IDEAS home Printed from https://ideas.repec.org/p/ris/adbewp/0102.html
   My bibliography  Save this paper

Incidence, Intensity, and Correlates of Catastrophic Out-of-Pocket Health Payments in India

Author

Listed:
  • Bonu, Sekhar

    (Asian Development Bank)

  • Bhushan, Indu

    (Asian Development Bank)

  • Peters, David

    (Johns Hopkins Bloomberg School of Public Health)

Abstract

This study investigates the incidence, intensity, and correlates of catastrophic health payments in India. The paper confirms the continuing high incidence of catastrophic health payments and increase in poverty headcount and poverty gap due to health payments. Despite India’s remarkable economic growth, catastrophic health spending remains a major cause of poverty. Using bivariate analysis and Heckman sample selection and multinomial logistic regression for multivariate regression analysis, the paper finds that health payments were 4.6% of total household expenditure and 9.7% of household nonfood expenditure. Poverty headcount increased from 27.5% to 31.0% due to health payments, which translates to 39.5 million people falling below the poverty line due to health payments. It is important for India to develop effective risk pooling arrangements for health care.

Suggested Citation

  • Bonu, Sekhar & Bhushan, Indu & Peters, David, 2007. "Incidence, Intensity, and Correlates of Catastrophic Out-of-Pocket Health Payments in India," ADB Economics Working Paper Series 102, Asian Development Bank.
    • Handle: RePEc:ris:adbewp:0102
    as

    Download full text from publisher

    File URL: https://www.adb.org/publications/incidence-intensity-and-correlates-catastrophic-out-pocket-health-payments-india
    File Function: Full text
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Deepa Narayan & Robert Chambers & Meera K. Shah & Patti Petesch, 2000. "Voices of the Poor : Crying Out for Change," World Bank Publications - Books, The World Bank Group, number 13848.
    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. Mathias KUEPIE & Eric Patrick FEUBI PAMEN, 2017. "An Application of the Alkire-Foster’s Multidimensional Poverty Index to Data from Madagascar: Taking Into Account the Dimensions of Employment and Gender Inequality," Working Paper 6ca04615-044d-41a0-8737-9, Agence française de développement.
    2. TUZOLELE, Adam S., 2024. "La Classe Inutile en République Démocratique du Congo [The Useless Class in the Democratic Republic of Congo]," MPRA Paper 121257, University Library of Munich, Germany, revised 20 Jun 2024.
    3. Laura Camfield & Andrew Crabtree & Keetie Roelen, 2013. "Editorial: Poverty, Vulnerability and Resilience in a Post-2015 World," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 113(2), pages 599-608, September.
    4. Felix N. Fernando & Dennis R. Cooley, 2016. "An Oil Boom’s Effect on Quality of Life (QoL): Lessons from Western North Dakota," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 11(4), pages 1083-1115, December.
    5. Manoj K. Pandey, 2013. "Elderly's Health Shocks and Household's Ex-ante Poverty in India," ASARC Working Papers 2013-01, The Australian National University, Australia South Asia Research Centre.
    6. Franziska Gassmann & Bruno Martorano & Jennifer Waidler, 2022. "How Social Assistance Affects Subjective Wellbeing: Lessons from Kyrgyzstan," Journal of Development Studies, Taylor & Francis Journals, vol. 58(4), pages 827-847, April.
    7. Natasha Borges Sugiyama, 2016. "Pathways to Citizen Accountability: Brazil’s Bolsa Família," Journal of Development Studies, Taylor & Francis Journals, vol. 52(8), pages 1192-1206, August.
    8. Rebecca L. Thornton & Laurel E. Hatt & Erica M. Field & Mursaleena Islam & Freddy Solís Diaz & Martha Azucena González, 2010. "Social security health insurance for the informal sector in Nicaragua: a randomized evaluation," Health Economics, John Wiley & Sons, Ltd., vol. 19(S1), pages 181-206, September.
    9. Emma Tomalin, 2018. "Religions, poverty reduction and global development institutions," Palgrave Communications, Palgrave Macmillan, vol. 4(1), pages 1-12, December.
    10. Awan, Masood Sarwar & Aslam, Muhammad Amir & Waqas, Muhammad, 2012. "Social Development Disparities among Districts of Punjab," MPRA Paper 36846, University Library of Munich, Germany.
    11. Lehmann, Ina & Martin, Adrian & Fisher, Janet A., 2018. "Why Should Ecosystem Services Be Governed to Support Poverty Alleviation? Philosophical Perspectives on Positions in the Empirical Literature," Ecological Economics, Elsevier, vol. 149(C), pages 265-273.
    12. Hazenbosch, Mirjam & Sui, Shen & Isua, Brus & Milner-Gulland, E.J. & Morris, Rebecca J. & Beauchamp, Emilie, 2022. "The times are changing: understanding past, current and future resource use in rural Papua New Guinea using participatory photography," World Development, Elsevier, vol. 151(C).
    13. David Hulme, 2009. "Thinking 'Small' and the Understanding of Poverty: Maymana and Mofizul's Story," Working Papers id:1843, eSocialSciences.
    14. ALi Abdel Gadir Ali, "undated". "Poverty in the Arab Region: A Selective Review," API-Working Paper Series 0402, Arab Planning Institute - Kuwait, Information Center.
    15. van Noordwijk, Meine, 2019. "Integrated natural resource management as pathway to poverty reduction: Innovating practices, institutions and policies," Agricultural Systems, Elsevier, vol. 172(C), pages 60-71.
    16. Tony Castleman, 2011. "Human Recognition and its Role in Economic Development: A Descriptive Review," Working Papers 2011-08, The George Washington University, Institute for International Economic Policy.
    17. Matthys, Marie-Luise & Acharya, Sushant & Khatri, Sanjaya, 2021. "“Before cardamom, we used to face hardship”: Analyzing agricultural commercialization effects in Nepal through a local concept of the Good Life," World Development, Elsevier, vol. 141(C).
    18. Sarah White & Jethro Pettit, 2004. "Participatory Approaches and the Measurement of Human Well-being," WIDER Working Paper Series RP2004-57, World Institute for Development Economic Research (UNU-WIDER).
    19. Scott, Lucy, 2014. "Transfers for extreme poverty reduction: Implications for patron-client relationships in the context of Bangladesh's agricultural reformation," WIDER Working Paper Series 029, World Institute for Development Economic Research (UNU-WIDER).
    20. Jo Boyden, 2007. "Questioning the Power of Resilience:Are Children Up To the Task of Disrupting the Transmission of Poverty?," Working Papers id:1053, eSocialSciences.

    More about this item

    Keywords

    catastrophic health payments; economic growth; India; poverty; risk pooling;
    All these keywords.

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • O15 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Economic Development: Human Resources; Human Development; Income Distribution; Migration

    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:ris:adbewp:0102. 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: Orlee Velarde (email available below). General contact details of provider: https://edirc.repec.org/data/eradbph.html .

    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.