This study investigates the impact of subsidising community-based health insurance (mutuelle) enrolment, removing point-of-service co-payments, and improving service delivery on health facility utilisation rates in Mayange, a sector of rural Rwanda of approximately 25,000 people divided among five 'imidugudu' or small villages. While comprehensive service upgrades were introduced in the Mayange...

BACKGROUND Healthcare financing should be equitable. Fairness in financial contribution and protection against financial risk is based on the notion that every household should pay a fair share. Health policy makers have long been concerned with protecting people from the possibility that ill health will lead to catastrophic financial payments and subsequent impoverishment. A number of studies ...

BACKGROUND Several years have passed since the rural New Cooperative Medical Scheme (NCMS) in China was established and policies kept continuous improvement. Its policies on chronic diseases vary by county but have certain shared characteristics. Following this modification of medical insurance policy, this study reassesses the provision of insurance against expenditure on chronic diseases in r...

several procedures have been employed to examine the impacts of subsidies on different indices in an economy. this paper proposes a new approach enabling one to compare direct and indirect payments on households. to this end, the impact of government payments is examined on gross regional products, employment, income distribution and inflation of golestan province in iran through a social accou...

Background: Out-of-pocket and informal payments are considered as 2 most important topics for equity in health care financing. Therfore, this study was conducted to systematically review and meta-analyze the status of these payments in Iran's health care system.    Methods: Required data were collected through searching the following key terms: "Unofficial", "Informal ...

BACKGROUND Studies on costs incurred by patients for tuberculosis (TB) care are limited as these costs are reported as averages, and the economic impact of the costs is estimated based on average patient/household incomes. Average expenditures do not represent the poor because they spend less on treatment compared to other economic groups. Thus, the extent to which TB expenditures risk sending ...

The rural industry is the foundation for promoting farmers' income and development, adhering to green development of internal requirement comprehensively Rural Revitalization Strategy (RRS) in China. Firstly, article explains three aspects China's eco-industries' logic: eco-industries have historical inevitability action under Ecological Civilization (EC), academic rationality theory urban-rura...

BACKGROUND Out-of-pocket expenditure to pay for health services could result in financial catastrophe. The purpose of this study was to identify the incidence and determinants of catastrophic out-of-pocket payments for healthcare in Colombia. The underlying hypotheses are that low-income and non-insured population in Colombia, and households living in isolated and high level of rurality regions...