Analysis on the equity differential on household healthcare financing in developing countries: empirical evidence from Tanzania, East Africa.

Developing Countries Health Economics Health Equity Health Financing Instrumental Variable Tanzania

Journal

Health economics review
ISSN: 2191-1991
Titre abrégé: Health Econ Rev
Pays: Germany
ID NLM: 101583209

Informations de publication

Date de publication:
07 Nov 2022
Historique:
received: 29 03 2022
accepted: 25 10 2022
entrez: 7 11 2022
pubmed: 8 11 2022
medline: 8 11 2022
Statut: epublish

Résumé

Achieving equity in healthcare services has been a global priority. According to the literature, a slew of initiatives aimed at increasing household equity in healthcare financing have exacerbated the problem, making it hard for most developing countries to understand the real cause of the problem. The non-experimental research design has been used to explore the Tanzania Panel Survey (NPS) data 2019/2020, to investigate equity differential in household healthcare financing in Tanzania by the use of conventional instrumental variable methods of Two-stage and Three-stage least square methods RESULTS: Despite the global agenda of universal health coverage, this paper reveals that 86 percent of Tanzania lacks health insurance with a high degree of inequitable distribution of health facilities as 71.54 percent of the population is in rural areas, yet these areas have poor health systems compared to urban ones. These disparities increase pressure on household healthcare financing and widen the inequity and equality gaps simultaneously. Additionally, a household's income, education, health care waivers, out-of-pocket expenditure, and user fees have been found to have a significant impact on household equity in healthcare financing. To reverse the situation and increase equity in household healthcare financing in most developing countries, this paper suggests that an adequate pooling system should be used to allow more people to be covered by medical prepayment programs, and the donor-funded programs in developing countries should focus on health sector infrastructure development and not the capacity building.

Sections du résumé

BACKGROUND BACKGROUND
Achieving equity in healthcare services has been a global priority. According to the literature, a slew of initiatives aimed at increasing household equity in healthcare financing have exacerbated the problem, making it hard for most developing countries to understand the real cause of the problem.
METHOD METHODS
The non-experimental research design has been used to explore the Tanzania Panel Survey (NPS) data 2019/2020, to investigate equity differential in household healthcare financing in Tanzania by the use of conventional instrumental variable methods of Two-stage and Three-stage least square methods RESULTS: Despite the global agenda of universal health coverage, this paper reveals that 86 percent of Tanzania lacks health insurance with a high degree of inequitable distribution of health facilities as 71.54 percent of the population is in rural areas, yet these areas have poor health systems compared to urban ones. These disparities increase pressure on household healthcare financing and widen the inequity and equality gaps simultaneously. Additionally, a household's income, education, health care waivers, out-of-pocket expenditure, and user fees have been found to have a significant impact on household equity in healthcare financing.
CONCLUSION CONCLUSIONS
To reverse the situation and increase equity in household healthcare financing in most developing countries, this paper suggests that an adequate pooling system should be used to allow more people to be covered by medical prepayment programs, and the donor-funded programs in developing countries should focus on health sector infrastructure development and not the capacity building.

Identifiants

pubmed: 36342557
doi: 10.1186/s13561-022-00404-9
pii: 10.1186/s13561-022-00404-9
pmc: PMC9639327
doi:

Types de publication

Journal Article

Langues

eng

Pagination

55

Informations de copyright

© 2022. The Author(s).

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Auteurs

Felician Andrew Kitole (FA)

Department of Economics, Mzumbe University, P.O Box 5, Mzumbe, Tanzania. felicianandrew@gmail.com.

Robert Michael Lihawa (RM)

Department of Economics, Mzumbe University, P.O Box 5, Mzumbe, Tanzania.

Eliaza Mkuna (E)

Department of Economics, Mzumbe University, P.O Box 5, Mzumbe, Tanzania.

Classifications MeSH