Catastrophic health expenditure and impoverishment in Mongolia

Javkhlanbayar Dorjdagva · Enkhjargal Batbaatar · Mikael Svensson · Dorjsuren Bayarsaikhan · Jussi Kauhanen

93 citations0/0 files storedInternational Journal for Equity in Health

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Abstract

BACKGROUND: The social health insurance coverage is relatively high in Mongolia; however, escalation of out-of-pocket payments for health care, which reached 41 % of the total health expenditure in 2011, is a policy concern. The aim of this study is to analyse the incidence of catastrophic health expenditures and to measure the rate of impoverishment from health care payments under the social health insurance scheme in Mongolia. METHODS: We used the data from the Household Socio-Economic Survey 2012, conducted by the National Statistical Office of Mongolia. Catastrophic health expenditures are defined an excess of out-of-pocket payments for health care at the various thresholds for household total expenditure (capacity to pay). For an estimate of the impoverishment effect, the national and The Wold Bank poverty lines are used. RESULTS: About 5.5 % of total households suffered from catastrophic health expenditures, when the threshold is 10 % of the total household expenditure. At the threshold of 40 % of capacity to pay, 1.1 % of the total household incurred catastrophic health expenditures. About 20,000 people were forced into poverty due to paying for health care. CONCLUSIONS: Despite the high coverage of social health insurance, a significant proportion of the population incurred catastrophic health expenditures and was forced into poverty due to out-of-pocket payments for health care.

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References

2003Household catastrophic health expenditure: a multicountry analysis 2007Analyzing Health Equity Using Household Survey Data: A Guide to Techniques and Their Implementation 2010Health systems financing and the path to universal coverage 2003Catastrophe and impoverishment in paying for health care: with applications to Vietnam 1993–1998 2007Analyzing Health Equity Using Household Survey Data 2007Catastrophic payments for health care in Asia 2012Catastrophic health care spending and impoverishment in Kenya

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