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- Title
Out-of-pocket payments and catastrophic expenditures due to traffic injuries in Ouagadougou, Burkina Faso.
- Authors
Petitfour, Laurène; Bonnet, Emmanuel; Mathevet, Isadora; Nikiema, Aude; Ridde, Valéry
- Abstract
Objective: To estimate the out-of-pocket expenditures linked to Road Traffic Injuries in Ouagadougou, Burkina Faso, as well as the prevalence of catastrophic expenditures among those out-of-pocket payments, and to identify the socio-economic determinants of catastrophic expenditures due to Road Traffic Injuries. Methods: We surveyed every admission at the only trauma unit of Ouagadougou between January and July 2015 at the time of their admission, 7 days and 30 days later. We estimate a total amount of out-of-pocket expenditures paid by each patient. We considered an expense as catastrophic when it represented 10% at least of the annual global consumption of the patient's household. We used linear models to determine if socio-economic characteristics were associated to a greater or smaller ratio between out-of-pocket payment and global annual consumption. Findings: We surveyed 1323 Road injury victims three times (admission, Days 7 and 30). They paid in average 46,547 FCFA (83.64 US dollars) for their care, which represent a catastrophic expenditure for 19% of them. Less than 5% of the sample was covered by a health insurance scheme. Household economic status is found to be the first determinant of catastrophic health expenditure occurrence, exhibiting a significant and negative on the ratio between road injury expenditures and global consumption. Conclusion: Our findings highlight the importance of developing health insurance schemes to protect poor households from the economic burden of road traffic injuries and improve equity in front of health shocks.
- Subjects
OUAGADOUGOU (Burkina Faso); SOCIOECONOMIC factors; TRAUMA centers; WOUNDS &; injuries; CONSUMPTION (Economics); ECONOMIC status; ECONOMIC liberty
- Publication
Health Economics Review, 2021, Vol 11, Issue 1, p1
- ISSN
2191-1991
- Publication type
Article
- DOI
10.1186/s13561-021-00344-w