Objectives: Korea achieved universal population coverage through national health insurance in 1989. However, out-of-pocket payments (OOP) still accounted for 36% of total health expenditure in 2006. This paper aims to provide evidence for improving the benefit package through analyzing household financial burden. Methods: OOP and the incidence of catastrophic health expenditure were analysed us...

One of the main challenges in the implementation of health care reform in developing countries of India has been the development of catastrophic household expenditure on health care. This papers aims at contributing to the examination of the content, measurement and policy implications of health care reform tackling catastrophic risks in one of the oldest city of Odisha that is Cuttack. We unde...

BACKGROUND Many health systems in Africa are funded primarily through out-of-pocket payments. Out-of-pocket payments prevent people from seeking care, can result to catastrophic health spending and lead to impoverishment. This paper estimates the burden of out-of-pocket payments in Kenya; the incidence and intensity of catastrophic health care expenditure and the effect of health spending on na...

Background and purpose: In 2000 World Health Organization (WHO) has announced the fairness of financial contribution to health care costs, as one of the three goals of health systems. However, conducted studies in Iran reflect the dire situation in the context of health equity in terms of financing health care costs. The aim of the present study is to determine the disparities in health expendi...

BACKGROUND The social health insurance coverage is relatively high in Mongolia; however, escalation of out-of-pocket payments for health care, which reached 41 % of the total health expenditure in 2011, is a policy concern. The aim of this study is to analyse the incidence of catastrophic health expenditures and to measure the rate of impoverishment from health care payments under the social he...

OBJECTIVE There is limited evidence about levels of socio-economic and other differences in catastrophic health spending in Nigeria and in many sub-Saharan African countries. The study estimated the level of catastrophic healthcare expenditures for different healthcare services and facilities and their distribution across socioeconomic status (SES) groups. METHODS The study took place in four...

The article by Kent Ranson on the experience of the Self Employed Women’s Association’s (SEWA) Medical Insurance Fund in Gujarat, on pp. 613–621 of this issue of the Bulletin, focuses on catastrophic health care expenditure and thereby underlines the importance of ensuring that community financing schemes effectively protect households from impoverishment. It may well be a hope that such scheme...

BACKGROUND Protecting households against financial risks is one of objectives of any health system. In this regard, Iran's fourth five year developmental plan act in its 90th article, articulated decreasing household's exposure to catastrophic health expenditure to one percent. Hence, this study aimed to measure percentage of Iranian households exposed to catastrophic health expenditures and to...

BACKGROUND & OBJECTIVES To examine the household economic impact of an outbreak of chikungunya in terms of out-of-pocket health care expenditure and income foregone due to loss of productive time in Orissa, India. METHODS Structured interviews were conducted on 150 respondents, bread winners from the affected households of a village with maximum number of reported cases in the state, during A...