Determinants of hardship financing in coping with out of pocket payment for care seeking of under five children in selected rural areas of Bangladesh

PloS One
Tazeen TahsinaShams El Arifeen

Abstract

Around 63% of total health care expenditure in Bangladesh is mitigated through out of pocket payment (OOP). Heavy reliance on OOP at the time of care seeking poses great threat for financial impoverishment of the households. Households employ different strategies to cope with the associated financial hardship. The aim of this paper is to understand the determinants of hardship financing in coping with OOP adopted for health care seeking of under five childhood illnesses in rural setting of Bangladesh. A community based cross sectional survey was conducted during August to October, 2014 in 15 low performing sub-districts of northern and north-east regions of Bangladesh. Of the 7039 mothers of under five children surveyed, 1895 children who suffered from illness and sought care for their illness episodes were reported in this study. Descriptive statistics and ordinal regression analysis were conducted. A total number of 7,039 under five children reported to have suffered illness by their mothers. Among these children 37% suffered from priority illness. Care was sought for 88% children suffering from illnesses. Among them 26% went to a public or private sector medically trained provider. 5% of households incurred illness cost more...Continue Reading

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Citations

Apr 2, 2020·The American Journal of Tropical Medicine and Hygiene·Taiwo A ObembeIkeOluwapo O Ajayi
Jun 27, 2019·International Journal for Equity in Health·Suyash Mishra, Sanjay K Mohanty
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Apr 29, 2021·Archives of Disease in Childhood·Marufa SultanaLisa Gold
Sep 11, 2021·Archives of public health = Archives belges de santé publique·Ashish KcAvinash K Sunny

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