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Determinants of catastrophic health expenditure in Nigeria

Author

Listed:
  • Bolaji Samson Aregbeshola

    (University of Lagos)

  • Samina Mohsin Khan

    (Karolinska Institutet)

Abstract

Background Catastrophic health expenditure is a measure of financial risk protection and it is often incurred by households who have to pay out of pocket for health care services that are not affordable. The study assessed the determinants of catastrophic health expenditure among households in Nigeria. Methods Secondary data from the Harmonized Nigeria Living Standard Survey (HNLSS) of 2009/10 was utilized to assess factors associated with catastrophic health expenditure in Nigeria. Household and individual characteristics associated with catastrophic health expenditure were determined using bivariate analysis and multivariate logistic regression. Results Results showed that irrespective of the threshold for the two concepts of total household expenditure and non-food expenditure, having household members aged between 6 and 14 years, having household members aged between 15 and 24 years, having household members aged between 25 and 54 years, having no education, having primary education, having secondary education, lack of health insurance coverage, visiting a private health facility, households living in north central zone, households living in north east zone and having household members with non-chronic illnesses were factors that increase the risk of incurring catastrophic health expenditure among households. Conclusions Policy-makers and political actors need to design equitable health financing policies that will increase financial risk protection for people in both the formal and informal sectors of the economy.

Suggested Citation

  • Bolaji Samson Aregbeshola & Samina Mohsin Khan, 2018. "Determinants of catastrophic health expenditure in Nigeria," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(4), pages 521-532, May.
    • Handle: RePEc:spr:eujhec:v:19:y:2018:i:4:d:10.1007_s10198-017-0899-1
    DOI: 10.1007/s10198-017-0899-1
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    References listed on IDEAS

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    Cited by:

    1. Aleksandra Kolasa & Ewa Weychert, 2024. "The causal effect of catastrophic health expenditure on poverty in Poland," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 25(2), pages 193-206, March.
    2. Ijeoma Nkem Okedo‐Alex & Ifeyinwa Chizoba Akamike & Obumneme Benaiah Ezeanosike & Chigozie Jesse Uneke, 2019. "A review of the incidence and determinants of catastrophic health expenditure in Nigeria: Implications for universal health coverage," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(4), pages 1387-1404, October.
    3. Osmani, Ahmad Reshad & Okunade, Albert, 2021. "A Double-Hurdle Model of Healthcare Expenditures across Income Quintiles and Family Size: New Insights from a household Survey," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 14(6), pages 246-246.
    4. Junpeng Li & Puneet Vatsa & Wanglin Ma, 2024. "Flush toilet use and its impact on health and non‐health expenditures," Journal of International Development, John Wiley & Sons, Ltd., vol. 36(4), pages 2022-2046, May.
    5. Syeda Anam Fatima Rizvi, 2021. "Household Catastrophic Health Expenditures and its Determinants in Pakistan," Post-Print hal-03341700, HAL.
    6. Ozili, Peterson K, 2020. "Covid-19 pandemic and economic crisis: The Nigerian experience and structural causes," MPRA Paper 99424, University Library of Munich, Germany.
    7. Taiwo Obembe & Sharon Fonn, 2020. "Affording unavoidable emergency surgical care – The lived experiences and payment coping strategies of households in Ibadan metropolis, Southwestern Nigeria," PLOS ONE, Public Library of Science, vol. 15(5), pages 1-18, May.
    8. Glenn P. Jenkins & Hope Amala Anyabolu & Pejman Bahramian, 2019. "Family Decision Making on Healthcare Spending: New Evidence for Nigeria," Development Discussion Papers 2019-12, JDI Executive Programs.
    9. Thuong, Nguyen Thi Thu, 2021. "Catastrophic health expenditure and impoverishment in Vietnam: Evidence from national Household Living Standards Surveys 2008–2018," Economic Analysis and Policy, Elsevier, vol. 72(C), pages 668-684.

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    More about this item

    Keywords

    Out-of-pocket payments; Catastrophic health expenditure; Harmonized Nigeria Living Standard Survey; Financial risk protection; Health equity;
    All these keywords.

    JEL classification:

    • I19 - Health, Education, and Welfare - - Health - - - Other

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