background the major objective of the national health insurance scheme (nhis) in nigeria is to protect families from the financial hardship of large medical bills. catastrophic health expenditure (che) is rampart in nigeria despite the take-off of the nhis. this study aimed to determine if households enrolled in the nhis were protected from having che.   methods the study took place among 714 h...

BACKGROUND Tuberculosis (TB) often causes catastrophic economic effects on both the individual suffering the disease and their households. A number of studies have analyzed patient and household expenditure on TB care, but there does not appear to be any that have assessed the incidence, intensity and determinants of catastrophic health expenditure (CHE) relating to TB care in China. That will ...

Catastrophic Health Expenditure (CHE) is a term used for any expenditure for health that can pose as threat towards household’s financial capacity and capability in order to maintain its subsistence needs. The World Health Organization in 2005, proposed that health expenditure be viewed as catastrophic when it is equal or exceed 40% of a household’s non-subsistence income. Surveys done in 89 co...

OBJECTIVE There is limited evidence about levels of socio-economic and other differences in catastrophic health spending in Nigeria and in many sub-Saharan African countries. The study estimated the level of catastrophic healthcare expenditures for different healthcare services and facilities and their distribution across socioeconomic status (SES) groups. METHODS The study took place in four...

BACKGROUND Out-of-pocket payments in health care have been shown to impose significant burden on households in Sub-Saharan Africa, leading to constrained access to health care and impoverishment. In an effort to reduce the financial burden imposed on households by user fees, some countries in Sub-Saharan Africa have abolished user fees in the health sector. Zambia is one of few countries in Sub...

Myanmar has a high proportion of out-of-pocket (OOP) health care expenditures with limited cost-sharing mechanisms. In Myanmar, there were limited data on the frequency of catastrophic health expenditure (CHE) due to OOP payments, as well as on the factors associated with CHE. This study aimed to investigate health care expenditure, the frequency of CHE, and the factors influencing CHE among ho...

background one of the main objectives of health systems is the financial protection against out-of-pocket (oop) health expenditures. oop health expenditures can lead to catastrophic payments, impoverishment or poverty among households. in iran, health sector evolution plan (hsep) has been implemented since 2014 in order to achieve universal health coverage and reduce the oop health expenditures...

Background The major objective of the National Health Insurance Scheme (NHIS) in Nigeria is to protect families from the financial hardship of large medical bills. Catastrophic Health Expenditure (CHE) is rampart in Nigeria despite the take-off of the NHIS. This study aimed to determine if households enrolled in the NHIS were protected from having CHE.   Methods The study took place among 714 h...