Catastrophic Health Expenditure, Distress Financing and Impoverishment due to Out-of-Pocket Expenses for Healthcare among Patients with Chronic Liver Disease: A Cross-sectional Study among Hospitalized Patients in Bangladesh

Out-of-pocket (OOP) expenses for hospitalized patients with chronic liver disease (CLD) poses an economic challenge on affected household in the form of catastrophic health expenditure (CHE), distress financing and impoverishment. OOP Expenses data CLD from Bangladesh is scarce. This study aimed to estimate resulting CHE, impoverishment among CLD. cross-sectional was conducted conveniently selected 107 diagnosed admitted at Bangabandhu Sheikh Mujib Medical University (BSMMU) Dhaka College Hospital (DMCH) aged 18 years above. Data were collected respondents using a semi-structured questionnaire through face interview during discharge hospital. Out pocket hospitals Bangladeshi Taka (BDT) 19,262. Direct medical, direct non-medical indirect cost BDT 16,240; 2,165 1,510, respectively. Investigation medicine contributed 48.48% 31.81% total expenses, At 10% threshold level, 29% by CHE. 64.5% facing due expenses. Among respondents, 1.9% slipped below international poverty line $1.90 (BDT 161.10, 2019).There statistically significant (p < 0.05) difference mean different etiological types disease. The concluded that it requires establishing more accessible affordable decentralized care system treatment along implementation financial risk protection.