditure, 6-15% of total households in Nouna District incurred catastrophic health expenditure. The key determinants of catastrophic health expenditure were economic status, household health care utilization especially for modern medical care, illness episodes in an adult household member and presence of a member with chronic illness.We conclude that the poorest members of the community incurred catastrophic health expenses. Setting only one threshold/cut-off value to determine catastrophic health expenses may result in inaccurate estimation leading to misinterpretation of important factors. Our findings have important policy implications and can be used to ensure better access to health services and a higher degree of financial protection for low-income groups against the economic impact of illness.CONCLUSIONWe conclude that the poorest members of the community incurred catastrophic health expenses. Setting only one threshold/cut-off value to determine catastrophic health expenses may result in inaccurate estimation leading to misinterpretation of important factors. Our findings have important policy implications and can be used to ensure better access to health services and a higher degree of financial protection for low-income groups against the economic impact of illness. Objective:To quantify the extent of castastrophic household health care expenditure and determine the factors responsible for it Nouna District, Burkina Faso. Methods: We used the Nouna Health District Household Survey to collect data on 800 households during 2000-0 1 for our analysis. The determinants of household catastrophic expenditure were identified by multivariate logistic regression method. Findings: Even at very low levels of health care utilization and modest amount of health expenditure, 6-1 B% of total households in Nouna District incurred catastrophic health expenditure. The key determinants of catastrophic health expenditure were economic status, household health care utilization especially for modern medical care, illness episodes in an adult household member and presence of a member with chronic illness. Conclusion: We conclude that the poorest members of the community incurred catastrophic health expenses. Setting only one threshold/cut-off value to determ ine catastrophic health expenses may result in inaccurate estimation leading to misinterpretation of important factors. Our findings have important policy implications and can be used to ensure better access to health services and a higher degree of financial protection for low-income groups against the economic impact of illness.
Author	Su, Tin Tin
AuthorAffiliation	Department of Tropical Hygiene and Public Health, University of Heidelberg, Heidelberg, Germany
AuthorAffiliation_xml	– name: Department of Tropical Hygiene and Public Health, University of Heidelberg, Heidelberg, Germany
Author_xml	– sequence: 1 givenname: Tin Tin surname: Su fullname: Su, Tin Tin
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Snippet	To quantify the extent of catastrophic household health care expenditure and determine the factors responsible for it in Nouna District, Burkina Faso. We used... To quantify the extent of catastrophic household health care expenditure and determine the factors responsible for it in Nouna District, Burkina Faso. We used... Objective:To quantify the extent of castastrophic household health care expenditure and determine the factors responsible for it Nouna District, Burkina Faso.... To quantify the extent of catastrophic household health care expenditure and determine the factors responsible for it in Nouna District, Burkina... OBJECTIVE: To quantify the extent of catastrophic household health care expenditure and determine the factors responsible for it in Nouna District, Burkina...
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SubjectTerms	Biological and medical sciences Burkina Faso Catastrophic illness/economics Chronic disease/economics Chronic illnesses Cost Data collection Disease Economic impact Economic status Economics Episode of care Family Characteristics Family income Female Food Health care Health care expenditures Health conditions Health Expenditures Health services Health services utilization Health status Household expenditure Households Humans Low income groups Male Medical sciences Miscellaneous Morbidity Population Poverty Public health. Hygiene Public health. Hygiene-occupational medicine Research Article Socioeconomic factors Variables
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Title	Catastrophic household expenditure for health care in low-income society: a study from Nouna District, Burkina Faso
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