Evaluation of catastrophic health expenditure risk due to measles in Nigeria

Measles can have a substantial negative impact not only on people’s health but also on their finances, especially in developing countries. This study evaluates the household risk of catastrophic health expenditure (CHE) due to measles, according to regions and wealth quintiles. The CHE risk due to m...

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Main Author: Ryoko Sato
Format: Article
Language:English
Published: Taylor & Francis Group 2022-11-01
Series:Human Vaccines & Immunotherapeutics
Subjects:
Online Access:http://dx.doi.org/10.1080/21645515.2022.2065836
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author Ryoko Sato
author_facet Ryoko Sato
author_sort Ryoko Sato
collection DOAJ
description Measles can have a substantial negative impact not only on people’s health but also on their finances, especially in developing countries. This study evaluates the household risk of catastrophic health expenditure (CHE) due to measles, according to regions and wealth quintiles. The CHE risk due to measles was computed based on (1) the likelihood of health service utilization to treat measles, (2) out-of-pocket (OOP) expenditure and indirect costs associated with disease treatment, and (3) household consumption expenditures. I derived the CHE risk associated with measles, conditional on contracting the disease, across regions and wealth quintiles in Nigeria, using secondary data sources for health-care utilization, OOP expenditures, and consumption expenditures. There was a large variation in CHE risk according to regions and wealth quintiles. Among the poorest households, those in the northeast and northwest would have the highest risk of CHE, up to 17%, while those in the southwest would have the lowest risk of 5%. For all regions, as the wealth increases, the CHE risk would decrease. There would be zero or very little CHE risk among the richest households in any regions. Given the proven efficacy of measles vaccines, immunizations can prevent households, especially poorer households in northeast and northwest regions, from facing the CHE risk due to measles.
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spelling doaj.art-b47c48fc4a984fd59006e8982ec75d8f2023-09-26T13:19:06ZengTaylor & Francis GroupHuman Vaccines & Immunotherapeutics2164-55152164-554X2022-11-0118510.1080/21645515.2022.20658362065836Evaluation of catastrophic health expenditure risk due to measles in NigeriaRyoko Sato0Harvard T. H. Chan School of Public HealthMeasles can have a substantial negative impact not only on people’s health but also on their finances, especially in developing countries. This study evaluates the household risk of catastrophic health expenditure (CHE) due to measles, according to regions and wealth quintiles. The CHE risk due to measles was computed based on (1) the likelihood of health service utilization to treat measles, (2) out-of-pocket (OOP) expenditure and indirect costs associated with disease treatment, and (3) household consumption expenditures. I derived the CHE risk associated with measles, conditional on contracting the disease, across regions and wealth quintiles in Nigeria, using secondary data sources for health-care utilization, OOP expenditures, and consumption expenditures. There was a large variation in CHE risk according to regions and wealth quintiles. Among the poorest households, those in the northeast and northwest would have the highest risk of CHE, up to 17%, while those in the southwest would have the lowest risk of 5%. For all regions, as the wealth increases, the CHE risk would decrease. There would be zero or very little CHE risk among the richest households in any regions. Given the proven efficacy of measles vaccines, immunizations can prevent households, especially poorer households in northeast and northwest regions, from facing the CHE risk due to measles.http://dx.doi.org/10.1080/21645515.2022.2065836catastrophic health expendituremeaslesnigeria
spellingShingle Ryoko Sato
Evaluation of catastrophic health expenditure risk due to measles in Nigeria
Human Vaccines & Immunotherapeutics
catastrophic health expenditure
measles
nigeria
title Evaluation of catastrophic health expenditure risk due to measles in Nigeria
title_full Evaluation of catastrophic health expenditure risk due to measles in Nigeria
title_fullStr Evaluation of catastrophic health expenditure risk due to measles in Nigeria
title_full_unstemmed Evaluation of catastrophic health expenditure risk due to measles in Nigeria
title_short Evaluation of catastrophic health expenditure risk due to measles in Nigeria
title_sort evaluation of catastrophic health expenditure risk due to measles in nigeria
topic catastrophic health expenditure
measles
nigeria
url http://dx.doi.org/10.1080/21645515.2022.2065836
work_keys_str_mv AT ryokosato evaluationofcatastrophichealthexpenditureriskduetomeaslesinnigeria