Investigating the affordability of key health services in South Africa

Social Science and Medicine

Volumn 80, Issue , 2013, Pages 37-46

  Cleary, Susan ^a   Birch, Steve ^b   Chimbindi, Natsayi ^c   Silal, Sheetal ^a   McIntyre, Di ^a  

^a UNIVERSITY OF CAPE TOWN   (South Africa)

^b MCMASTER UNIVERSITY   (Canada)

^c UNIVERSITY OF KWAZULU NATAL   (South Africa)

Author keywords

Ability to pay; Access; Affordability; Anti retroviral treatment; Obstetric services; Service costs; Tuberculosis

Indexed keywords

ANTIRETROVIRUS AGENT;

AFFORDABILITY; ARTICLE; BEHAVIOR ASSESSMENT; CLINICAL INDICATOR; CONTROLLED STUDY; COPING BEHAVIOR; COST OF ILLNESS; HEALTH CARE CONCEPTS; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH IMPACT ASSESSMENT; HEALTH SERVICE; HUMAN; MAJOR CLINICAL STUDY; OBSTETRIC PROCEDURE; RURAL AREA; SOCIAL INTERACTION; TUBERCULOSIS; URBAN AREA; ECONOMICS; FEMALE; FINANCIAL MANAGEMENT; HEALTH CARE DELIVERY; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; METHODOLOGY; ORGANIZATION AND MANAGEMENT; PREGNANCY; QUESTIONNAIRE; RURAL POPULATION; SOCIOECONOMICS; SOUTH AFRICA; STATISTICS; URBAN POPULATION;

ANTI-RETROVIRAL AGENTS; FEMALE; FINANCING, PERSONAL; HEALTH EXPENDITURES; HEALTH SERVICES ACCESSIBILITY; HIV INFECTIONS; HUMANS; MATERNAL HEALTH SERVICES; PREGNANCY; PUBLIC SECTOR; QUESTIONNAIRES; RURAL POPULATION; SOCIOECONOMIC FACTORS; SOUTH AFRICA; TUBERCULOSIS; URBAN POPULATION;

MLCS; MLOWN;

EID: 84876495764     PISSN: 02779536     EISSN: 18735347     Source Type: Journal    
DOI: 10.1016/j.socscimed.2012.11.035     Document Type: Article

References (37)

1. Adhikari S., Maskay N., Sharma B. Paying for hospital-based care of Kala-azar in Nepal: assessing catastrophic, impoverishment and economic consequences. Health Policy and Planning 2009, 24:129-139.
2. Ataguba J., Akazili J., McIntyre D. Socioeconomic-related health inequality in South Africa: evidence from General Household Surveys. International Journal for Equity in Health 2011.
3. Borghi J., Ensor T., Neupane B., Tiwari S. Financial implications of skilled attendance at delivery in Nepal. Tropical Medicine and International Health 2006, 11(2):228-237.
4. Chuma J., Gilson L., Molyneux C. Treatment-seeking behaviour, cost burdens and coping strategies among rural and urban households in Coastal Kenya: an equity analysis. Tropical Medicine and International Health 2007, 12(5):1-14.
5. Chuma J., Thiede M., Molyneux C. Rethinking the economic costs of malaria at the household level: evidence from applying a new analytical framework in rural Kenya. Malaria Journal 2006, 5:76.
6. Department of Health National Health Act (61/2003): Policy on national health insurance 2011, Government Gazette 34523, Department of Health, Pretoria.
7. Goudge J., Gilson L., Russell S., Gumede T., Mills A. Affordability, availability and acceptability barriers to health care for the chronically ill: longitudinal case studies from South Africa. BMC Health Services Research 2009, 9:75.
8. Goudge J., Gilson L., Russell S., Gumede T., Mills A. The household costs of health care in rural South Africa with free public primary care and hospital exemptions for the poor. Tropical Medicine and International Health 2009, 14(4):458-467.
9. Goudge J., Russell S., Gilson L., Gumede T., Tollman S., Mills A. Illness-related impoverishment in rural South Africa: why does social protection work for some households but not others?. Journal of International Development 2009, 21:231-251.
10. Kabir M.A., Rahman A., Salway S., Pryer J. Sickness among the urban poor: a barrier to livelihood security. Journal of International Development 2000, 12:707-722.
11. Levie A., Xu K. Coping with out-of-pocket health payments: empirical evidence from 15 African countries. Bulletin of the World Health Organization 2008, 86:849-856.
12. McCoy D. Free health care for pregnant women and children under six in South Africa: An impact assessment 1996, Health Systems Trust, Durban.
13. McIntyre D., Thiede M., Dahlgren G., Whitehead M. What are the economic consequences for households of illness and of paying for health care in low- and middle-income country contexts?. Social Science & Medicine 2006, 62:858-865.
14. McPake B., Hanson K., Mills A. Community financing of health care in Africa: an evaluation of the Bamako initiative. Social Science & Medicine 1993, 36(11):1383-1395.
15. Nahar S., Costello A. The hidden cost of 'free' maternity care in Dhaka, Bangladesh. Health Policy and Planning 1998, 13(4):417-422.
16. Patcharanarumol W., Mills A., Tangcharoensathien V. Dealing with the cost of illness: the experience of four villages in LAO PDR. Journal of International Development 2009, 21:212-230.
17. Penchansky R. The concept of access: A definition 1977, National Health Planning Information Centre, Department of Health, Education and Welfare, Hyattsville.
18. Perera M., Gunatilleke G. ALPS Sri Lanka case study 2004, Marga Institute, Colombo.
19. Prescott N. Coping with catastrophic health shocks. Conference on social protection and poverty 1999, Inter-American Development Bank, Washington, DC.
20. Ranson M.K. Reduction of catastrophic health care expenditures by a community-based health insurance scheme in Gujarat, India: current experiences and challenges. Bulletin of the World Health Organization 2002, 80(8):613-621.
21. Rosen S., Ketlhapile M., Sanne I., Bachman DeSilva M. Cost to patients of obtaining treatment for HIV/AIDS in South Africa. South African Medical Journal 2007, 97:524-529.
22. Rugalema, G. It is not only the loss of labour: HIV/AIDS, loss of household assets and household livelihood in Bukoba District, Tanzania. Paper presented at the East and Southern Africa Regional Conference on Responding to HIV/AIDS: Development Needs of African Smallholder Agriculture, Harare, 8-12 June 1998.
23. Russell S. Ability to pay for health care: concepts and evidence. Health Policy and Planning 1996, 11(3):219-237.
24. Russell S. The economic burden of illness for households in developing countries: a review of studies focusing on malaria, tuberculosis and human immunodeficiency virus/acquired immunodeficiency syndrome. American Journal of Tropical Medicine and Hygiene 2004, 7(Suppl. 2):147-155.
25. Russell S., Abdella K. Too poor to be sick: Coping with the costs of illness in East Hararghe, Ethiopia 2002, Save the Children, London.
26. Sauerborn R., Adams A., Hien M. Household strategies to cope with the economic costs of illness. Social Science & Medicine 1996, 43(3):291-301.
27. Save the Children The unbearable cost of illness: Poverty, ill-health and access to healthcare - Evidence from Lindi rural district, Tanzania 2005, Save the Children, London.
28. Sharma D., Bern C., Varghese B., Chowdhury R., Haque R., Ali M., et al. The economic impact of visceral leishmaniasis on households in Bangladesh. Tropical Medicine and International Health 2006, 11(5):757-764.
29. Tibaijuka A.K. AIDS and economic welfare in peasant agriculture: case studies from Kagabiro Village, Kagera Region, Tanzania. World Development 1997, 25(6):963-975.
30. Van Damme W., Van Leemput L., Por I., Hardeman W., Meessen B. Out-of-pocket health expenditure and debt in poor households: evidence from Cambodia. Tropical Medicine and International Health 2004, 9(2):273-280.
31. Van Doorslaer E., O'Donnell O., Rannan-Eliya R., Somanathan A., Adhikari S., Garg C., et al. Effect of payments for health care on poverty estimates in 11 countries in Asia: an analysis of household survey data. Lancet 2006, 368:1357-1364.
32. Wagstaff A., van Doorslaer E. Catastrophe and impoverishment in paying for health care: with applications to Vietnam 1993-1998. Health Economics 2003, 12(11):921-934.
33. Wilkes, A., Hao, Y., Bloom, G., & Xingyuan, G. (1997). Coping with the costs of severe illness in rural China. IDS Working Paper 58.
34. Wyss K., Hutton G., N'Diekhor Y. Costs attributable to AIDS at household level in Chad. AIDS Care 2004, 16(7):808-816.
35. Xu K., Evans D., Carrin G., Aguilar-Rivera A. Designing health financing systems to reduce catastrophic health expenditure 2005, (Technical Briefs for Policy-Makers Number 2. WHO/EIP/HSF/PB/05.02), World Health Organization, Geneva.
36. Xu K., Evans D., Kadama P., Nabyonga J., Ogwal P., Nabukhonzo P., et al. Understanding the impact of eliminating user fees: utilization and catastrophic health expenditures in Uganda. Social Science & Medicine 2006, 62:866-876.
37. Xu K., Evans D., Kawabata K., Zeramdini R., Klavus J., Murray C. Household catastrophic health expenditure: a multicountry analysis. Lancet 2003, 362(362):111-117.