Health Insurance (HI) programmes in low-income countries aim to reduce the burden of out-of-pocket (OOP) health care expenditure. However, if the decisions to purchase insurance and to seek care when ill are correlated with the expected health care expenditure, the use of naïve regression models may produce biased estimates of the impact of insurance membership on OOP expenditure. Whilst many s...

BACKGROUND Neonatal illnesses usually require long hospital stays and specialized care and/or facilities, which usually results in huge medical bills. With more than 70% of people in Nigeria living on less than US$2 per day, these bills are not affordable to many families' livelihoods. AIM This study aims to determine the average cost of managing neonatal illnesses in Enugu in southeast Niger...

BACKGROUND To better understand how stock-outs of the first line antimalarial, Artemisinin-based Combination Therapy (ACT) and other non-compliant health worker behaviour, influence household expenditures during care-seeking for fever in the Ulanga District in Tanzania. METHODS We combined weekly ACT stock data for the period 2009-2011 from six health facilities in the Ulanga District in Tanz...

This section describes how I convert the cost sharing formula in Table 1 into actual monthly outof-pocket health expenditures in Table 2. Ideally, I would like to have access to information on actual out-of-pocket expenditures at the individual level (like Medical Expenditure Panel Survey in the US). In the absence of such data, I attempt to derive the same. Fortunately, I know the exact formul...

BACKGROUND Integrated community case management (iCCM) relies on community health workers (CHWs) managing children with malaria, pneumonia, diarrhoea, and referring children when management is not possible. This study sought to establish the cost per sick child referred to seek care from a higher-level health facility by a CHW and to estimate caregivers' willingness to pay (WTP) for referral. ...

We examine the impact of the first wave of Medicare health maintenance organization HMO withdrawals. With data from CMS and United Health Group, we estimate use and expenditure changes between 1998 and 1999 for HMO enrollees who were involuntarily dropped from their plan and returned to fee-for-service (FFS) Medicare using a difference-in-difference model. Compared to those who voluntarily left...

background and purpose: utilization of health care services and food influence the health status. the food and health care expenditure ratios determine the importance level of them in household's consumption expenditures. we aimed to investigate the iranian rural and urban food and health expenditure ratios inequality during 1998 to 2012. materials and methods: this is a descriptive longit...

The presence of voluntary deductibles in the Swiss and Dutch mandatory health insurance has important implications for the respective risk equalization systems. In a theoretical analysis, we discuss the consequences of equalizing three types of expenditures: the net claims that are reimbursed by the insurer, the out-of-pocket expenditures and the expenditure savings due to moral hazard reductio...

Sir, In 2005–2007 we surveyed mental health services in Lebanon [1]. At the time, we found a paucity of community-based mental health services, deficiencies in education programmes for professionals and the public, misallocation of health care finances, and lack of a clear governmental policy on delivery of mental health services and prevention of mental illness. Several barriers related to the...

BACKGROUND A key objective of universal health coverage is to address inequities in the financial implications of health care. This paper examines the level and trend in out-of-pocket spending (OOPS) on health, and the consequent burden on Nepalese households. METHODS Using data from the Nepal Living Standard Survey for 1995-1996 and 2010-2011, the paper looks at the inequity of this burden a...