IDEAS home Printed from https://ideas.repec.org/a/bla/ijhplm/v37y2022i3p1694-1707.html
   My bibliography  Save this article

Factors associated with catastrophic health care expenditure in South Wollo province, Ethiopia: A cross‐sectional study

Author

Listed:
  • Getahun Gebre Bogale
  • Ayesheshim Muluneh Kassa

Abstract

Ethiopia is an underfinanced country when compared to the Sub‐Saharan average. Direct payment has a high account in Ethiopia and inhibits access to health services for the poor. We aimed to identify the factors associated with catastrophic health expenditure (CHE) in the South Wollo Zone, Ethiopia. A community‐based cross‐sectional study was conducted. A two‐stage sampling technique was used to get a total of 494 households. The data were entered using Epi data version 4.6 and analysed using STATA version 14.1 software for binary logistic regression analysis. A multivariable logistic regression analysis was done to identify the factors associated with CHE. The total magnitude of CHE was found to be 33.97% at the 10% threshold of total household expenditure and 14.98% at the 40% threshold of non‐food expenditure. Insured households (adjusted odds ratio = 0.02, 95% CI: 0.01–0.10) were statistically associated with CHE with total household and non‐food measures. Catastrophic health expenditure was found to be decreased among insured households and increased among households had children less than 5 years of age, members with chronic illness, and poor health status. Therefore, encouraging insurance and health promotion activities to improve the health status of the community are important.

Suggested Citation

  • Getahun Gebre Bogale & Ayesheshim Muluneh Kassa, 2022. "Factors associated with catastrophic health care expenditure in South Wollo province, Ethiopia: A cross‐sectional study," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(3), pages 1694-1707, May.
    • Handle: RePEc:bla:ijhplm:v:37:y:2022:i:3:p:1694-1707
    DOI: 10.1002/hpm.3432
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hpm.3432
    Download Restriction: no
    File URL: https://libkey.io/10.1002/hpm.3432?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Yardim, Mahmut Saadi & Cilingiroglu, Nesrin & Yardim, Nazan, 2010. "Catastrophic health expenditure and impoverishment in Turkey," Health Policy, Elsevier, vol. 94(1), pages 26-33, January.
    2. Wameq A. Raza & Ellen van de Poel & Arjun Bedi & Frans Rutten, 2016. "Impact of Community‐based Health Insurance on Access and Financial Protection: Evidence from Three Randomized Control Trials in Rural India," Health Economics, John Wiley & Sons, Ltd., vol. 25(6), pages 675-687, June.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mozhaeva, Irina, 2022. "Inequalities in utilization of institutional care among older people in Estonia," Health Policy, Elsevier, vol. 126(7), pages 704-714.
    2. Mohammad Abu-Zaineh & Habiba Romdhane & Bruno Ventelou & Jean-Paul Moatti & Arfa Chokri, 2013. "Appraising financial protection in health: the case of Tunisia," International Journal of Health Economics and Management, Springer, vol. 13(1), pages 73-93, March.
    3. Micheal Kofi Boachie & K. Ramu & Tatjana Põlajeva, 2018. "Public Health Expenditures and Health Outcomes: New Evidence from Ghana," Economies, MDPI, vol. 6(4), pages 1-25, October.
    4. Darius Erlangga & Marc Suhrcke & Shehzad Ali & Karen Bloor, 2019. "The impact of public health insurance on health care utilisation, financial protection and health status in low- and middle-income countries: A systematic review," PLOS ONE, Public Library of Science, vol. 14(8), pages 1-20, August.
    5. Songul Cinaroglu, 2020. "Modelling unbalanced catastrophic health expenditure data by using machine‐learning methods," Intelligent Systems in Accounting, Finance and Management, John Wiley & Sons, Ltd., vol. 27(4), pages 168-181, October.
    6. Bukari, Chei & Broermann, Shanaz & Okai, Davidson, 2021. "Energy poverty and health expenditure: Evidence from Ghana," Energy Economics, Elsevier, vol. 103(C).
    7. Rieger, M. & Wagner, N. & Bedi, A.S., 2015. "Macroeconomic impacts of Universal Health Coverage : Synthetic control evidence from Thailand," ISS Working Papers - General Series 609, International Institute of Social Studies of Erasmus University Rotterdam (ISS), The Hague.
    8. Zhang, Jing & Gan, Li & Xu, Lixin Colin & Yao, Yang, 2014. "Health shocks, village elections, and household income: Evidence from rural China," China Economic Review, Elsevier, vol. 30(C), pages 155-168.
    9. Leila Doshmangir & Edris Hasanpoor & Gerard Joseph Abou Jaoude & Behzad Eshtiagh & Hassan Haghparast-Bidgoli, 2021. "Incidence of Catastrophic Health Expenditure and Its Determinants in Cancer Patients: A Systematic Review and Meta-analysis," Applied Health Economics and Health Policy, Springer, vol. 19(6), pages 839-855, November.
    10. Johnston, Bridget M. & Burke, Sara & Barry, Sarah & Normand, Charles & Ní Fhallúin, Maebh & Thomas, Steve, 2019. "Private health expenditure in Ireland: Assessing the affordability of private financing of health care," Health Policy, Elsevier, vol. 123(10), pages 963-969.
    11. Hazama,Yasushi, 2023. "Welfare, Corruption, and the Economic Vote of Punishment: The Turkish Case," IDE Discussion Papers 908, Institute of Developing Economies, Japan External Trade Organization(JETRO).
    12. Veronika Krůtilová, 2016. "Access to Health Care and the Out-of-Pocket Burden of the European Elderly," Acta Universitatis Agriculturae et Silviculturae Mendelianae Brunensis, Mendel University Press, vol. 64(6), pages 1961-1970.
    13. Ligane Séne & Momath Cissé, 2015. "Catastrophic out-of-pocket payments for health and poverty nexus: evidence from Senegal," International Journal of Health Economics and Management, Springer, vol. 15(3), pages 307-328, September.
    14. Md Mizanur Rahman & Stuart Gilmour & Eiko Saito & Papia Sultana & Kenji Shibuya, 2013. "Health-Related Financial Catastrophe, Inequality and Chronic Illness in Bangladesh," PLOS ONE, Public Library of Science, vol. 8(2), pages 1-9, February.
    15. Meriem Oudmane & Fouzi Mourji & Abdeljaouad Ezzrari, 2019. "The impact of out‐of‐pocket health expenditure on household impoverishment: Evidence from Morocco," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1569-1585, October.
    16. Rieger, Matthias & Wagner, Natascha & Bedi, Arjun S., 2017. "Universal health coverage at the macro level: Synthetic control evidence from Thailand," Social Science & Medicine, Elsevier, vol. 172(C), pages 46-55.
    17. Raúl Del Pozo-Rubio & Isabel Pardo-García & Francisco Escribano-Sotos, 2020. "Financial Catastrophism Inherent with Out-of-Pocket Payments in Long Term Care for Households: A Latent Impoverishment," IJERPH, MDPI, vol. 17(1), pages 1-19, January.
    18. Ziyad S. Almalki & Abdullah K. Alahmari & Nasser Alqahtani & Abdulaziz Ibrahim Alzarea & Ahmed M. Alshehri & Abdulrahman M. Alruwaybiah & Bader A. Alanazi & Abdulhadi M. Alqahtani & Nehad J. Ahmed, 2022. "Households’ Direct Economic Burden Associated with Chronic Non-Communicable Diseases in Saudi Arabia," IJERPH, MDPI, vol. 19(15), pages 1-14, August.
    19. Josephine E. Prynn & Hannah Kuper, 2019. "Perspectives on Disability and Non-Communicable Diseases in Low- and Middle-Income Countries, with a Focus on Stroke and Dementia," IJERPH, MDPI, vol. 16(18), pages 1-11, September.
    20. Kronenberg, Christoph & Barros, Pedro Pita, 2014. "Catastrophic healthcare expenditure – Drivers and protection: The Portuguese case," Health Policy, Elsevier, vol. 115(1), pages 44-51.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:bla:ijhplm:v:37:y:2022:i:3:p:1694-1707. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www.blackwellpublishing.com/journal.asp?ref=0749-6753 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.