Health insurance coverage and out-of pocket expenditure: A study among rural and urban households of Faridabad, Haryana

Introduction: Catastrophic health spending is one of the major factors pushing people into poverty. Reducing “out-of-pocket expenditure (OOPE)” on health through health insurance coverage is an effective approach. The objectives of this study are (1) to estimate health insurance coverage among rural...

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Main Authors: Mitasha Singh, Pooja Goyal, Sangeeta Narang, Abhishek Singh, Mansi Singal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Community and Family Medicine
Subjects:
Online Access:http://www.ijcfm.org/article.asp?issn=2395-2113;year=2022;volume=8;issue=2;spage=110;epage=114;aulast=Singh
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author Mitasha Singh
Pooja Goyal
Sangeeta Narang
Abhishek Singh
Mansi Singal
author_facet Mitasha Singh
Pooja Goyal
Sangeeta Narang
Abhishek Singh
Mansi Singal
author_sort Mitasha Singh
collection DOAJ
description Introduction: Catastrophic health spending is one of the major factors pushing people into poverty. Reducing “out-of-pocket expenditure (OOPE)” on health through health insurance coverage is an effective approach. The objectives of this study are (1) to estimate health insurance coverage among rural and urban households (HHs) and (2) to determine the proportion of income spent on health as OOPE among the selected HHs. Material and Methods: A cross-sectional study was conducted in rural and urban parts of district Faridabad, Haryana. A sample of 374 were taken from rural and urban areas. The unit of the study was HHs in both the areas. The proportion of income spent on health care (both direct and indirect expenses included) as OOPE was taken as outcome variable. Results: Health insurance coverage was higher among urban HHs (58.0%) as compared to the rural (38.5%). The rural population was availing of private consultation, laboratory, and pharmacy services to a greater extent than the urban; hence, they were spending a substantial proportion of their income on health-care services. The majority of the HHs in the rural and urban areas spent up to 20% of their income on health care. Conclusion: Universal health coverage without health insurance is unlikely.
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spelling doaj.art-d26762a2a8c742da92d7a55f3d812e822023-03-21T08:41:50ZengWolters Kluwer Medknow PublicationsIndian Journal of Community and Family Medicine2395-21132022-01-018211011410.4103/ijcfm.ijcfm_83_21Health insurance coverage and out-of pocket expenditure: A study among rural and urban households of Faridabad, HaryanaMitasha SinghPooja GoyalSangeeta NarangAbhishek SinghMansi SingalIntroduction: Catastrophic health spending is one of the major factors pushing people into poverty. Reducing “out-of-pocket expenditure (OOPE)” on health through health insurance coverage is an effective approach. The objectives of this study are (1) to estimate health insurance coverage among rural and urban households (HHs) and (2) to determine the proportion of income spent on health as OOPE among the selected HHs. Material and Methods: A cross-sectional study was conducted in rural and urban parts of district Faridabad, Haryana. A sample of 374 were taken from rural and urban areas. The unit of the study was HHs in both the areas. The proportion of income spent on health care (both direct and indirect expenses included) as OOPE was taken as outcome variable. Results: Health insurance coverage was higher among urban HHs (58.0%) as compared to the rural (38.5%). The rural population was availing of private consultation, laboratory, and pharmacy services to a greater extent than the urban; hence, they were spending a substantial proportion of their income on health-care services. The majority of the HHs in the rural and urban areas spent up to 20% of their income on health care. Conclusion: Universal health coverage without health insurance is unlikely.http://www.ijcfm.org/article.asp?issn=2395-2113;year=2022;volume=8;issue=2;spage=110;epage=114;aulast=Singhhealth insuranceout-of-pocket expenditureuniversal health coverage
spellingShingle Mitasha Singh
Pooja Goyal
Sangeeta Narang
Abhishek Singh
Mansi Singal
Health insurance coverage and out-of pocket expenditure: A study among rural and urban households of Faridabad, Haryana
Indian Journal of Community and Family Medicine
health insurance
out-of-pocket expenditure
universal health coverage
title Health insurance coverage and out-of pocket expenditure: A study among rural and urban households of Faridabad, Haryana
title_full Health insurance coverage and out-of pocket expenditure: A study among rural and urban households of Faridabad, Haryana
title_fullStr Health insurance coverage and out-of pocket expenditure: A study among rural and urban households of Faridabad, Haryana
title_full_unstemmed Health insurance coverage and out-of pocket expenditure: A study among rural and urban households of Faridabad, Haryana
title_short Health insurance coverage and out-of pocket expenditure: A study among rural and urban households of Faridabad, Haryana
title_sort health insurance coverage and out of pocket expenditure a study among rural and urban households of faridabad haryana
topic health insurance
out-of-pocket expenditure
universal health coverage
url http://www.ijcfm.org/article.asp?issn=2395-2113;year=2022;volume=8;issue=2;spage=110;epage=114;aulast=Singh
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