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Article: Effect of payments for health care on poverty estimates in 11 countries in Asia: an analysis of household survey data

TitleEffect of payments for health care on poverty estimates in 11 countries in Asia: an analysis of household survey data
Authors
Issue Date2006
PublisherThe Lancet Publishing Group. The Journal's web site is located at http://www.elsevier.com/locate/lancet
Citation
Lancet, 2006, v. 368 n. 9544, p. 1357-1364 How to Cite?
AbstractBackground: Conventional estimates of poverty do not take account of out-of-pocket payments to finance health care. We aimed to reassess measures of poverty in 11 low-to-middle income countries in Asia by calculating total household resources both with and without out-of-pocket payments for health care. Methods: We obtained data on payments for health care from nationally representative surveys, and subtracted these payments from total household resources. We then calculated the number of individuals with less than the internationally accepted threshold of absolute poverty (US$1 per head per day) after making health payments. We also assessed the effect of health-care payments on the poverty gap-the amount by which household resources fell short of the $1 poverty line in these countries. Findings: Our estimate of the overall prevalence of absolute poverty in these countries was 14% higher than conventional estimates that do not take account of out-of-pocket payments for health care. We calculated that an additional 2·7% of the population under study (78 million people) ended up with less than $1 per day after they had paid for health care. In Bangladesh, China, India, Nepal, and Vietnam, where more than 60% of health-care costs are paid out-of-pocket by households, our estimates of poverty were much higher than conventional figures, ranging from an additional 1·2% of the population in Vietnam to 3·8% in Bangladesh. Interpretation: Out-of-pocket health payments exacerbate poverty. Policies to reduce the number of Asians living on less than $1 per day need to include measures to reduce such payments. © 2006 Elsevier Ltd. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/86609
ISSN
2015 Impact Factor: 44.002
2015 SCImago Journal Rankings: 14.638
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorvan Doorslaer, Een_HK
dc.contributor.authorO'Donnell, Oen_HK
dc.contributor.authorRannanEliya, RPen_HK
dc.contributor.authorSomanathan, Aen_HK
dc.contributor.authorAdhikari, SRen_HK
dc.contributor.authorGarg, CCen_HK
dc.contributor.authorHarbianto, Den_HK
dc.contributor.authorHerrin, ANen_HK
dc.contributor.authorHuq, MNen_HK
dc.contributor.authorIbragimova, Sen_HK
dc.contributor.authorKaran, Aen_HK
dc.contributor.authorNg, CWen_HK
dc.contributor.authorPande, BRen_HK
dc.contributor.authorRacelis, Ren_HK
dc.contributor.authorTao, Sen_HK
dc.contributor.authorTin, Ken_HK
dc.contributor.authorTisayaticom, Ken_HK
dc.contributor.authorTrisnantoro, Len_HK
dc.contributor.authorVasavid, Cen_HK
dc.contributor.authorZhao, Yen_HK
dc.date.accessioned2010-09-06T09:19:08Z-
dc.date.available2010-09-06T09:19:08Z-
dc.date.issued2006en_HK
dc.identifier.citationLancet, 2006, v. 368 n. 9544, p. 1357-1364en_HK
dc.identifier.issn0140-6736en_HK
dc.identifier.urihttp://hdl.handle.net/10722/86609-
dc.description.abstractBackground: Conventional estimates of poverty do not take account of out-of-pocket payments to finance health care. We aimed to reassess measures of poverty in 11 low-to-middle income countries in Asia by calculating total household resources both with and without out-of-pocket payments for health care. Methods: We obtained data on payments for health care from nationally representative surveys, and subtracted these payments from total household resources. We then calculated the number of individuals with less than the internationally accepted threshold of absolute poverty (US$1 per head per day) after making health payments. We also assessed the effect of health-care payments on the poverty gap-the amount by which household resources fell short of the $1 poverty line in these countries. Findings: Our estimate of the overall prevalence of absolute poverty in these countries was 14% higher than conventional estimates that do not take account of out-of-pocket payments for health care. We calculated that an additional 2·7% of the population under study (78 million people) ended up with less than $1 per day after they had paid for health care. In Bangladesh, China, India, Nepal, and Vietnam, where more than 60% of health-care costs are paid out-of-pocket by households, our estimates of poverty were much higher than conventional figures, ranging from an additional 1·2% of the population in Vietnam to 3·8% in Bangladesh. Interpretation: Out-of-pocket health payments exacerbate poverty. Policies to reduce the number of Asians living on less than $1 per day need to include measures to reduce such payments. © 2006 Elsevier Ltd. All rights reserved.en_HK
dc.languageengen_HK
dc.publisherThe Lancet Publishing Group. The Journal's web site is located at http://www.elsevier.com/locate/lanceten_HK
dc.relation.ispartofLanceten_HK
dc.subject.meshAsiaen_HK
dc.subject.meshData Collectionen_HK
dc.subject.meshHealth Expendituresen_HK
dc.subject.meshHumansen_HK
dc.subject.meshPoverty - classification - economicsen_HK
dc.titleEffect of payments for health care on poverty estimates in 11 countries in Asia: an analysis of household survey dataen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0140-6736&volume=368&spage=1357&epage=1364&date=2006&atitle=Effect+of+payments+for+health+care+on+poverty+estimates+in+11+countries+in+Asia:+An+analysis+of+household+survey+dataen_HK
dc.identifier.emailTin, K:tinyiuke@hku.hken_HK
dc.identifier.authorityTin, K=rp00494en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1016/S0140-6736(06)69560-3en_HK
dc.identifier.pmid17046468-
dc.identifier.scopuseid_2-s2.0-33749537779en_HK
dc.identifier.hkuros134237en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33749537779&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume368en_HK
dc.identifier.issue9544en_HK
dc.identifier.spage1357en_HK
dc.identifier.epage1364en_HK
dc.identifier.isiWOS:000241388100032-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridvan Doorslaer, E=7006272913en_HK
dc.identifier.scopusauthoridO'Donnell, O=6601988937en_HK
dc.identifier.scopusauthoridRannanEliya, RP=14919790700en_HK
dc.identifier.scopusauthoridSomanathan, A=14919648800en_HK
dc.identifier.scopusauthoridAdhikari, SR=14919146200en_HK
dc.identifier.scopusauthoridGarg, CC=14919150300en_HK
dc.identifier.scopusauthoridHarbianto, D=14919344500en_HK
dc.identifier.scopusauthoridHerrin, AN=6603659021en_HK
dc.identifier.scopusauthoridHuq, MN=14919585400en_HK
dc.identifier.scopusauthoridIbragimova, S=14919401500en_HK
dc.identifier.scopusauthoridKaran, A=14919490100en_HK
dc.identifier.scopusauthoridNg, CW=7401705512en_HK
dc.identifier.scopusauthoridPande, BR=14919966800en_HK
dc.identifier.scopusauthoridRacelis, R=6506891315en_HK
dc.identifier.scopusauthoridTao, S=14919877100en_HK
dc.identifier.scopusauthoridTin, K=7003796897en_HK
dc.identifier.scopusauthoridTisayaticom, K=14919793800en_HK
dc.identifier.scopusauthoridTrisnantoro, L=14919935900en_HK
dc.identifier.scopusauthoridVasavid, C=14919985500en_HK
dc.identifier.scopusauthoridZhao, Y=37030238400en_HK

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