Incidence, Intensity, and Correlates of Catastrophic Out-of-Pocket Health Payments in India
Bonu, Sekhar; Bhushan, Indu; Peters, David H. | October 2007
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.
Citation
Bonu, Sekhar; Bhushan, Indu; Peters, David H.. 2007. Incidence, Intensity, and Correlates of Catastrophic Out-of-Pocket Health Payments in India. © Asian Development Bank. http://hdl.handle.net/11540/1865. License: CC BY 3.0 IGO.ISSN
1655-5252
Keywords
World Health Organization
Urban Health Services
Rural Health Services
Nutrition and Health Care
Health Aspects of Poverty
Health and Hygiene and the Poor
Education, Health and Social Protection
Access to Health Care
Social Aspects Of Poverty
Disease Control
Occupational Hygiene
Medical Services
Health Costs
Sanitation
Diseases
Water Quality
Respiratory Diseases
Health Indicators
Disadvantaged Groups
Disadvantaged Groups
Cost of medical care
Health status indicators
Sanitation services
Sickness
Illness
Prevention of disease
Health status indicators
Cost and standard of living
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