Md. Mizanur Rahman|Stuart Gilmour|Eiko Saito|Papia Sultana|Kenji Shibuya
Health-Related Financial Catastrophe, Inequality and Chronic Illness in Bangladesh
The University of Tokyo|University of Rajshahi|The University of Tokyo|The University of Tokyo|University of Rajshahi|The University of Tokyo
bangladesh high proportion households incurring catastrophic health expenditure limited risk sharing mechanisms identifying determinants outofpocket oop payments catastrophic health expenditure may reveal opportunities reduce costs protect households financial riskthis study investigates determinants high healthcare expenditure healthcare related financial catastrophea crosssectional household survey conducted rajshahi city bangladesh 2011 catastrophic health expenditure estimated separately based capacity pay proportion nonfood expenditure determinants oop payments financial catastrophe estimated using double hurdle poisson regression models respectivelyon average households spent 11 total budgets health half residents spent 7 monthly per capita consumption expenditure one illness nearly 9 households faced financial catastrophe poorest households spent less health four times higher risk catastrophe richest households risk financial catastrophe level oop payments higher users inpatient outpatient public private facilities respectively compared using selfmedication traditional healers determinants oop payments catastrophic expenses economic status presence chronic illness household illness among children adultshouseholds received inpatient outpatient private care experienced highest burden health expenditure poorest members community also face large often catastrophic expenses chronic illness management crucial reducing total burden disease household associated increased risk level oop payments catastrophic expenses households protected situations reducing health systems dependency oop payments providing financial risk protection