Volume 4, Issue 4, December 2019, Page: 143-150
Assessing Factors Associated with Catastrophic Healthcare Expenditure in Côte d’Ivoire: Evidence from the Household Living Standard Survey 2015
Akissi Regine Attia-Konan, Department of Public Health, Hydrology and Toxicology, University of Felix Houphouet Boigny, Abidjan, Cote d’Ivoire
Agbaya Serge Stephane Oga, Department of Public Health, Hydrology and Toxicology, University of Felix Houphouet Boigny, Abidjan, Cote d’Ivoire
Kouame Koffi, Department of Public Health, Hydrology and Toxicology, University of Felix Houphouet Boigny, Abidjan, Cote d’Ivoire
Jerome Kouame, Department of Public Health, Hydrology and Toxicology, University of Felix Houphouet Boigny, Abidjan, Cote d’Ivoire
Amadou Toure, National Institute of Cote d’Ivoire, Abidjan, Cote d’Ivoire
Luc Kouadio, Department of Public Health, Hydrology and Toxicology, University of Felix Houphouet Boigny, Abidjan, Cote d’Ivoire
Received: Sep. 30, 2019;       Accepted: Oct. 23, 2019;       Published: Nov. 13, 2019
DOI: 10.11648/j.hep.20190404.14      View  416      Downloads  105
Abstract
Catastrophic healthcare expenditure (CHE) occurs in all countries and is responsible for inequalities in access to health care, particularly in low- and middle-income countries. The objective of this work is to analyse the determinants of CHEs in households living in Côte d'Ivoire. The data for the study are from the national household living standards survey conducted from January 23 to March 25, 2015 by the National Statistics Institute of Côte d’Ivoire (Institut National de la Statistique de Côte d'Ivoire). A one-way analysis and logistic regression were conducted to measure the association between CHEs and the socio-demographic, economic and health characteristics of households. The sample consisted of 12,899 households. Nearly 4% of households had experienced CHEs after completing OOPs. CHEs were more frequent in households including people over 65 years of age (OR: 4.75; 95% CI: 1.66-13.58), with chronic disease (OR: 2.10; 95% CI: 1.43-3.08), with more comfortable living conditions. Households without health insurance experienced fewer CHEs (OR: 0.29; 95% CI: 0.09-0.85) with large households including people over 65 years of age (OR: 0.60 95% CI: 0.40-0.91). This work highlighted socio-demographic and health determinants of CHEs. The reduction of CHEs involves considering social and individual factors.
Keywords
Out of Pocket, Direct Payments, Healthcare Expenditure, Catastrophic Health Expenditure, Côte d'Ivoire
To cite this article
Akissi Regine Attia-Konan, Agbaya Serge Stephane Oga, Kouame Koffi, Jerome Kouame, Amadou Toure, Luc Kouadio, Assessing Factors Associated with Catastrophic Healthcare Expenditure in Côte d’Ivoire: Evidence from the Household Living Standard Survey 2015, International Journal of Health Economics and Policy. Vol. 4, No. 4, 2019, pp. 143-150. doi: 10.11648/j.hep.20190404.14
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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