Assessing Factors Associated with Catastrophic Healthcare Expenditure in Côte d’Ivoire: Evidence from the Household Living Standard Survey 2015

Akissi Regine Attia-Konan; Agbaya Serge Stephane Oga; Kouame Koffi; Jerome Kouame; Amadou Toure; Luc Kouadio

doi:doi:10.11648/j.hep.20190404.14

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Assessing Factors Associated with Catastrophic Healthcare Expenditure in Côte d’Ivoire: Evidence from the Household Living Standard Survey 2015

Akissi Regine Attia-Konan, Agbaya Serge Stephane Oga, Kouame Koffi, Jerome Kouame, Amadou Toure, Luc Kouadio

Published in International Journal of Health Economics and Policy (Volume 4, Issue 4)

Received: 30 September 2019 Accepted: 23 October 2019 Published: 13 November 2019

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Abstract

Catastrophic healthcare expenditure (CHE) occurs in all countries and is responsible for inequalities in access to health care, particularly in low- and middle-income countries. The objective of this work is to analyse the determinants of CHEs in households living in Côte d'Ivoire. The data for the study are from the national household living standards survey conducted from January 23 to March 25, 2015 by the National Statistics Institute of Côte d’Ivoire (Institut National de la Statistique de Côte d'Ivoire). A one-way analysis and logistic regression were conducted to measure the association between CHEs and the socio-demographic, economic and health characteristics of households. The sample consisted of 12,899 households. Nearly 4% of households had experienced CHEs after completing OOPs. CHEs were more frequent in households including people over 65 years of age (OR: 4.75; 95% CI: 1.66-13.58), with chronic disease (OR: 2.10; 95% CI: 1.43-3.08), with more comfortable living conditions. Households without health insurance experienced fewer CHEs (OR: 0.29; 95% CI: 0.09-0.85) with large households including people over 65 years of age (OR: 0.60 95% CI: 0.40-0.91). This work highlighted socio-demographic and health determinants of CHEs. The reduction of CHEs involves considering social and individual factors.

Published in	International Journal of Health Economics and Policy (Volume 4, Issue 4)
DOI	10.11648/j.hep.20190404.14
Page(s)	143-150
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2019. Published by Science Publishing Group

Keywords

Out of Pocket, Direct Payments, Healthcare Expenditure, Catastrophic Health Expenditure, Côte d'Ivoire

References

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APA Style

Akissi Regine Attia-Konan, Agbaya Serge Stephane Oga, Kouame Koffi, Jerome Kouame, Amadou Toure, et al. (2019). Assessing Factors Associated with Catastrophic Healthcare Expenditure in Côte d’Ivoire: Evidence from the Household Living Standard Survey 2015. International Journal of Health Economics and Policy, 4(4), 143-150. https://doi.org/10.11648/j.hep.20190404.14

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ACS Style

Akissi Regine Attia-Konan; Agbaya Serge Stephane Oga; Kouame Koffi; Jerome Kouame; Amadou Toure, et al. Assessing Factors Associated with Catastrophic Healthcare Expenditure in Côte d’Ivoire: Evidence from the Household Living Standard Survey 2015. Int. J. Health Econ. Policy 2019, 4(4), 143-150. doi: 10.11648/j.hep.20190404.14

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AMA Style

Akissi Regine Attia-Konan, Agbaya Serge Stephane Oga, Kouame Koffi, Jerome Kouame, Amadou Toure, et al. Assessing Factors Associated with Catastrophic Healthcare Expenditure in Côte d’Ivoire: Evidence from the Household Living Standard Survey 2015. Int J Health Econ Policy. 2019;4(4):143-150. doi: 10.11648/j.hep.20190404.14

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@article{10.11648/j.hep.20190404.14,
  author = {Akissi Regine Attia-Konan and Agbaya Serge Stephane Oga and Kouame Koffi and Jerome Kouame and Amadou Toure and Luc Kouadio},
  title = {Assessing Factors Associated with Catastrophic Healthcare Expenditure in Côte d’Ivoire: Evidence from the Household Living Standard Survey 2015},
  journal = {International Journal of Health Economics and Policy},
  volume = {4},
  number = {4},
  pages = {143-150},
  doi = {10.11648/j.hep.20190404.14},
  url = {https://doi.org/10.11648/j.hep.20190404.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20190404.14},
  abstract = {Catastrophic healthcare expenditure (CHE) occurs in all countries and is responsible for inequalities in access to health care, particularly in low- and middle-income countries. The objective of this work is to analyse the determinants of CHEs in households living in Côte d'Ivoire. The data for the study are from the national household living standards survey conducted from January 23 to March 25, 2015 by the National Statistics Institute of Côte d’Ivoire (Institut National de la Statistique de Côte d'Ivoire). A one-way analysis and logistic regression were conducted to measure the association between CHEs and the socio-demographic, economic and health characteristics of households. The sample consisted of 12,899 households. Nearly 4% of households had experienced CHEs after completing OOPs. CHEs were more frequent in households including people over 65 years of age (OR: 4.75; 95% CI: 1.66-13.58), with chronic disease (OR: 2.10; 95% CI: 1.43-3.08), with more comfortable living conditions. Households without health insurance experienced fewer CHEs (OR: 0.29; 95% CI: 0.09-0.85) with large households including people over 65 years of age (OR: 0.60 95% CI: 0.40-0.91). This work highlighted socio-demographic and health determinants of CHEs. The reduction of CHEs involves considering social and individual factors.},
 year = {2019}
}

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TY  - JOUR
T1  - Assessing Factors Associated with Catastrophic Healthcare Expenditure in Côte d’Ivoire: Evidence from the Household Living Standard Survey 2015
AU  - Akissi Regine Attia-Konan
AU  - Agbaya Serge Stephane Oga
AU  - Kouame Koffi
AU  - Jerome Kouame
AU  - Amadou Toure
AU  - Luc Kouadio
Y1  - 2019/11/13
PY  - 2019
N1  - https://doi.org/10.11648/j.hep.20190404.14
DO  - 10.11648/j.hep.20190404.14
T2  - International Journal of Health Economics and Policy
JF  - International Journal of Health Economics and Policy
JO  - International Journal of Health Economics and Policy
SP  - 143
EP  - 150
PB  - Science Publishing Group
SN  - 2578-9309
UR  - https://doi.org/10.11648/j.hep.20190404.14
AB  - Catastrophic healthcare expenditure (CHE) occurs in all countries and is responsible for inequalities in access to health care, particularly in low- and middle-income countries. The objective of this work is to analyse the determinants of CHEs in households living in Côte d'Ivoire. The data for the study are from the national household living standards survey conducted from January 23 to March 25, 2015 by the National Statistics Institute of Côte d’Ivoire (Institut National de la Statistique de Côte d'Ivoire). A one-way analysis and logistic regression were conducted to measure the association between CHEs and the socio-demographic, economic and health characteristics of households. The sample consisted of 12,899 households. Nearly 4% of households had experienced CHEs after completing OOPs. CHEs were more frequent in households including people over 65 years of age (OR: 4.75; 95% CI: 1.66-13.58), with chronic disease (OR: 2.10; 95% CI: 1.43-3.08), with more comfortable living conditions. Households without health insurance experienced fewer CHEs (OR: 0.29; 95% CI: 0.09-0.85) with large households including people over 65 years of age (OR: 0.60 95% CI: 0.40-0.91). This work highlighted socio-demographic and health determinants of CHEs. The reduction of CHEs involves considering social and individual factors.
VL  - 4
IS  - 4
ER  -

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Author Information

Akissi Regine Attia-Konan

Department of Public Health, Hydrology and Toxicology, University of Felix Houphouet Boigny, Abidjan, Cote d’Ivoire
Agbaya Serge Stephane Oga

Department of Public Health, Hydrology and Toxicology, University of Felix Houphouet Boigny, Abidjan, Cote d’Ivoire
Kouame Koffi

Department of Public Health, Hydrology and Toxicology, University of Felix Houphouet Boigny, Abidjan, Cote d’Ivoire
Jerome Kouame

Department of Public Health, Hydrology and Toxicology, University of Felix Houphouet Boigny, Abidjan, Cote d’Ivoire
Amadou Toure

National Institute of Cote d’Ivoire, Abidjan, Cote d’Ivoire
Luc Kouadio

Department of Public Health, Hydrology and Toxicology, University of Felix Houphouet Boigny, Abidjan, Cote d’Ivoire

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APA Style

Akissi Regine Attia-Konan, Agbaya Serge Stephane Oga, Kouame Koffi, Jerome Kouame, Amadou Toure, et al. (2019). Assessing Factors Associated with Catastrophic Healthcare Expenditure in Côte d’Ivoire: Evidence from the Household Living Standard Survey 2015. International Journal of Health Economics and Policy, 4(4), 143-150. https://doi.org/10.11648/j.hep.20190404.14

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ACS Style

Akissi Regine Attia-Konan; Agbaya Serge Stephane Oga; Kouame Koffi; Jerome Kouame; Amadou Toure, et al. Assessing Factors Associated with Catastrophic Healthcare Expenditure in Côte d’Ivoire: Evidence from the Household Living Standard Survey 2015. Int. J. Health Econ. Policy 2019, 4(4), 143-150. doi: 10.11648/j.hep.20190404.14

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AMA Style

Akissi Regine Attia-Konan, Agbaya Serge Stephane Oga, Kouame Koffi, Jerome Kouame, Amadou Toure, et al. Assessing Factors Associated with Catastrophic Healthcare Expenditure in Côte d’Ivoire: Evidence from the Household Living Standard Survey 2015. Int J Health Econ Policy. 2019;4(4):143-150. doi: 10.11648/j.hep.20190404.14

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@article{10.11648/j.hep.20190404.14,
  author = {Akissi Regine Attia-Konan and Agbaya Serge Stephane Oga and Kouame Koffi and Jerome Kouame and Amadou Toure and Luc Kouadio},
  title = {Assessing Factors Associated with Catastrophic Healthcare Expenditure in Côte d’Ivoire: Evidence from the Household Living Standard Survey 2015},
  journal = {International Journal of Health Economics and Policy},
  volume = {4},
  number = {4},
  pages = {143-150},
  doi = {10.11648/j.hep.20190404.14},
  url = {https://doi.org/10.11648/j.hep.20190404.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.hep.20190404.14},
  abstract = {Catastrophic healthcare expenditure (CHE) occurs in all countries and is responsible for inequalities in access to health care, particularly in low- and middle-income countries. The objective of this work is to analyse the determinants of CHEs in households living in Côte d'Ivoire. The data for the study are from the national household living standards survey conducted from January 23 to March 25, 2015 by the National Statistics Institute of Côte d’Ivoire (Institut National de la Statistique de Côte d'Ivoire). A one-way analysis and logistic regression were conducted to measure the association between CHEs and the socio-demographic, economic and health characteristics of households. The sample consisted of 12,899 households. Nearly 4% of households had experienced CHEs after completing OOPs. CHEs were more frequent in households including people over 65 years of age (OR: 4.75; 95% CI: 1.66-13.58), with chronic disease (OR: 2.10; 95% CI: 1.43-3.08), with more comfortable living conditions. Households without health insurance experienced fewer CHEs (OR: 0.29; 95% CI: 0.09-0.85) with large households including people over 65 years of age (OR: 0.60 95% CI: 0.40-0.91). This work highlighted socio-demographic and health determinants of CHEs. The reduction of CHEs involves considering social and individual factors.},
 year = {2019}
}

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TY  - JOUR
T1  - Assessing Factors Associated with Catastrophic Healthcare Expenditure in Côte d’Ivoire: Evidence from the Household Living Standard Survey 2015
AU  - Akissi Regine Attia-Konan
AU  - Agbaya Serge Stephane Oga
AU  - Kouame Koffi
AU  - Jerome Kouame
AU  - Amadou Toure
AU  - Luc Kouadio
Y1  - 2019/11/13
PY  - 2019
N1  - https://doi.org/10.11648/j.hep.20190404.14
DO  - 10.11648/j.hep.20190404.14
T2  - International Journal of Health Economics and Policy
JF  - International Journal of Health Economics and Policy
JO  - International Journal of Health Economics and Policy
SP  - 143
EP  - 150
PB  - Science Publishing Group
SN  - 2578-9309
UR  - https://doi.org/10.11648/j.hep.20190404.14
AB  - Catastrophic healthcare expenditure (CHE) occurs in all countries and is responsible for inequalities in access to health care, particularly in low- and middle-income countries. The objective of this work is to analyse the determinants of CHEs in households living in Côte d'Ivoire. The data for the study are from the national household living standards survey conducted from January 23 to March 25, 2015 by the National Statistics Institute of Côte d’Ivoire (Institut National de la Statistique de Côte d'Ivoire). A one-way analysis and logistic regression were conducted to measure the association between CHEs and the socio-demographic, economic and health characteristics of households. The sample consisted of 12,899 households. Nearly 4% of households had experienced CHEs after completing OOPs. CHEs were more frequent in households including people over 65 years of age (OR: 4.75; 95% CI: 1.66-13.58), with chronic disease (OR: 2.10; 95% CI: 1.43-3.08), with more comfortable living conditions. Households without health insurance experienced fewer CHEs (OR: 0.29; 95% CI: 0.09-0.85) with large households including people over 65 years of age (OR: 0.60 95% CI: 0.40-0.91). This work highlighted socio-demographic and health determinants of CHEs. The reduction of CHEs involves considering social and individual factors.
VL  - 4
IS  - 4
ER  -

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