Publication:
Progress on Impoverishing Health Spending in 122 Countries: A Retrospective Observational Study

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dc.contributor.authorFlores, Gabriela
dc.contributor.authorWagstaff, Adam
dc.contributor.authorSmitz, Marc-François
dc.contributor.authorHsu, Justine
dc.contributor.authorChepynoga, Kateryna
dc.contributor.authorEozenou, Patrick
dc.date.accessioned2018-01-09T17:32:54Z
dc.date.available2018-01-09T17:32:54Z
dc.date.issued2017-12-13
dc.description.abstractThe goal of universal health coverage (UHC) requires that families who get needed health care do not suffer financial hardship as a result. This can be measured by instances of impoverishment, when a household's consumption including out-of-pocket spending on health is more than the poverty line but its consumption, excluding out-of-pocket spending, is less than the poverty line. This links UHC directly to the policy goal of reducing poverty. We find impoverishment due to out-of-pocket spending even in countries where the entire population is officially covered by a health insurance scheme or by national or subnational health services. Incidence is negatively correlated with the share of total health spending channelled through social security funds and other government agencies. Out-of-pocket spending on health can add to the poverty head count and the depth of poverty by diverting household spending from non-health budget items. The scale of such impoverishment varies between countries and depends on the poverty line but might in some low-income countries account for as much as four percentage points of the poverty head count. Increasing the share of total health expenditure that is prepaid, especially through taxes and mandatory contributions, can help reduce impoverishment.en
dc.identifier.citationThe Lancet Global Health
dc.identifier.doi10.1596/29130
dc.identifier.issn2214-109X
dc.identifier.urihttps://hdl.handle.net/10986/29130
dc.publisherElsevier
dc.rightsCC BY-NC-ND 3.0 IGO
dc.rights.holderWorld Bank
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/igo
dc.subjectUNIVERSAL HEALTH COVERAGE
dc.subjectPOVERTY MEASUREMENT
dc.subjectIMPOVERISHMENT
dc.subjectHEALTH CARE
dc.subjectOUT-OF-POCKET HEALTH COSTS
dc.subjectPOVERTY LINE
dc.titleProgress on Impoverishing Health Spending in 122 Countriesen
dc.title.subtitleA Retrospective Observational Studyen
dc.typeJournal Articleen
dc.typeArticle de journalfr
dc.typeArtículo de revistaes
dspace.entity.typePublication
okr.associatedcontenthttp://www.sciencedirect.com/science/article/pii/S2214109X17304862 Journal website (version of record)en
okr.crossref.titleProgress on Impoverishing Health Spending in 122 Countries: A Retrospective Observational Study
okr.date.disclosure2017-12-13
okr.doctypePublications & Research::Journal Article
okr.doctypePublications & Research
okr.externalcontentExternal Content
okr.guid805951518157710597
okr.identifier.doi10.1016/S2214-109X(17)30486-2
okr.identifier.doi10.1596/29130
okr.identifier.report123181
okr.language.supporteden
okr.peerreviewAcademic Peer Review
okr.topicHealth, Nutrition and Population::Health Economics & Finance
okr.topicHealth, Nutrition and Population::Health Insurance
okr.topicHealth, Nutrition and Population::Health and Poverty
okr.topicPoverty Reduction::Poverty Monitoring & Analysis
okr.topicPoverty Reduction::Poverty and Health
okr.unitDevelopment Research Group (DECRG)
okr.volume(Forthcoming 2018)
relation.isAuthorOfPublication5d38fde2-5803-56c6-b733-3866ea5be265
relation.isAuthorOfPublication.latestForDiscovery5d38fde2-5803-56c6-b733-3866ea5be265
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