LinkedIn

 آمار

تعداد نشریات20
تعداد شماره‌ها1,095
تعداد مقالات10,042
تعداد مشاهده مقاله28,036,801
تعداد دریافت فایل اصل مقاله7,824,866
Ilesanmi, Olayinka Stephen, Adebiyi, Akindele Olupelumi, Fatiregun, Akinola Ayoola. (1396). Contribution of household health care expenditure to poverty in Oyo State, South West Nigeria: A rural and urban comparison. سامانه مدیریت نشریات علمی, 4(3), 64-70.
Olayinka Stephen Ilesanmi; Akindele Olupelumi Adebiyi; Akinola Ayoola Fatiregun. "Contribution of household health care expenditure to poverty in Oyo State, South West Nigeria: A rural and urban comparison". سامانه مدیریت نشریات علمی, 4, 3, 1396, 64-70.
Ilesanmi, Olayinka Stephen, Adebiyi, Akindele Olupelumi, Fatiregun, Akinola Ayoola. (1396). 'Contribution of household health care expenditure to poverty in Oyo State, South West Nigeria: A rural and urban comparison', سامانه مدیریت نشریات علمی, 4(3), pp. 64-70.
Ilesanmi, Olayinka Stephen, Adebiyi, Akindele Olupelumi, Fatiregun, Akinola Ayoola. Contribution of household health care expenditure to poverty in Oyo State, South West Nigeria: A rural and urban comparison. سامانه مدیریت نشریات علمی, 1396; 4(3): 64-70.

Contribution of household health care expenditure to poverty in Oyo State, South West Nigeria: A rural and urban comparison

Health Management & Information Science
مقاله 1، دوره 4، شماره 3، مهر 2017، صفحه 64-70    اصل مقاله (643.44 K)
نوع مقاله: Articles
نویسندگان
Olayinka Stephen Ilesanmi* ؛ Akindele Olupelumi Adebiyi؛ Akinola Ayoola Fatiregun
چکیده
Introduction: The financial burden of health care costs in Nigeria is borne almost entirely by the individuals and household members as health care financing is still mostly from out of pocket (OOP) payments. OOP payments can lead households into poverty. This study aimed to estimate the contribution of household health care expenditure to poverty in rural and urban communities in Oyo state, Nigeria.Method: This is a comparative cross-sectional study using a tested and adapted version of the Living Standard Survey questionnaire to collect data on 5,696 household members from 1,434 household representatives. Representatives were selected using a multistage sampling method. Information was collected from 714(49.8%) and 720(50.2%) households in the urban and rural Local Government Area (LGA), respectively. International poverty line of $1.25 per day was used. Poverty level was measured with and without household health expenditure. An exact McNemar’s test was used to determine the difference in the proportion of poor, gross and net payment for health care services. SPSS software was used for data analysis.Results: Health care was utilised by 1,006 (70.2%) of the 1,434 households studied. Of urban and rural households, 637(89.2%) and 369(51.3%) utilized health care services, respectively. Only 513(29.8%) were poor while 1519(88.2%) were poor after considering the cost of utilising health care. Increase in poverty of 66.2% occurred because of health care utilisation (p<0.001).Conclusion: Health care expenditure increased the proportion of household members living below poverty line. To protect against poverty free basic health care services is required in Nigeria.Keywords: Cost, Out of Pocket, Poverty, Expenditure
مراجع
  1. Leive A, Xu K. Coping with out-of-pocket health payments: empirical evidence from 15 African countries. Bull World Health Organ. 2008 Nov;86(11):849-56.
  2. Onwujekwe O, Okereke E, Onoka C, Uzochukwu B, Kirigia J, Petu A. Willingness to pay for community-based health insurance in Nigeria: do economic status and place of residence matter? Health Policy Plan. 2010 Mar;25(2):155-61.
  3. Xu K, Evans DB, Kawabata K, Zeramdini R, Klavus J, Murray CJL. Household catastrophic health expenditure: a multicountry analysis. The Lancet. 2003;362(9378):111-7.
  4. Obikeze O, Ige O, Osungbade K, Olumide E, Asuzu M. An Overview of the national health insurance scheme in Nigeria. Dokita. 2010;1:15-21.
  5. Berman P, Ahuja R, Bhandari L. The impoverishing effect of healthcare payments in India: new methodology and findings. Economic and Political Weekly. 2010:65-71.
  6. Xu K, Evans DB, Carrin G, Aguilar-Rivera AM, Musgrove P, Evans T. Protecting households from catastrophic health spending. Health Aff (Millwood). 2007 Jul-Aug;26(4):972-83.
  7. Osinubi TS. Macroeconometric analysis of growth, unemployment and poverty in Nigeria. Pakistan Economic and Social Review. 2005:249-69.
  8. National Bureau for Statistics (NBS). Nigeria Poverty Profile 2010. 2012.
  9. van Doorslaer E, O’Donnell O, Rannan-Eliya RP, Somanathan A, Adhikari SR, Garg CC, et al. Effect of payments for health care on poverty estimates in 11 countries in Asia: an analysis of household survey data. The Lancet. 2006;368(9544):1357-64.
  10. National Bureau of Statistics. Oyo State Information 2012 [24/07/2012]. Available from: http://www.nigerianstat.gov.ng/information/details/Oyo.
  11. Oyo State Health Facility Directory 2007. In: Oyo State Ministry of Health, editor. HMIS unit Department of Planning, Research & Statistics. Ibadan2008.
  12. National Population Commission. Final results of 2006 Population Census of the Federal Republic of Nigeria. Abuja2006.
  13. World Bank. 2011 [24/07/2012]; Available from: http://data.worldbank.org/country/nigeria.
  14. Ilesanmi OS, Adebiyi AO, Fatiregun AA. National health insurance scheme: how protected are households in Oyo State, Nigeria from catastrophic health expenditure? Int J Health Policy Manag. 2014 May;2(4):175-80.
  15. Oyo State Government. Ibadan South west local Government 2011 [accessed 24 May, 2011]; Available from: http://www.oyostate.gov.ng/government/Ibadan-south-west.
  16. Oyo State Government. Ibarapa North Local Government. 2011 [24 May, 2011]; Available from: http://www.oyostate.gov.ng/government/Ibadan-south-west.
  17. Grosh M, Glewwe P. Designing Household Survey Questionnaires for Developing Countries Lessons from 1 5 years of the Living Standards Measurement Study. 2000 [2011 25th May].
  18. Kirkwood B. Medical Stastictics. Blackwell Science Ltd; 2003.
  19. Lu C, Chin B, Li G, Murray CJ. Limitations of methods for measuring out-of-pocket and catastrophic private health expenditures. Bulletin of the World Health Organization. 2009;87(3):238-44D.
  20. Ezeoke OP, Onwujekwe OE, Uzochukwu BS. Towards universal coverage: examining costs of illness, payment, and coping strategies to different population groups in southeast Nigeria. Am J Trop Med Hyg. 2012 Jan;86(1):52-7.
  21. Filmer D, Pritchett LH. Estimating wealth effects without expenditure data--or tears: an application to educational enrollments in states of India. Demography. 2001 Feb;38(1):115-32.
  22. World Bank. Poverty gap at $1.25 a day (PPP). 2011 [24/07/12]; Available from: http://data.worldbank.org/indicator/SI.POV.GAPS.
  23. O’donnell O, Van Doorslaer E, Wagstaff A, Lindelow M. Analyzing health equity using household survey data. Washington, DC: World Bank. 2008.
  24. Wagstaff A, van Doorslaer E. Catastrophe and impoverishment in paying for health care: with applications to Vietnam 1993-1998. Health Econ. 2003 Nov;12(11):921-34.
  25. Bender DR. A Refinement of the Concept of Household: Families, Co-Residence, and Domestic Functions. American Anthropologist. 1967;69(5):493-504.
  26. Thuan NTB, Lofgren C, Chuc NTK, Janlert U, Lindholm L. Household out-of-pocket payments for illness: Evidence from Vietnam. BMC Public Health. 2006;6(1).
  27. National Bureau of Statistics. Poverty Profile for Nigeria. Abuja2005 [cited 2012 24/7/12].
  28. van Doorslaer E, O’Donnell O, Rannan-Eliya RP, Somanathan A, Adhikari SR, Garg CC, et al. Catastrophic payments for health care in Asia. Health Econ. 2007 Nov;16(11):1159-84.
  29. Onwujekwe O, Uzochukwu B. Socio-economic and geographic differentials in costs and payment strategies for primary healthcare services in Southeast Nigeria. Health Policy. 2005 Mar;71(3):383-97.
  30. Chuma J, Gilson L, Molyneux C. Treatment-seeking behaviour, cost burdens and coping strategies among rural and urban households in Coastal Kenya: an equity analysis. Trop Med Int Health. 2007 May;12(5):673-86
آمار
تعداد مشاهده مقاله: 2,122
تعداد دریافت فایل اصل مقاله: 377


سامانه مدیریت نشریات علمی. قدرت گرفته از سیناوب