Are malaria treatment expenditures catastrophic to different socio-economic and geographic groups and how do they cope with payment? A study in southeast Nigeria

Tropical Medicine and International Health

Volumn 15, Issue 1, 2010, Pages 18-25

  Onwujekwe, Obinna ^a   Hanson, Kara ^a   Uzochukwu, Benjamin ^b   Ichoku, Hyacinth ^b   Ike, Edith ^c   Onwughalu, Benjamin ^c  

^a LONDON SCHOOL OF HYGIENE AND TROPICAL MEDICINE   (United Kingdom)

^b UNIVERSITY OF NIGERIA   (Nigeria)

^c Anambra State Ministry of Health   (Nigeria)

Author keywords

Catastrophic costs; Malaria; Nigeria; Out of pocket spending; Treatment expenditures

Indexed keywords

ANTIMALARIAL AGENT;

CATASTROPHIC EVENT; CHILD CARE; DISEASE TREATMENT; HEALTH RISK; HOUSEHOLD EXPENDITURE; MALARIA; RURAL-URBAN COMPARISON; SOCIOECONOMIC STATUS; SPATIAL VARIATION;

ARTICLE; COPING BEHAVIOR; DISASTER; FEVER; FINANCIAL MANAGEMENT; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE SYSTEM; HEALTH INSURANCE; HEALTH SERVICE; HOUSEHOLD; HUMAN; INCOME; MALARIA; NIGERIA; QUESTIONNAIRE; RURAL AREA; SOCIAL STATUS; SOCIOECONOMICS; URBAN AREA;

ADULT; COST OF ILLNESS; DELIVERY OF HEALTH CARE; DEVELOPING COUNTRIES; FEMALE; FINANCING, PERSONAL; HEALTH EXPENDITURES; HUMANS; MALARIA; MALE; NIGERIA; RURAL HEALTH; SOCIOECONOMIC FACTORS; URBAN HEALTH;

NIGERIA;

EID: 72349091546     PISSN: 13602276     EISSN: 13653156     Source Type: Journal    
DOI: 10.1111/j.1365-3156.2009.02418.x     Document Type: Article

References (33)

1. Biritwum RB, Welbeck J Barnish G (2000) Incidence and management of malaria in two communities of different socioeconomic level in Accra, Ghana. Annals of Tropical Medicine and Parasitology 94, 771 778.
2. Breman JG, Alilio MS Mills A (2004) Conquering the intolerable burden of malaria: what's new, what's needed: a summary. American Journal of Tropical Medicine and Hygiene 71 (2 Suppl 1 15.
3. Castillo-Riquelme M, McIntyre D Barnes K (2008) Household burden of malaria in South Africa and Mozambique: is there a catastrophic impact? Tropical Medicine and International Health 13, 108 122.
4. Chima RI, Goodman CA Mills A (2003) The economic impact of malaria in Africa: a critical review of the evidence. Health Policy 63, 17 36.
5. Feder J, Moon M Scanlon W (1987) Medicare reform: Nibbling at catastrophic costs. Health Affairs 6, 5 19.
6. Federal Ministry of Health (2005) National Antimalaria Treatment Policy. Federal Ministry of Health, Abuja.
7. Federal Ministry of Health (2006) National Health Financing Policy. Federal Ministry of Health, Abuja.
8. Federal Office of Statistics (2004) Nigeria Living Standard Survey (NLSS) 2003/2004. FOS, Abuja, pp. 35 39.
9. Gertler P van der Gaag J (1990) The Willingness to Pay for Medical Care: Evidence from Two Developing Countries. John Hopkins University Press for the World Bank, Baltimore.
10. Holtz TH, Marum LK, Mkandala C et al. (2002) Insecticide-treated bednet use, aneamia, and malaria parastaemia in Blantyre District, Malawi. Tropical Medicine and International Health 7, 220 230.
11. Ichoku HE (2005) The Redistributive Effects of Healthcare Financing in Nigeria. University of Laval, Quebec City, Canada.
12. Kamat VR Brown PJ (2002) "I thought it was only ordinary fever": Cultural knowledge and the microeconomics of treatment seeking for malaria in children under 5 in per-urban Tanzania. In Book of Abstracts, The Third MIM Pan-African Malaria Conference, Arusha, Tanzania 2002.
13. Makinen M, Waters H, Rauch M et al. (2000) Inequalities in health care use and expenditures: an empirical data from eight developing countries in transition. Bulletin of the World Health Organization 78, 55 65.
14. Mbugua JK, Bloom GH Segall MM (1995) Impact of user charges on vulnerable groups: the case of Kibwezi in rural Kenya. Social Science and Medicine 41, 829 835.
15. McCarthy FD, Wolf H Wu Y (2000) The growth costs of malaria, Technical Report No. 7521 (NBER 2000).
16. O'Donnell O, van Doorslaer E, Rannan-Eliya RP et al. (2005) EQUITAP Project: Working Paper #5. University of Macedonia, Thessaloniki.
17. Okeke TA, Uzochukwu BS Okafor HU (2006) An in-depth study of patent medicine sellers' perspectives on malaria in a rural Nigerian community. Malaria Journal 5, 7.
18. Olumese P (2005) Epidemiology and surveillance: changing the global picture of malaria - myth or reality? Acta Tropica 95, 65 69.
19. Onwujekwe OE Uzochukwu BSC (2005) Socio-economic and geographic differentials in costs and payment strategies for primary health care services in Southeast Nigeria. Health Policy 71, 383 397.
20. Onwujekwe OE, Chima RI Okonkwo PO (2000) Economic burden of malaria illness versus that of a combination of all other illnesses: a study in five malaria holo-endemic communities. Health Policy 54, 143 159.
21. Pradhan M Prescott N (2002) Social risk management options for medical care in Indonesia. Health Economics 11, 431 436.
22. Preker AS (2005) Feasibility of Mandatory Health Insurance - Challenges in Health Care Financing. World Bank, Abuja.
23. Ranson K (2002) Reduction of catastrophic healthcare expenditures by a community-based health insurance scheme in Gujarat, India: current experiences and challenges. Bulletin of the World Health Organization 80, 613 621.
24. Russel S (1996) Ability to pay for health care: concepts and evidence. Health Policy and Planning 11, 219 237.
25. Sachs JD (2001) Report of the Commission on Macroeconomics and Health. WHO, Geneva.
26. Sachs JD (2005) Investing in Development: A Practical Plan to Achieve the Millennium Development Goals. Millennium Project, New York.
27. Soyibo A (2004) National Health Accounts of Nigeria 1998-2002. University of Ibadan, Ibadan.
28. Velenyi E (2005) In Pursuit of More and Better Managed Funds: Policy Options to Purchase Better Health for Nigeria: A Feasibility Study of the National Health Insurance Scheme of Nigeria. World Bank, Washington DC.
29. Wagstaff A van Doorslaer E (2001) Paying for Health Care. World Bank, Washington D.C.
30. WHO (2003) The African Malaria Report 2003. WHO/CDS/MAL/2003.1093, Geneva.
31. Worrall E, Basu S Hanson K (2005) Is malaria a disease of poverty? A review of the literature. Tropical Medicine and International Health 10, 1047 1059.
32. Xu K, Evans DB, Kawabata K, Zeramdini R, Klavus J Murray CJL (2003) Household catastrophic health expenditure: a multi-country analysis. Lancet 362, 111 117.
33. Xu K, Evans DB, Carrin G, Aguilar-Rivera AM, Musgrove P Evans T (2007) Protecting households from catastrophic health spending. Health Affairs 26, 972 983.