Household Catastrophic Health Expenditure
Background: Fairness in financial contribution for health was determined by WHO (World Health Report, 2000) as the third goal of health systems which is measured by fairness in financial contribution index (FFCI). The aim of this study was to estimate FFCI and quantify extent of catastrophic househo...
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| Format: | Article |
| Language: | English |
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Tehran University of Medical Sciences
2011-03-01
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| Series: | Iranian Journal of Public Health |
| Subjects: | |
| Online Access: | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/17779.pdf&manuscript_id=17779 |
| _version_ | 1818940392686485504 |
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| author | A Daneshkohan M Karami F Najafi B Karami Matin |
| author_facet | A Daneshkohan M Karami F Najafi B Karami Matin |
| author_sort | A Daneshkohan |
| collection | DOAJ |
| description | Background: Fairness in financial contribution for health was determined by WHO (World Health Report, 2000) as the third goal of health systems which is measured by fairness in financial contribution index (FFCI). The aim of this study was to estimate FFCI and quantify extent of catastrophic household heath expenditures."nMethods: We conducted a descriptive study during May 2008. Subjects were chosen by "Systematic Random sampling" among residents of Maskan's population- based research center (Maskan Center) in Kermanshah, Iran. After complet­ing in­formed consent form, we collected data using a questionnaire by interview with head of family. In order to describing data and estimating FFCI, we used descriptive statistics and WHO methodology, respectively. Households with catastrophic expendi­tures and impoverished households were defined as those with health expenditures over 40% and 50% of their abil­ity to pay, respectively."nResults: The mean age of head of families was 48.96±12.86 years. From 189; 12.7% of household's heads were female. 75.1% of households were covered by at least one health insurance scheme. FFCI was 0.57. The proportion of house­holds fac­ing catastrophic health expenditures was 22.2% (95% CI=16.3%-28.1%)."nConclusion: The rate of FFCI among participants implied an inequality in health financing contribution. In addition, many of households (22.2%) faced catastrophic health expenditures while according to WHO estimation, the figure in the whole coun­try was 2% in 1999. Our study revealed the importance of protecting households against the costs of ill-health. |
| first_indexed | 2024-12-20T06:38:55Z |
| format | Article |
| id | doaj.art-5d9b6098268a48f9ae6aa17a6b67e22e |
| institution | Directory Open Access Journal |
| issn | 2251-6085 |
| language | English |
| last_indexed | 2024-12-20T06:38:55Z |
| publishDate | 2011-03-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Public Health |
| spelling | doaj.art-5d9b6098268a48f9ae6aa17a6b67e22e2022-12-21T19:49:54ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852011-03-014019499Household Catastrophic Health ExpenditureA DaneshkohanM KaramiF NajafiB Karami MatinBackground: Fairness in financial contribution for health was determined by WHO (World Health Report, 2000) as the third goal of health systems which is measured by fairness in financial contribution index (FFCI). The aim of this study was to estimate FFCI and quantify extent of catastrophic household heath expenditures."nMethods: We conducted a descriptive study during May 2008. Subjects were chosen by "Systematic Random sampling" among residents of Maskan's population- based research center (Maskan Center) in Kermanshah, Iran. After complet­ing in­formed consent form, we collected data using a questionnaire by interview with head of family. In order to describing data and estimating FFCI, we used descriptive statistics and WHO methodology, respectively. Households with catastrophic expendi­tures and impoverished households were defined as those with health expenditures over 40% and 50% of their abil­ity to pay, respectively."nResults: The mean age of head of families was 48.96±12.86 years. From 189; 12.7% of household's heads were female. 75.1% of households were covered by at least one health insurance scheme. FFCI was 0.57. The proportion of house­holds fac­ing catastrophic health expenditures was 22.2% (95% CI=16.3%-28.1%)."nConclusion: The rate of FFCI among participants implied an inequality in health financing contribution. In addition, many of households (22.2%) faced catastrophic health expenditures while according to WHO estimation, the figure in the whole coun­try was 2% in 1999. Our study revealed the importance of protecting households against the costs of ill-health.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/17779.pdf&manuscript_id=17779Fair Financing Contribution Index (FFCI)Catastrophic health expenditures |
| spellingShingle | A Daneshkohan M Karami F Najafi B Karami Matin Household Catastrophic Health Expenditure Iranian Journal of Public Health Fair Financing Contribution Index (FFCI) Catastrophic health expenditures |
| title | Household Catastrophic Health Expenditure |
| title_full | Household Catastrophic Health Expenditure |
| title_fullStr | Household Catastrophic Health Expenditure |
| title_full_unstemmed | Household Catastrophic Health Expenditure |
| title_short | Household Catastrophic Health Expenditure |
| title_sort | household catastrophic health expenditure |
| topic | Fair Financing Contribution Index (FFCI) Catastrophic health expenditures |
| url | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/17779.pdf&manuscript_id=17779 |
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