Catastrohpic out-of-pocket payment for health care and its impact on households: Experience from West Bengal, India
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Henry Lucas presents briefly on findings from a study on catastrophic out-of-pocket payments for health care in West Bengal, India at the 2011 iHEA conference in Toronto, Canada.
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Catastrohpic out-of-pocket payment for health care and its impact on households: Experience from West Bengal, India
- 1. IIHMR Catastrophic out-of-pocket payment for health care and its impact on households: Experience from West Bengal, India Swadhin Mondal Barun Kanjilal Henry Lucas iHEA Conference Toronto 2011
- 3. Highest population density of any state in India: 904 persons per square km.
- 4. Almost 25% 0f population living below poverty line.Study Area: West Bengal
- 6. Out-of-pocket (OOP) payment is the major health financing mechanism (~80%).
- 7. OOP often places a huge financial burden on poorer households
- 8. Financial protection mechanisms, especially for poor rural households, are few and very limited. 3
- 10. Covered 3,152 households comprising 15,206 individuals
- 11. Data collected related to:
- 12. Inpatient care
- 13. Outpatient care
- 14. Delivery
- 16. 5 Health expenditure as a percentage of total household expenditure by various category of treatment (rural and urban)
- 17. 6 Percentage of households facing catastrophic health expenditure (>40% of non-food expenditure.)
- 19. Inpatient care (odds ratio 1.3)
- 21. Number of dependents (aged and children) (odds ratio 1.4)
- 22. Rural location (odds ratio 2.1)7
- 26. Stopped medical treatment of other member
- 27. Reduced social obligations / functions
- 28. Stopped purchase of consumer durables
- 29. Stopped purchase or expansion of house
- 31. Borrowed with interest
- 33. Sold property
- 36. This is partly a consequence of the fact that outpatient catastrophic expenditure tended to be associated with poorer households.9
- 38. Expenditure on chronic illness acts as a cumulative burden that gradually drives households into poverty.
- 39. Catastrophic heath expenditure on minor illnesses, strongly associated with poorer households, had the greatest impact on economic status.
- 40. High healthcare expenditure for the poor often resulted in substantial reductions in consumption expenditures on food, education, and social activities.10