Assessment of Households Healthcare Expenditure Among Urban Dwellers of Bauchi Local Government Area, Bauchi State Nigeria
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Abstract
Introduction: Globally, healthcare spending has become a major concern, especially in developing nations where a significant proportion of health costs is borne by individuals and families. A key issue linked to healthcare expenditure is catastrophic health expenditure that pushes many household in to poverty around the globe. This study aimed to assess household healthcare expenditure among head of households within Bauchi metropolis, Bauchi State.
Methods: A descriptive cross-sectional study was conducted among 406 head of household selected through multistage sampling. Data was collected by using a pre-tested interviewer administered questionnaire and analyzed using SPSS version 26.
Results: The mean and standard deviation of age of the respondents was 42.6 ± 12.4 years respectively. Over three forth (87.9%) of the respondents were male and 69.7% of them were married. Slightly below half of the respondents (46.3%) were business men and women in their occupation and more than one-third (39.4%) of the respondents earned between N50, 000.00-to N100,000.00 monthly. About 45.4% of the study participants spent more than 40% of their monthly income on health care, equivalent to N34,187.2 i.e they faced catastrophic health expenditure.
Conclusion: A substantial proportion of households in urban Bauchi incur catastrophic health expenditures. Strengthening financial risk protection mechanisms such as health insurance, more especially in the form of community-based health insurance is essential.
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Aregbeshola, B. S., & Khan, S. M. (2022). Out-of-pocket payments, catastrophic health expenditure, and poverty among households in Nigeria. Journal of Public Health Policy, 43(1), 123–132.
Barasa, E., Rogo, K., Mwaura, N., & Chuma, J. (2021). Catastrophic health care spending and impoverishment in Kenya. BMJ Global Health, 6(1), e003849. https://doi.org/10.1136/bmjgh-2021-003849
Buchmueller, T., McGuire, T., & Vogt, W. (2020). The effects of health insurance on health spending and utilization. Journal of Health Economics, 71, 102328. https://doi.org/10.1016/j.jhealeco.2020.102328
Deji, A. O., Abiola, S. F., & Oyetunde, A. A. (2021). Traditional medicine use in rural Nigeria: Patterns and determinants. African Journal of Health Economics, 10(3), 25–34.
Dovlo, D., & Gyapong, J. (2022). Barriers to healthcare access in sub-Saharan Africa: Distance and affordability. African Health Monitor, 22(1), 45–56.
Fakeye, O. O., Adisa, R., & Musa, I. A. (2020). Utilization of herbal medicines in rural Nigeria: Perceptions, patterns, and challenges. BMC Complementary Medicine and Therapies, 20(1), 78–85.
Kim, S., Lee, S., & Kim, H. (2020). Evolution of South Korea's national health insurance: Achievements and challenges. Health Policy, 124(7), 681–687.
Liu, X., et al. (2022). The impact of income inequality on catastrophic health expenditure in low-income countries. Global Health Action, 15(1), 1817230.
Masiye, F., et al. (2022). Health expenditure patterns and financial protection in sub-Saharan Africa. BMC Health Services Research, 22(7), 1–12.
Mladovsky, P., et al. (2021). The impact of health insurance on household financial risk in Africa. Health Policy and Planning, 36(4), 459–468.
Mokgobi, M. G. (2021). Preference for orthodox healthcare versus traditional medicine: A South African perspective. Journal of Ethnobiology and Ethnomedicine, 17(1), 12–23.
Mugisha, J., Lwanga, D., & Tumusiime, D. (2021). The impact of distance to healthcare facilities on healthcare utilization in Uganda. African Journal of Health Policy and Practice, 8(4), 15–28.
Obikeze, D. S., et al. (2021). Health financing and catastrophic health expenditure in Nigeria: A review. Nigerian Journal of Health Economics, 7(2), 20–35.
Onoka, C. A., Mbachu, C., & Uzochukwu, B. (2020). Perceptions and experiences with health insurance in Nigeria. International Journal for Equity in Health, 19(1), 113.
Onwujekwe, O., et al. (2022). Healthcare financing in Nigeria: Trends, challenges, and the way forward. Health Economics Review, 12(6), 45–58.
Patel, R. K., Gupta, A., & Singh, S. (2020). Healthcare utilization patterns in India: The role of proximity, affordability, and quality. Indian Journal of Public Health, 64(3), 123–131.
Tilahun, H., Fekadu, A., & Bekele, A. (2021). Health insurance enrollment in Ethiopia: Insights and challenges. Ethiopian Journal of Health Development, 35(2), 76–85.
World Health Organization. (2023). WHO African Region health expenditure atlas 2023. https://www.afro.who.int
World Health Organization. (2023). Tracking progress on universal health coverage: Health insurance coverage rates by region. https://www.who.int
World Health Organization. (2023). Universal health coverage and financial protection in Africa. https://www.afro.who.int
Xu, K., Soucat, A., & Kutzin, J. (2022). Protecting people from the financial consequences of healthcare: Progress and challenges. The Lancet, 399(10336), 194–206. https://doi.org/10.1016/S0140-6736(22)00473-2
Xu, K., Evans, D. B., & Carrin, G. (2021). Protecting households from catastrophic health expenditure: WHO global review. Bulletin of the World Health Organization, 99(2), 175–181.
Xu, K., et al. (2022). Tracking financial protection to achieve universal health coverage. World Health Organization.
Xu, K., et al. (2022). Understanding barriers to health insurance enrollment in LMICs. World Health Organization.